THE

www.caet.ca

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MARCH 2017 VOLUME 28, ISSUE 1

Canadian Association for Enterostomal Therapy

NICOLE DENIS RECOGNIZED BY AIISQ

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VOLUME 28, PUBLICATION 1 PM42202514

Association Canadienne des Stomothérapeutes

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The LINK, the official publication of the Canadian Association for Enterostomal Therapy (CAET) is published three times a year. It is indexed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database.

MARCH 2017 • VOLUME 28, ISSUE 1

The LINK accepts contributions in the form of professional news, research projects and findings, clinical papers, case studies, reports, review articles, questions for clinical corner, and letters to the editor. Advertising and news from industry are also welcome. The deadline for submissions to the next edition of The LINK is June 10th, 2017. La revue Le LIEN est une publication officielle de l’Association canadienne des stomothérapeutes publiée trois fois par année et indexée dans la banque de données «Cumulative Index to Nursing and Allied Health Literature». Le LIEN accepte toute contribution sous les formes suivantes: nouvelles professionnelles, projets de recherches, études cliniques, études de cas, rapports, revues d’articles, questions destinées à la section clinique et lettres à l’éditeur. Les publicités et nouvelles de l’industrie sont aussi les bienvenues. La date limite pour la soumission d’un écrit à paraître dans le prochain numéro de Le LIEN est le 10 juin 2017. For further information or to submit content/ Pour de plus amples renseignements ou pour soumettre un écrit, veuillez contacter: Tel: 1-888-739-5072 Email: [email protected] The LINK is published by Clockwork Communications Inc. on behalf of CAET. Clockwork Communications Inc. PO Box 33145, Halifax, NS, B3L 4T6 Tel: 902.442.3882 Fax: 888.330.2116 www.ClockworkCanada.com Managing Editor: Deborah McNamara Art Director: Sherri Keenan Translator: Jocelyne Demers-Owoka Please forward any changes in membership status or address to: Noëlla Trudel Tel: 1-888-739-5072 Fax: 613-834-6351 E-mail: [email protected] Website: www.caet.ca/membership.htm

CONTENTS HIghlights THE QUEBEC ASSOCIATION OF ENTEROSTOMAL THERAPY NURSES (AIISQ) PAYS TRIBUTE TO NICOLE DENIS

2017 NATIONAL CONFERENCE PROGRAM

22 - 23

Regular Features MEMBERSHIP COMMUNIQUÉ

4 - 14

CAET ACADEMY

16 - 19

CONTINENCE EXCHANGE

20 - 21

REGIONAL DIRECTORS' CORNER

24 - 30

CORE PROGRAM LEADERS' CORNER INTEREST GROUP ET COMMUNITY NEWS

ISSN 1701-2473 Publications Mail Agreement No. 42202514 Return Undeliverable Canadian Addresses to 66 Leopolds Drive, Ottawa, ON, K1V 7E3 [email protected]

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MEMBERSHIP COMMUNIQUÉ

CAET PRESIDENT’S MESSAGE Submitted by: Rosemary Hill, RN, BSN, CWOCN, CETN(C), CAET President. [email protected]

pring is a time to find out where you are, who you are, and move toward where you are going,” so says Penelope Trunk, an author in coaching and leadership (http://www.azquotes.com/quote/ 1243636). In Springtime, as we witness rebirth, regrowth, and renewal in nature, we take time to ask ourselves about our own season and what we may learn in the year ahead. I found myself here a couple of years ago with new leadership responsibilities that had me pondering what my resources were and what strengths and potential growth might be ahead. How would I succeed at navigating the intersections of my work and personal life?

“S

I took the plunge and registered for the online course “Building Leadership for Enterostomal Therapy Excellence.” The leadership course is based on the LEADS framework (Leads Self, Engage Others, Achieve Results, Develop Coalitions, System Transformation) and provides a comprehensive approach to leadership within the Canadian healthcare sector. It is best known for being a framework that supports a broad understanding of leadership practices in a very practical way. I was told I would be “challenged, connected, informed” and I was indeed!

In retrospect it was a transformational “spring” decision. I’d like to share some of the highlights of this course and encourage you to consider this unique opportunity to complement your own growing skill set. Before the course each participant completes a Strength Deployment Inventory (SDI). This is a helpful tool that creates a portrait of existing strengths and areas for future development and helps one understand what drives behaviours in success, failure, and conflict. The course begins with a two-day interactive workshop where you meet the facilitators and fellow students, gain a deeper understanding of the SDI results, and learn about the key course elements. As the course progresses each participant enjoys the benefit of an in-depth 360⁰ feedback through feedback from your colleagues and manager as well as a selfassessment portion. This is followed by two 60 minute personalized (and confidential) coaching sessions from certified executive coaches. A unique feature of this leadership program is that it was much more than just leadership theory with abstract application. It included identifying a real-life leadership project (an

The next leadership course commences at the CAET Conference in London, Ontario (May 25 to 28, 2017). 4

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opportunity or challenge) that we needed to work through in our day job. The home practice, between our learning webinars, involved applying the learning and framework directly to this leadership project. My project was the development of a Provincial Nursing Ostomy Committee. With each module of this course I applied what I learned to the creation and ongoing development of this committee. Another key highlight was creating my “authentic leadership” document. This was an opportunity to, after deep inner reflection, articulate how my personality, values, and life experiences impact my leadership style, goals, and practices. It helped me finetune the next steps in my journey. Upon conclusion of the program the faculty and participants come together for a full day to share leadership projects, progress, and learning experiences from throughout the year. We also had the opportunity to share how this leadership program has impacted on how we ‘show up’ as leaders. I highly recommend this course both personally and professionally. Now that I have piqued your interest let me encourage you to register – check out the CAET website for more information. The course commences at the CAET Conference in London, Ontario (May 25 to 28, 2017). How would you like to begin your Spring? cd

MEMBERSHIP COMMUNIQUÉ

MESSAGE DU PRÉSIDENTE DE CAET Soumis par : Rosemary Hill, inf., B.Sc.Inf., stomothérapeute certifiée, ICS(C), présidente de l’ACS [email protected]

«L

e printemps, c’est le moment de faire le point sur votre situation, sur vous-mêmes et de vous diriger vers où vous souhaitez aller, » comme le dit Penelope Trunk, une auteure en encadrement et leadership (http://www.azquotes.com/quote/12436 36). Au printemps, alors que nous observons la nature renaître, repousser et se renouveler, prenons le temps de nous demander comment se déroule notre propre saison et ce que l’année à venir pourrait nous apprendre. Il y a quelques années, de nouvelles responsabilités de leadership m’ont poussée à réfléchir sur mes ressources, sur mes forces et à me demander qu’estce que j’en tirerais potentiellement. Comment pourrais-je parvenir avec succès à naviguer dans les intersections de mon travail et de ma vie personnelle? J’ai fait le grand saut et je me suis inscrite au cours en ligne intitulé « Renforcer ses capacités de leadership pour parvenir à l’excellence en stomothérapie ». Ce cours de leadership se fonde sur le cadre LEADS (Être son propre leader, Engager les autres, Atteindre des résultats, Développer des coalitions et Transformer le système) et propose une approche exhaustive au leadership au sein du secteur de la santé au Canada. Il est réputé être un cadre favorisant une vaste compréhension des pratiques de leadership de façon très concrète. On m’avait dit que je serais « mise au défi, connectée, renseignée » et je l’ai

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été! Avec du recul, ce fut une décision transformatrice que l’on ne prend qu’au printemps. J’aimerais vous faire part des points saillants de ce cours et vous encourager à réfléchir à cette occasion unique d’ajouter quelques cordes à votre gamme de compétences. Avant le cours, chaque participant effectue un Inventaire du déploiement des forces de la personnalité. Cet inventaire est un outil pratique qui vous donne une idée de vos forces et des domaines à améliorer tout en vous aidant à comprendre ce qui suscite les comportements pour connaître du succès, des échecs et des conflits. Le cours commence par un atelier interactif de deux jours durant lequel vous rencontrez les animateurs et les autres participants, vous acquérez une meilleure compréhension des résultats de l’Inventaire du déploiement des forces de la personnalité et où vous vous renseignez sur les éléments clés du cours. Au fur et à mesure que le cours se déroule, chaque participant bénéficie d’une rétroaction extrêmement détaillée⁰ grâce aux commentaires de vos collègues et de votre superviseur ainsi que d’une auto-évaluation. Par la suite, chaque participant a droit à deux séances personnalisées (et confidentielles) d’encadrement de 60 minutes avec des formateurs-cadres certifiés. Une caractéristique unique de ce programme de leadership est qu’il vous offre bien plus que de la théorie sur le leadership avec des mises en situation abstraite. Le cours nous demandait

MEMBERSHIP COMMUNIQUÉ

MESSAGE DU PRÉSIDENTE DE CAET (suite) Le cours se donnera lors de la Conférence de l’ACS à London, Ontario (du 25 au 28 mai 2017).

d’identifier un projet de leadership dans la vraie vie (une occasion ou un défi) que nous devions travailler dans notre emploi de jour. Les exercices à la maison, entre les webinaires d’apprentissage, nous permettaient de mettre en pratique nos apprentissages et le cadre directement sur ce projet de leadership. Mon projet était la création d’un comité provincial sur les soins de stomies. Avec chaque module de ce cours, j’ai mis en pratique ce que j’ai appris pour la création et le développement continu de ce comité. Un autre point saillant a été l’élaboration de mon « propre document de leadership ». À bien y penser, ce cours m’a permis d’exprimer clairement comment ma personnalité, mes valeurs et mes expériences de vie ont des répercussions sur mon style de leadership, mes objectifs et mes pratiques. Il m’a aidé à peaufiner les prochaines étapes de mon cheminement.

Après avoir terminé le programme, les animateurs et les participants se rassemblent pour une journée afin de partager les projets de leadership, les progrès et les expériences d’apprentissage réalisés tout au long de l’année. Nous avons également eu l’occasion de partager comment ce programme de leadership a influencé la façon dont nous nous présentons en tant que leaders. Je vous recommande fortement ce cours à la fois pour votre développement personnel et votre perfectionnement professionnel. Maintenant que j’ai éveillé votre intérêt, laissez-moi vous encourager à vous y inscrire – jetez un coup d’œil au site Web de l’ACS pour plus d’information. Le cours se donnera lors de la Conférence de l’ACS à London, Ontario (du 25 au 28 mai 2017). De quelle façon aimeriez-vous commencer votre printemps? cd

The views or opinions expressed in the editorial or articles are those of the authors and do not necessarily represent the policies or views of the Canadian Association for

This publication is copyright in its entirety. Material may

Enterestomal Therapy (CAET). Although

not be reprinted without the

reasonable efforts are made to ensure

written permission of

accuracy CAET, and its agents, take no

CAET. Contact through

responsibility whatsoever for errors,

www.CAET.ca.

omissions or any consequences of reliance on material or the accuracy of information.

Publication does not constitute CAET endorsement of, or assumption of liability for, any claims made in advertisements.

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EXECUTIVE DIRECTOR’S REPORT Submitted by: Catherine Harley, RN, eMBA, CAET Executive Director. [email protected]

Leadership Challenge Project: CAET/ET Nurse Name Change Decision

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he CAET Board of Directors, during the 2014-2017 strategic planning process, identified as a priority the exploration of whether or not the name Enterostomal Therapy Nurse and the name of the association, the Canadian Association for Enterostomal Therapy, should be changed in order to strategically position Enterostomal Therapy Nurses for the future. Concerns had been brought forward by members, and other stakeholders, that the current names did not reflect the specialized role in wound/skin care, ostomy, and continence care and, ultimately, were not sustainable. In many cases healthcare providers and patients do not understand the association name or the focus of the Enterostomal Therapy specialty. With a thirty-five year record of the name Canadian Association for Enterostomal Therapy (CAET), and an even longer timeframe for the name Enterostomal Therapist/Enterostomal Therapy Nurse, it was apparent that the specialty nursing group is being held back by two seemingly impenetrable barriers.

1) Perpetual confusion in the healthcare sector about what an Enterostomal Therapy Nurse is and what they do; and 2) A lack of understanding regarding the relationship of Enterostomal Therapy nurses to their specialized role in wound, ostomy, and continence care. No matter how successful we have been, over the past decade, at getting 8

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Our ability to brand the specialty nurse title and the association are reduced when there is confusion around the name and the role. the name Enterostomal Therapist into the public domain the majority of times our audience gets the name wrong, does understand what it means, or doesn’t recognize the role that the ET nurse performs. If healthcare stakeholders are struggling with pronouncing and understanding the name it has an impact on our ability to get the association and the specialty nurse role top of mind with front-line caregivers and patients. This builds a barrier to stronger relationships and increasing our profile. Our ability to brand the specialty nurse title and the association are reduced when there is confusion around the name and the role. If the audiences don’t know what Enterostomal Therapy Nurse means then there is a high chance they would not understand the services that they provide. The only audiences who do know who the Enterostomal Therapy Nurse is, and what they do are long-time, appear to be health providers with whom one on one relationships have been established. Our ability to brand the title has a direct impact on our ability to protect the role so that it is not given to a healthcare worker of different qualifications or lesser skills in the

specialty. In many cases people also have a hard time pronouncing the name “Enterostomal Therapy”. Since the CAET is striving to extend its reach to people suffering with wound, ostomy and continence issues, and to ensure that all audiences are aware of the full range of its programs (including new initiatives such as advocacy for ostomy reimbursement and awareness of assistance for continence support), these challenges have to be addressed. As a part of the 2016 CAET Leadership Program CAET launched a “Leadership Challenge” to address this issue. A project team was formed which, in addition to myself, included Lina Martins, Paulo DaRosa, and Susan Mills- Zorzes (all from Ontario), Christie Man, from British Columbia, Louise Forest-Lalande and Kim Grenier from Quebec, and Virginia McNaughton, the CAET Academy Director. The mandate of this project team was to develop a comprehensive business plan to determine whether or not a name change for the Canadian Association for Enterostomal Therapy EXECUTIVE DIRECTOR’S REPORT continued on Page #10

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EXECUTIVE DIRECTOR’S REPORT (cont. from page #8) Every CAET Member has the opportunity to provide their feedback on this name change decision.

(CAET) and the Enterostomal Therapy (ET) Nurse title is warranted and, if so, what the recommended name changes would be in both official languages. The team started by looking at important aspects of the impact of a name change as follows: 1) Achieving Authorization A not-for-profit corporation has strict organizational, reporting, and registration requirements and a name change requires permission from those who are, according to the not-for-profit’s by-laws, authorized to do so. For CAET this means obtaining permission from the Board of Directors and the Members. If the decision is made to change the name then a name search and registration of a new name with Industry Canada must be completed and the Articles of Continuance and by-laws must be changed. The Canada Revenue Agency must also be notified of the change.

A formal Project Charter was developed by the team, signed by the CAET President Elect, and approved by the CAET Board. It included: • Scope: what was included in and excluded from the project; • Names of team members; • Project Goals: to set direction; • Timelines; • Identification of Key Stakeholders; • Action Plan; • Milestones; and • Project sponsor (CAET Board).

2) Buy-in from the CAET Board of Directors Due diligence must be completed, and a review and discussion held with the CAET Board of Directors, in order to support decision making around the issue of a name change.

In order to clearly identify the target audience, for assessing the name change decision, the team conducted a stakeholder analysis. Six survey instruments were developed by the team in order to obtain feedback from each of the following Stakeholders:

3) Acceptance by the Majority of CAET Members The CAET Members must be involved in the final decision by having the opportunity to vote on a name change.

•

4) Cost implications A financial assessment of the impact of a name change will be conducted as a part of this project. 5) Re-Branding It is important to ensure a clear understanding of the new name by the general public, by people living with a wound, ostomy or continence issue, and by healthcare providers. The new name must resonate with all. 10

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6) Demonstration of acceptance of name change decision by industry members The decision regarding whether or not to make a name change must take in to account its perception by donors/sponsors to ensure that the change does not decrease the attractiveness of future market potential from these funders. Ensuring their support will help create a greater opportunity for success for future funded initiatives.

• • • • •

ET Nurses who are CAET members (survey to be conducted both official languages); Aligned healthcare professionals; Aligned associations; Industry; Patients/Ostomy Canada Society; and The CAET Board.

Survey results showed that a name change was, overall, supported by 53% of ET Nurses who completed the English survey with 27% indicating that they were not sure and only 20% saying they did not support a name change. For those participating in the French survey more than 70% Enterostomal EXECUTIVE DIRECTOR’S REPORT continued on Page #14

CAET Executive President: Rosemary Hill President-Elect: Chris Murphy Past President: Paulo DaRosa Secretary: Laureen Sommerey Treasurer: Deb Cutting Executive Director: Catherine Harley

Regional Directors BC/Yukon: Teresa Stone Prairies/NWT/Nunavut: Eileen Emmot Ontario: Donna Fossum Québec: Nevart Hotakorzian Atlantic: Kathy Mutch

CAET Staff

Core Programs Informatics and Research: Karen Napier Marketing: Susan Mills-Zorzes National Conf. Planning: Mary Hill Political Action: Kim LeBlanc Professional Development & Practice: Laura Robbs

CAET/JWOCN Editorial Board

Membership Coordinator: Noëlla Trudel Webmaster: ImaginationPlus Bookkeeper: Clare Business Services

CAET Academy Director: Virginia McNaughton Office Coordinator: Suzanne Sarda IT Support: Linda Forster Academic Advisors: Gail Creelman, Deb Cutting, Mary Engel, Melanie Fauteux, Marilyn Langlois, Toba Miller, Nancy Parslow, Dorothy Phillips, Barb Plumstead, Louise Samuel, Louise Turgeon. Preceptor Coordinator: Nicole Denis

Features Editor: Lina Martins BC/Yukon: Kim LeBlanc Prairies/NWT: Mary Hill Ontario: Lina Martins Québec/Atlantic: Louise Forest Lalande

CAET Ad Hoc Committees Bylaws Chair: Vivien Wass Nominations Chair: Lani Williston

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RAPPORT DE LA DIRECTRICE GÉNÉRALE Soumis par : Catherine Harley, IA, M.B.A. pour cadres, directrice générale de la CAET. [email protected]

Projet Défi leadership : décision concernant le changement d e nom de l’ACS/des infirmières stomothérapeutes

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ors du processus de planification stratégique de 2014-2017, le conseil d’administration de l’ACS a identifié qu’il était prioritaire d’examiner si le titre d’infirmière stomothérapeute et le nom de l’association, l’Association canadienne des stomothérapeutes, devraient être modifiés afin de positionner de façon stratégique pour l’avenir les infirmières stomothérapeutes. Les membres et d’autres parties intéressées ont soulevé des préoccupations quant au fait que le nom et le titre actuels ne reflétaient pas le rôle spécialisé en soin des plaies/de la peau, en soin des stomies et de la continence et, qu’en définitive, ils n’étaient pas durables. Dans plusieurs cas, les fournisseurs de soins de santé et les patients ne comprennent pas le nom de l’association ni l’accent mis sur la spécialité de la stomothérapie. L’Association canadienne des stomothérapeutes (ACS) étant connue sous ce nom depuis trente-cinq ans et les infirmières sous le titre d’infirmière stomothérapeute ou stomothérapeute depuis encore plus longtemps, il était évident que le groupe de soins spécialisés était freiné par deux obstacles qui semblaient insurmontables.

1) La constante confusion dans le domaine des soins de santé quant à ce qu’est une stomothérapeute et ce qu’elle fait; 2) Le manque de compréhension concernant la relation entre les stomothérapeutes et leur rôle spécialisé en matière de soin des plaies, des stomies et de la continence. Peu importe le succès que nous avons connu au cours de la dernière décennie 12

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Notre capacité à cataloguer le titre d’infirmière spécialisée et le nom de l’association était réduite en raison de la confusion qui régnait autour du nom et du rôle. pour faire connaître le titre de stomothérapeute au public, la plupart du temps ce dernier le saisit mal, ne comprend pas ce qu’il signifie ou ne reconnaît pas le rôle joué par les stomothérapeutes. Si les intervenants en soins de santé ont de la difficulté à prononcer et à comprendre notre nom, cela a des répercussions sur notre capacité à faire en sorte que l’association et que le rôle de nos infirmières spécialisées soient parmi les priorités dans la tête des fournisseurs de soins de première ligne et des patients. Cet obstacle nous empêche donc de développer des relations plus solides et d’améliorer notre profil. Notre capacité à cataloguer le titre d’infirmière spécialisée et le nom de l’association était réduite en raison de la confusion qui régnait autour du nom et du rôle. Si le public ne sait pas ce que signifie le titre de stomothérapeute, il y a alors de fortes chances qu’il ne comprenne pas les services qu’elle offre. Les seules personnes qui savent ce qu’est une infirmière stomothérapeute et ce qu’elle fait semblent être les fournisseurs de soins avec lesquels des relations individuelles ont été établies. Notre capacité à cataloguer le titre a un impact direct sur notre capacité à protéger le rôle afin qu’il ne soit pas donné à d’autres travailleurs de la santé ayant des compétences différentes ou moins de qualifications au sein de notre spécialité. Dans plusieurs

cas, les personnes ont aussi beaucoup de difficulté à prononcer le titre de « stomothérapeute ». Compte tenu du fait que l’ACS s’efforce d’élargir sa portée vers les personnes souffrant de plaies, ayant une stomie et des problèmes de continence, et pour s’assurer que tous les publics sont conscients de toute la gamme de nos programmes (y compris des nouvelles initiatives, comme le plaidoyer en faveur du remboursement des fournitures de stomie et la sensibilisation pour l’aide que nous offrons pour les problèmes de continence), ces défis se doivent d’être abordés. Dans le cadre du programme de leadership 2016 de l’ACS, cette dernière a lancé le « Défi leadership » pour s’attaquer à cet enjeu. Une équipe de projet a été formée, qui, en plus de moimême, incluait Lina Martins, Paulo DaRosa et Susan Mills- Zorzes (tous de l’Ontario), Christie Man, de la Colombie-Britannique, Louise ForestLalande et Kim Grenier du Québec et Virginia McNaughton, la directrice de l’Académie de l’ACS. Le mandat de cette équipe de projet était d’élaborer un plan d’affaires exhaustif afin de déterminer si un changement de nom pour l’Association canadienne des stomothérapeutes (ACS) et pour le titre d’infirmière stomothérapeute était justifié et, si tel était le cas, quels nom/titre seraient recommandés dans les

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RAPPORT DE LA DIRECTRICE GÉNÉRALE (suite) Chaque membre de l’ACS aura l’occasion de s’exprimer quant à cette décision de changer de nom.

deux langues officielles. L’équipe a commencé en examinant les aspects importants liés à l’impact d’un changement de nom : 1) Obtenir l’autorisation Un organisme à but non lucratif possède des exigences organisationnelles, des exigences de rapport et d’inscription strictes et un changement de nom nécessite l’autorisation des personnes qui, selon la loi relative aux organismes à but non lucratif, sont habilitées à le faire. L’ACS doit donc obtenir l’autorisation du conseil d’administration et des membres. Si la décision de changer de nom est prise, alors une recherche de nom et l’inscription du nouveau nom auprès d’Industrie Canada doivent être effectuées et les clauses de prorogation ainsi que les règlements administratifs doivent être modifiés. L’Agence du revenu du Canada doit également être avisée de ce changement. 2) Obtenir l’assentiment du conseil d’administration de l’ACS Il faut faire preuve de diligence raisonnable et le conseil d’administration de l’ACS doit passer en revue et discuter de ces changements afin d’appuyer sa prise de décision concernant les changements de nom/titre. 3) Obtenir l’accord de la majorité des membres de l’ACS Les membres de l’ACS doivent être impliqués dans la décision irrévocable en ayant l’occasion de voter pour ou contre le changement de nom/titre. 4) Conséquences financières Une évaluation financière de l’impact d’un changement de nom/titre sera effectuée dans le cadre de ce projet. 5) Nouveau nom/titre Il est important de s’assurer que le nouveau nom/titre sera bien compris par le public, les personnes vivant

avec des problèmes de plaies, de stomies et de continence et par les fournisseurs de soins. Le nouveau nom/titre doit rejoindre toutes ces personnes. 6) Démontrer que les membres de l’industrie acceptent la décision du changement de nom/titre La décision concernant le changement de nom/titre doit tenir compte de la perception des donateurs/commanditaires pour s’assurer que le changement ne réduit pas l’attrait du potentiel futur de marché de ces bailleurs de fonds. L’assurance de leur soutien nous aidera à augmenter les chances de connaître du succès pour nos prochaines initiatives nécessitant du financement. Une Charte de projet officielle a été élaborée par l’équipe, elle a été signée par la présidente élue de l’ACS et approuvée par le conseil d’administration de l’ACS. Elle incluait : • La portée : ce que le projet incluait et excluait; • Le nom des membres de l’équipe; • Les objectifs du projet : fixer une direction; • Les délais; • L’identification des principales parties intéressées; • Le plan d’action; • Les jalons; et • Le commanditaire du projet (le conseil d’administration de l’ACS). Afin de bien identifier le public cible qui évaluera la décision du changement de nom/titre, l’équipe a effectué une analyse auprès des parties intéressées. Six instruments d’enquête ont été développés par l’équipe afin d’obtenir la rétroaction de chacune des parties intéressées suivantes : •

• • •

Les stomothérapeutes qui sont membres de l’ACS (sondage qui sera mené dans les deux langues officielles); Les professionnels de la santé alliés; Les associations alliées; L’industrie; le LIEN

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RAPPORT DE LA DIRECTRICE GÉNÉRALE (suite) • •

Les patients/l’Association canadienne des personnes stomisées; Le conseil d’administration de l’ACS.

Les résultats du sondage ont démontré qu’un changement de nom était, en général, appuyé par 53 % des infirmières stomothérapeutes ayant rempli le sondage en anglais, 27 % indiquaient qu’elles étaient incertaines et seulement 20 % ont déclaré être contre le changement de nom. Pour celles ayant rempli le sondage en français, plus de 70 % des stomothérapeutes étaient contre le changement de nom et seulement 20 % appuyaient l’idée d’un changement de nom. Les différences entre les résultats des deux sondages sont examinées par le conseil d’administration de l’ACS et seront évaluées séparément. Les répondants anglophones et francophones s’entendaient pour dire

qu’il fallait conserver un titre mettant l’accent sur la triple spécialité du rôle des infirmières, titre qui engloberait les domaines du soin des plaies, des stomies et de la continence. 67 % des stomothérapeutes anglophones ont indiqué qu’elles n’avaient pas l’impression que le titre d’infirmière stomothérapeute reflétait leur rôle.

d’administration de l’ACS le 22 octobre 2016. Ce dernier a voté en faveur d’un changement de nom pour l’ACS et pour le titre d’infirmière stomothérapeute. Des assemblées publiques locales pour discuter du changement de nom/titre avec les membres de l’ACS ont commencé en janvier et se poursuivront jusqu’en mars de cette année.

Pour consulter les résultats du sondage mené auprès des parties intéressées, veuillez visiter www.caet.ca. L’équipe a également mené des entrevues individuelles avec les infirmières stomothérapeutes d’autres pays, y compris des infirmières des États-Unis qui avaient vécu un changement de leur titre d’infirmière stomothérapeute à celui d’infirmière spécialisée en plaies, stomies et continence.

Chaque membre de l’ACS aura l’occasion de s’exprimer quant à cette décision de changer de nom. Enfin, le jeudi 25 mai 2017, les membres voteront lors de l'AGA à la Conférence de l’ACS 2017, à London, ON.

Les sondages et les entrevues ont pris fin en juin de l’année dernière et les conclusions ont été présentées au conseil

Nous remercions toutes les personnes qui ont participé au sondage et nous nous réjouissons à l’idée d’avoir de vos nouvelles alors que nous allons de l’avant avec cette décision. Pour toute question ou commentaire, n’hésitez pas à m’envoyer un courriel à l’adresse indiquée au début de ce rapport. cd

EXECUTIVE DIRECTOR’S REPORT (cont. from page #10) Therapists did not support a name change and 20% supported the idea of a name change. The differences between the two survey results is being taken into consideration by the CAET Board of Directors and will be assessed separately. Both the English and French respondents valued keeping a trispecialty nursing role title to encompass the fields of wound, ostomy, and continence. 67% of the English ET respondents did indicate that they felt the name Enterostomal Therapy Nurse did not reflect their role. To review the stakeholder survey results please visit www.caet.ca. The team also conducted one on one interviews with ET nurses from other countries including nurses from the United States who had experienced their own name change from ET Nurse to Wound, Ostomy and Continence (WOC) Nurse. 14

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The surveys and interviews were completed by June of last year and the findings were presented to the CAET Board of Directors on October 22, 2016. The CAET Board voted in favour of moving forward with a name change for CAET and the Enterostomal Therapy Nurse title. Town Hall meetings to discuss the name change with CAET Members began in January and will continue through March of this year. Every CAET Member has the opportunity to provide their feedback on this name change decision. And on Thursday, May 25, 2017 members will vote on the decision during the AMM at the 2017 CAET Conference in London, ON. We thank everyone who participated in the survey and we look forward to hearing more from you as we move forward with this final decision. If you have any questions or comments please don’t hesitate to email me at the address at the beginning of this report. cd

CAET ACADEMY

CAET ACADEMY DIRECTOR’S REPORT Submitted by: Virginia McNaughton, BA, MPA, RN, CETN(C), Director of the CAET Academy [email protected]

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016 was a busy year with full ETNEP classes, monthly faculty meetings, student conferences, as well as updates to courses, the website, and the advertising brochures. We also launched quite a few new programs with the help of many CAET members. In January 2016, Nancy Parslow and Louise Forest Lalande helped develop a K2P ostomy course, for the nonspecialist, focusing on adults and infants. The course hosted 10 students from Hamilton Health Sciences Centre and 2 international students from Vietnam! In the fall, we initiated the Preceptor Recognition Program to thank preceptors by sending letters of recognition that can also be shared with employers. Preceptors who take students for 150 hours per year will receive the gift of a one-year membership in CAET. You won’t want to miss The CAET complimentary monthly webinar series that is in full swing. Please visit www.caet.ca for the schedule and for archived presentations. The CAET Academy has partnered with Bow Valley College, in Calgary, and Nancy Parslow, Susan Mills-Zorzes, and Patrice Jull to create the CAET /Bow Valley “Spotlight on Best Practice Skin and Wound Management Across the Spectrum” series for non-ET healthcare professionals. The “Foundations of Best Practice Skin and Wound Management” began in February 2017 with an optional clinical lab component through 16

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The CAET Academy is working on building capacity which includes an application process focused on accommodating those with ET job opportunities that are dependent on graduation. Bow Valley. The theoretical portion of this program can also be taken independently on-line through CAET The CAET Academy recognizes that high level learning can take place outside of the ET Program. Recognition of Prior Learning (RPL) is a process by which a current ETNEP student, who has achieved advanced practice knowledge, skills, and abilities in wound management, through prior learning, has the opportunity to gain recognition for credit in the theoretical portion of the Wound Course. Applicants must be able to demonstrate the application of knowledge and skills acquired from experience, or previous courses, and apply these to the role of the ET Nurse. This learning must be current (less than 3 years old), relevant to the learning objectives of the wound management course, and of sufficient breadth and depth to ensure that ETNEP-level learning has taken place. Congratulations to Corey Heerschap, from Barrie, ON, who completed this rigorous process. Thanks to Dr. Chris Murphy and to Nancy Parslow who worked with me to assess Corey’s submission and complete his interview.

The CAET Academy is working on building capacity which includes an application process focused on accommodating those with ET job opportunities that are dependent on graduation. We have organized a committee to review the application process which includes Lisa Hegler, Nancy Parslow, Keri Coulson, and Louise Turgeon who are working to develop an acceptance procedure that emphasizes past experience, academic standing, and a passion for wound, ostomy, and continence care nursing that is demonstrated by volunteer and work experience. Acceptance will be based on overall merit and not on a first comefirst serve basis. The 21st Cohort of the ETNEP began in January. This large class of 27 students (our previous norm was 20) accommodates many students who have ET jobs waiting for them. We have increased our faculty and welcome Eleanore Howard and Jeanette Barsky to our team. For further information on the CAET Academy please go to www.caetacademy.ca. We look forward to even more exciting projects and developments as 2017 progresses. cd

CAET ACADEMY

RAPPORT DE L’ACADÉMIE DE L’ACS Soumis par : Virginia McNaughton, IA, B.A., MPA, ICS(C), directrice de l’Académie de l’ACS [email protected]

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016 a été une année très occupée avec des classes du PFIS au maximum de leur capacité, des réunions mensuelles du corps enseignant, des conférences des étudiants ainsi que des mises à jour des cours, du site Web et des dépliants de publicité. Nous avons également lancé quelques nouveaux programmes avec l’aide de plusieurs membres de l’ACS. En janvier 2016, Nancy Parslow et Louise Forest Lalande ont aidé à élaborer un cours K2P sur les stomies à l’intention des infirmières non spécialisées et qui met l’accent sur les adultes et les bébés. Dix étudiants du Hamilton Health Sciences Centre et deux étudiants internationaux venant du Vietnam ont suivi ce cours! À l’automne, nous avons introduit le Programme de reconnaissance des précepteurs afin de remercier les précepteurs en leur envoyant une lettre de reconnaissance qu’ils peuvent aussi partager avec leur employeur. Les précepteurs qui accompagnent les étudiants durant 150 heures par année recevront en cadeau une adhésion d’une année gratuite à l’ACS. Vous ne voudrez surtout pas manquer la série de webinaires mensuels gratuits

de l’ACS qui bat son plein. Veuillez visiter www.caet.ca pour connaître l’horaire et consulter les présentations archivées. L’Académie de l’ACS s’est associée avec le Bow Valley College, à Calgary, ainsi qu’avec Nancy Parslow, Susan MillsZorzes et Patrice Jull afin de créer la série de l’ACS/Bow Valley « Spotlight on Best Practice Skin and Wound Management Across the Spectrum » (Point de mire sur les pratiques exemplaires en gestion de la peau et des plaies à travers le continuum) à l’intention des professionnels de la santé qui ne sont pas spécialisés en stomothérapie. Le cours « “Foundations of Best Practice Skin and Wound Management » (Introduction aux pratiques exemplaires en gestion de la peau et des plaies) a commencé en février 2017 et offre une composante facultative en laboratoire clinique à Bow Valley. La portion théorique de ce programme peut aussi être suivie en ligne via le site de l’ACS. L’Académie de l’ACS reconnaît que l’apprentissage de haut niveau peut se faire en dehors du programme de l’ACS. La reconnaissance des apprentissages antérieurs est un processus par lequel un étudiant actuel

L’Académie de l’ACS s’efforce de renforcer les capacités qui incluent un processus de demande qui répond aux besoins des candidats ayant une opportunité d’emploi en stomothérapie conditionnelle à l’obtention de leur diplôme. 18

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CAET ACADEMY

CAET ACADEMY DIRECTOR’S REPORT (cont.) du PFIS, qui a acquis des connaissances, des compétences et des capacités avancées de la pratique en gestion des plaies par le biais d’un apprentissage antérieur, a la possibilité de les faire créditer pour la portion théorique du cours sur les plaies. Les candidats doivent pouvoir démontrer qu’ils peuvent mettre en pratique les connaissances et les compétences acquises de leur expérience, ou des cours antérieurs, et qu’ils peuvent les appliquer au rôle d’infirmière stomothérapeute. Cet apprentissage doit être à jour (moins de 3 ans), pertinent aux objectifs d’apprentissage du cours sur la gestion des plaies et être assez étendu et détaillé pour veiller à ce qu'ils aient appris du PFIS. Félicitations à Corey Heerschap, de Barrie, ON, qui a

complété ce processus rigoureux. Merci au Dr Chris Murphy et à Nancy Parslow qui ont travaillé avec moi pour évaluer la soumission de Corey et effectuer son entrevue.

qui a été démontrée par du bénévolat et une expérience de travail. Les admissions se baseront sur le mérite global et non sur le principe du premier arrivé, premier servi.

L’Académie de l’ACS s’efforce de renforcer les capacités qui incluent un processus de demande qui répond aux besoins des candidats ayant une opportunité d’emploi en stomothérapie conditionnelle à l’obtention de leur diplôme. Nous avons formé un comité pour passer en revue le processus de demande, ce comité inclut Lisa Hegler, Nancy Parslow, Keri Coulson et Louise Turgeon qui travaillent à élaborer une procédure d’admission qui met l’accent sur l’expérience antérieure, le rendement académique et une passion pour les soins infirmiers en gestion des plaies, des stomies et de la continence

La 21e cohorte du PFIS a commencé en janvier. Cette classe considérable de 27 étudiants (notre ancienne norme était de 20) accommode plusieurs étudiants ayant des emplois qui les attendent en stomothérapie. Nous avons augmenté le nombre d’enseignants et Eleanore Howard et Jeanette Barsky se joignent à notre équipe. Pour de plus amples renseignements sur l’Académie de l’ACS, veuillez visiter www.caetacademy.ca. Nous nous réjouissons à l’idée des projets et des initiatives encore plus excitants qui se présenteront tout au cours de 2017. cd

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CONTINENCE EXCHANGE

THE CONTINENCE EXCHANGE: TO FOSTER AND SUPPORT ETN CONTINENCE PRACTICE Submitted by: Laura Robbs RN, MN, NCA, CETN(C), CAET Core Program Leader – Professional Development and Practice. “The Continence Exchange” aims to foster and support ETN continence practice. This regular feature will offer a forum to share and exchange continence-related knowledge, experiences, questions and issues among ETNs. Please email [email protected] with interesting or challenging case studies or questions from your own continence practice. Laura Robbs comment on readers’ case studies, and answer as many questions as possible, in subsequent issues of The Link.

Case of Chronic Urinary Retention in a Healthy Older Woman

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s. Wolf (her name has been changed for her privacy) is an active, healthy, 90-year-old woman who lives completely independently in her own home. Her medical history includes a radial fracture in 2006 and a hysterectomy when she was in her early fifties. Her only medication is Aspirin 81mg/day. She was referred to me as she had a 5-month history of mixed urge and stress urinary incontinence, both day and night, and was using several pads in 24 hours.

Cystoscopy showed no obstruction and no pelvic organ prolapse but did demonstrate an extremely hypotonic bladder. 20

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On exam Ms. Wolf was seen to have no pelvic organ prolapse but urogenital atrophy was evident. She voided 100 ml of clear urine and had a post void residual (PVR) of ≥999 ml by ultrasound. Her abdomen was distended and firm. An in-and-out catheterization was done for 1600 ml of urine. A urology consult was requested and I asked her to follow up with me in three days. After three days she had a PVR of 1600 ml again. An indwelling urinary catheter was inserted as she was reluctant to learn intermittent self-catheterization until she saw the urologist. Interestingly her urine culture and blood work were normal including her creatinine level. Cystoscopy showed no obstruction and no pelvic organ prolapse but did demonstrate an extremely hypotonic

bladder. She agreed to learn selfcatheterization. We were not able to identify any clear causes of the hypotonic bladder in this otherwise healthy older woman. Key Facts: •Retention is rare in women. There is a 13:1 male to female ratio for urinary retention;1 •Chronic urinary retention is defined by the International Continence Society as a non-painful bladder which remains palpable or percussable after the patient has passed urine;2 •Chronic retention can present with few symptoms. Ms. Wolf had only annoying lower urinary tract symptoms that could be considered common in a 90-year-old woman e.g. mixed urinary incontinence. She had no pain, abnormal blood work or urinary tract infection; •For any patient with bladder issues a PVR is essential. If a bladder scanner is not available, always do an abdominal exam to rule out a distended bladder and do an in-andout catheterization if distended; •Women have lower pressure bladders, compared to men, which protects the female upper urinary tract. Thus Ms. Wolf had a normal creatinine level despite a PVR of almost 2 litres; and

CONTINENCE EXCHANGE

THE CONTINENCE EXCHANGE (cont.) •Urinary retention can be caused by:3 o Bladder outlet obstruction: This is where urine flow is obstructed by mechanical or dynamic obstruction. However this individual had no UTI, urethral stricture, intra-urethral lesions, pelvic organ prolapse, or constipation that could create obstruction; o Bladder dysfunction: This is when the detrusor or bladder muscle is underactive with poor or no contractility. Cystoscopy showed she had an extremely hypotonic bladder or no contractility; or o Combination bladder outlet obstruction and dysfunction: This combination could be for example pelvic organ prolapse (obstruction) and diabetes (dysfunction). Ms. Wolf did not have any obstruction.

REFERENCES: 1. Hernandez,D.H, Tesouro, R.B. & Castro-Diaz, D. Urinary Retention. Urologia. 2013;80(4):257-264. 2. Abrams, P. Cardozo, L. Fall, M et al., Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002 ; 21 : 167 78. 3. Juma, S. Urinary retention in women. Current Opinion in Urology. www.co-urology.com . July 2014. 24 (4): 375-379. cd

Upcoming Events CAET National Conference “Person-Centred Care: Growing Stronger Together” May 25 - 28, 2017 London, ON www.caet.ca NPUAP March 10 - 11, 2017 New Orleans, Louisiana www.npuap.org/events/ SAWC April 5 - 9, 2017 San Diego, California www.sawc.net

OntWIG Annual Wound Care Meeting April 21, 2017 Burlington, ON www.ontwig.rnao.ca EWMA May 3 - 5, 2017 Amsterdam, The Netherlands www.ewma.org European Council of Enterostomal Therapists (ECET) June 18 - 21, 2017 Berlin, Germany www.ecet2017.org

WOCN Society May 19 - 23, 2017 Salt Lake City, Utah www.wocn.org CAWC November 16 - 19, 2017 Mississauga, ON www.cawc.net WCET April 14 - 18, 2018 Kuala Lumpur, Malaysia www.wcetn.org

ET Nurses Week is April 10 - 16, 2017 le LIEN

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REGIONAL DIRECTORS’ CORNER

REPORT FROM ATLANTIC REGION By: Kathy Mutch RN, BN, CETN(C), Atlantic Regional Director. [email protected]

• Managing Wound Pain - Nancy Schuttenbelt RN, MN, ETN • Why is my Patient Incontinent? Keri Coulson RN, BN, NCA, ETN • Moisture Associated Skin Damage Michele Langille RN, BScN, CETN(C) • Skin Tears to Peel… or Not? Beverley Beck RN, BScN, ETN • Keeping it Clean - Marcia Leard RN, BScN, CETN(C) • Common Ostomy Problems: What to Do and When to Call the ETN Eleanore Howard BEd, MSN, CETN(C) • Pressure Injuries: A Continuing Challenge - Sheila Moffatt RN, BN, IIWCC, CRN(C), CAET Academy student

200 participants join us. The venue was excellent and the food was delicious. That evening and the next morning we hosted vendor-supported education for ETNs. Later that day we held our Regional Meeting. Atlantic Region members voted to hold another Education Day in 2017 prior to the regional meeting. The hope is that we will be host it in a different community each year. Evaluations were very positive and included many requests to make it an annual event! Here is a quote from one of the evaluations: "It would be remiss of me not to tell you that this educational event was simply phenomenal. From the range of topics covered, the generous allotment of vendor visiting time, the quality of the food and services at the site to the one of kind lecture room. ... PEI day sets the new gold standard for best event ever! Congratulations to all for making this day such a success."

The Education Day was a big success on two levels – it provided great education and a wonderful demonstration of the tri-specialty knowledge and skills that Enterostomal Therapy Nurses offer. A big thank you to the planning committee, speakers, vendors, and all who helped make this event a success. We in Atlantic Canada would like to thank Ostomy Canada, Cathy Harley, CAET Executive Director, and Kim LeBlanc (Political Action Core Program Leader) for all their efforts in raising awareness, with the Atlantic Canadian Provincial Governments, regarding the financial needs of persons with ostomies in our region. The work, on this front, continues. I look forward to our seeing you at the CAET Annual Membership Meeting and Conference. Please remember your voice and participation is critical to strengthening and advancing CAET and Enterostomal Therapy practice! cd Courtesy WP Maund Photography

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n November 18, 2016, CAET Atlantic Canada invited nursing colleagues to our first Regional Education Day, celebrating the tri specialty of Enterostomal Therapy Nurses (ETN). The event took place at the Red Shores Race Track and Casino in Charlottetown, PE. Our program, showcasing ETNs, included:

There were also opportunities for participants to meet with 12 vendors who provided education on their products and answered questions. A CAET booth was set up to with information on CAET and the Academy programs. The PEI diabetes foot-screening program was highlighted in a poster display and handout to participants. All ETNs wore lanyards to identify themselves as ETNs who were available to answer participants’ questions. Our initial goal was to have 50 participants so we were thrilled to have 24

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Atlantic CAET Education Day in Charlottetown, PE.

REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM QUEBEC By: Nevart Hotakorzian, BScN, Enterostomal Therapy Nurse, Quebec Regional Director. [email protected]

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ur regional meeting last October was very productive. We had 41 members present and they included a few students from the last cohort. Our group is gradually getting bigger. With that in mind we are developing our website to facilitate online renewal of membership and access to all meeting minutes for members.

Mr. Jude Ruest, President of the Association des Personnes Stomisées du Saguenay-Lac-St-Jean and l'Association québécoise des personnes stomisée, presented the Guide des Personnes Stomisées. This guide, for people living with an ostomy, was previously available only in English, but is now available as the GPS for our French-speaking patients. The translated document was revised by Diane St-Cyr and approved by several Quebec ET Nurses and will soon be available on the website of Association des Personnes Stomisées du Saguenay-Lac-St-Jean. Mr. Ruest mentioned that a fee of $5 will be required from those who have an ostomy already but there may be a possibility of giving it out for free to those who have new ostomies. Dr. Delorme, a specialist in Microbology and Infectious Diseases, also attended our meeting to give us an informative teaching on the interpretation of wound culture reports. This information session was 26

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The AIISQ has created a Nicole Denis Distinction Award for a Quebec ET Nurse who stands out in his or her profession. very important to the ET Nurses of Quebec as we have entered a new era in our profession where we are prescribing wound cultures and need to be able to understand and interpret their results. It is my desire that this subject be explored further in order for us to gain better understanding for the benefit of our patients.

The University of Sherbrooke’s Wound Microprogram is very popular and has 60 students enrolled for the year 2016. The possibility that an Enterostomal Therapy program at university level could be as popular as the wound care program is under discussion. Liette St-Cyr is waiting for the return of Isabelle Reeves to continue further exploration of this issue.

In Quebec, the nursing prescription is a major topic of discussion among our members. We have to be careful to comply with the terms of the OIIQ in order to avoid legal issues. Régie d'Assurance Maladie du Québec (RAMQ) can investigate our prescriptions. In addition, prescriptions for antimicrobial dressings, as authorized by the RAMQ, require a positive wound culture with identifiable bacteria. This has potential to increase the frequency of wound cultures and thus increase the cost of healthcare. Many Quebec ET nurses are concerned about this especially as it is not in accordance with the best practice guidelines of wound care. We will be following this closely and we realize there is still work to do with RAMQ.

The AIISQ has created a Nicole Denis Distinction Award for a Quebec ET Nurse who stands out in his or her profession. In alternating years it will be awarded to an ETNEP student from Quebec – the committee is currently discussing the possibility of having the student award be a financial award. More details will follow in the future. Nicole Denis was the first recipient of this Distinction Award (see page 40 for more information). The next CAET Conference is in London, Ontario from May 25th to 28th, 2017. We hope to see many ET nurses from Quebec and look forward to reconnecting with our colleagues all across Canada. Until then enjoy the rest of the winter and stay warm. See you soon! cd

LE COIN DES DIRECTEURS RÉGIONAUX

RAPPORT RÉGIONAL DU QUÉBEC Soumis par : Nevart Hotakorzian, Ba. Sc. Inf., stomothérapeute, directrice régionale du Québec [email protected]

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otre rencontre régionale en octobre dernier a été très productive. En effet, nous étions 41 membres présents incluant quelques étudiants de la dernière cohorte. Notre groupe s’agrandit de plus en plus. Parallèlement, nous travaillons pour améliorer notre site Web afin de faciliter le renouvellement en ligne des adhésions et l’accès aux procèsverbaux pour les membres. Lors de notre rencontre, M. Jude Ruest, président de l’Association des personnes stomisées du Saguenay-LacSaint-Jean et de l’Association québécoise des personnes stomisées, nous a présenté le nouveau Guide des personnes stomisées (GPS) en français. Ce guide à l'intention des personnes stomisées qui était auparavant seulement disponible en anglais a maintenant été traduit en français et il a été révisé par Diane St-Cyr et approuvé par plusieurs stomothérapeutes du Québec. Il sera bientôt disponible sur le site Web de l’Association des personnes stomisées du Saguenay-Lac-Saint-Jean. Monsieur Ruest a mentionné qu’un montant de 5 $ sera demandé pour ceux qui sont stomisés depuis quelque temps, mais qu’il pourrait être offert gratuitement aux nouveaux stomisés.

Le Dr Delorme, un spécialiste en microbiologie et maladies infectieuses, a également participé à notre réunion pour nous apprendre comment interpréter les rapports de cultures de plaies. Cette séance informative s’est avérée très utile pour les stomothérapeutes du Québec, car nous entamons une nouvelle ère dans notre profession où nous pouvons prescrire des cultures de plaies et où nous devons pouvoir comprendre et interpréter les résultats. Je tiens beaucoup à ce que ce sujet soit exploré davantage, afin d’acquérir une meilleure compréhension à ce sujet dans l'intérêt de nos patients. Au Québec, la prescription infirmière est un important sujet de discussion parmi nos membres. Nous devons être vigilants et respecter les conditions de l’OIIQ afin d’éviter tout problème juridique. En effet, la Régie de l’assurance-maladie du Québec (RAMQ) peut enquêter sur nos ordonnances. De plus, les ordonnances de pansements antimicrobiens, tels qu’autorisés par la RAMQ, nécessitent une culture de plaie positive avec bactéries identifiables. Cette exigence pourrait faire augmenter la fréquence des cultures de plaies et ainsi accroître les coûts pour le système de santé. Cette situation inquiète plusieurs

L’AIISQ a créé un prix Distinction Nicole Denis qui sera offert à une stomothérapeute du Québec qui se démarque dans sa profession.

stomothérapeutes du Québec, surtout parce que cette façon de faire n'est pas conforme aux pratiques exemplaires des lignes directrices en soins de plaies. Nous suivrons de près cette situation et nous sommes conscients qu’il y a encore du travail à faire avec la RAMQ. Le microprogramme en soins de plaies de l’Université de Sherbrooke gagne en popularité avec 60 étudiants inscrits pour l’année 2016. La possibilité qu’un programme de formation en stomothérapie au niveau universitaire soit aussi populaire que le programme en soins des plaies fait l’objet de discussions. Liette St-Cyr attend le retour d’Isabelle Reeves pour continuer d’explorer cette possibilité. L’AIISQ a créé un prix Distinction Nicole Denis qui sera offert à une stomothérapeute du Québec qui se démarque dans sa profession. Tous les deux ans, ce prix sera offert à une étudiante du PFIS du Québec — le comité discute actuellement de la possibilité que ce prix soit un prix en argent. Plus de détails suivront sous peu. Nicole Denis a reçu le premier prix Distinction (consulter la page 41 pour plus d’information). La prochaine conférence de l’ACS se tiendra à London, en Ontario, du 25 au 28 mai 2017. Nous espérons rencontrer plusieurs stomothérapeutes du Québec et nous sommes impatients de renouer avec des collègues de partout au Canada. D’ici là, profitez de ce qui reste de l’hiver et restez bien au chaud. À bientôt!. cd le LIEN

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REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM ONTARIO By: Donna Fossum RN, BScN, CETN(C), Ontario Regional Director. [email protected]

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would like to extend a big welcome to our new CAET Ontario members!

I would also like to thank those who were able to participate in the regional fall meeting. The following is a list of some of the topics that were discussed: • CNA certification is now online. CAET has approached CNA to update/renew exam questions. Hopefully this will happen soon. Certification is our way of proving to our patients and our healthcare organizations that we are qualified, competent and current in our specialty. Renewal is required every 5 years; • CAET has started a rolling membership system. Membership is effective for 1 year from the time of renewal. But remember that in order to vote at the AMM members must have renewed by March 31st; • CAET has signed an affiliation agreement with the International Skin Tear Advisory Panel (ISTAP) and has endorsed the Enhanced Recovery After Surgery (ERAS) initiative. ISTAP strives to increase awareness, prevention and management of skin tears. They have a very informative and user friendly website that includes a resource kit for clinicians. The ERAS initiative was established to ensure that 28

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The Academy now offers formal preceptor recognition. patients needing fecal diversion have their needs met. The acute care hospital, in Thunder Bay, ON, has been involved in this initiative. The outpatient ostomy clinic has, as a result, seen an increase in the number of patients referred for marking and pre-operative teaching. As you are probably aware, research has shown that this increases positive patient outcomes; • Core Program Leaders have a variety of projects that they are working on. Volunteers are welcome to put forth their names to join. Visit the CAET website, or email me, to connect with the leaders of Informatics and Research, Political Action, National Conference Planning, Marketing, or Professional Practice; • Anyone interested in marking assignments for the CAET Academy can contact the Academy Director, Virginia McNaughton; • The CAET Academy is offering webinars to all members. Topics and dates are posted on the CAET website. Sessions are archived for viewing at your convenience. These webinars are presented by ET nurses for ET nurses;

• The Academy now offers formal preceptor recognition. After 150 hours of preceptorsahip CAET will provide a free 1 year CAET Membership and, if desired, a letter to employers recognizing the contribution from the preceptor; • Check out: www.clwk.ca and http://rnao.ca/bpg/guidelines/ pressure-injuries; • I would like to thank David VanHellemond and Bonnie Draper from BSN Medical for providing education on total contact casting (TCC) at the Regional Meeting. My wound clinic in Thunder Bay has recently started TCC and results have been positive. We are glad to have this treatment option available to use at our discretion. I look forward to seeing everyone at the CAET 36th Annual National Conference with the theme PersonCentred Care: Growing Stronger Together. The conference planning team, including several Londonbased ETNs, is working with the Southwest Regional LIHN to provide a conference that is innovative and unique. Hope you’re able to attend. cd

REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM BC & YUKON By: Teresa Stone RN, BScN, ETN, BC & Yukon Regional Director. [email protected]

ay 27th, 2017, marks the end of my term as the CAET Regional Director for BC/Yukon. As I enter this last season as your regional director I want to share with you what a great learning opportunity it has been to be on the CAET Board. I have enjoyed networking with the diverse group of ET & WOC Nurses throughout BC and the Yukon. I am confident that our strong, and ever-growing, regional nursing group will continue to work together towards our specialty’s regional goals and the goals of our professional association.

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“You gain strength, courage and confidence by every experience in which you really stop to look fear in the face. You must do the thing you think you cannot do.” - Eleanor Roosevelt

It is great to see students from BC, and from all areas of the province, in every cohort of the ETNEP program. Congratulations to the new ETN graduates. Please support them toward an easy transition into the ETN profession. Over the years many members have reported that it is a challenge to maintain or create ETN positions. We are actively networking between health authorities to provide support to other ETN writing proposals. In BC public practice another key challenge is to maintain the Specialty Nursing remuneration level for unionized ETNs in order to ensure our advanced practice role is differentiated from that of base level RNs. There is currently no specific role description within the College of Registered Nurses of BC (CRNBC) or the BC Nurses Union (BCNU) that recognizes the position of a certified specialist nurse with a trispecialty of Wound, Ostomy, and Continence care. I will continue to collaborate with the BCNU & with our BC ETNs to lobby for appropriate specialist positions and job descriptions. We had our first meeting

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with the BCNU in September of last year and this will be an ongoing initiative over the next 2 years (as per the contract bargaining cycle). Other steps we have taken are the recent BCET Job Profile and Practice Survey conducted in January of this year. A summary of the results will be shared with BCET members, the CAET Board of Directors, and be used to present recommendations to our union and professional association. Arden Townsend leads a small group of ETNs who are collaborating with the First Nations Health Authority (FNHA) and our provincial ostomy group to lobby for coverage for patients’ wound and ostomy supplies. The BC Ostomy committee has almost finished with its vendor contract implementation and has started development of ostomy related patient and practitioner resources. The Provincial Skin and Wound Committee (PSWC) continues to produce great quality practice support tools and is now linked with the CAET Academy as a resource for ETNEP students. The Yukon is also connecting with the BC PSWC to partner in sharing resources related to ostomy and wound care. Please watch for opportunities to participate in CAET national initiatives and take on the challenge for the benefit of our specialty! Lastly I encourage you all to attend the great educational and networking opportunity offered at the 36th National CAET Conference, with its theme Person Centred Care: Growing Stronger Together, May 25 to 28 in London, ON. Thank you all for your support, hard work and encouragement throughout my term! cd

CORE PROGRAM LEADERS’ CORNER

INFORMATICS & RESEARCH By: Karen Napier RN, BScN, CETN(C), MClSc-WH. [email protected]

The goal of this project is to assist ETs with collecting statistics on the work that they do.

he projects under this portfolio are determined by the CAET Board and align with the Strategic Plan for the Association. The portfolio currently has a very active body of work.

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The projects involve volunteer CAET members working together in teams. Thank you to all of those that have volunteered through the CAET over the last year. As a national working group, with participation from across Canada, we have members in different time zones and who are juggling their volunteer work around varying work schedules. I thank you all for your patience and flexibility in giving your valuable time to move our initiatives forward. Your assistance is greatly appreciated! The Enterocutaneous Fistula Recommendations revision project, under the leadership of Jean Brown, continues. Mary Mark (Regional Director for the Prairies/NWT/NU) and myself have also become active members of this working group. While it is taking us a bit of time to catch up with the rest of the group’s members I think we are almost there. We are

currently finalizing the review of an updated literature search that was completed in the Fall of 2016. This team has done some great work on updating the recommendations. Work has also started on an ET data collection project. This project was started by some ETs, from both acute care and community practices, based in Alberta. We are currently working towards defining some common language before we broaden the membership of our committee to include representatives from across the country. The goal of this project is to assist ETs with collecting statistics on the work that they do. If you have a tool that you use to collect stats in your practice please forward it to me at the email address as the top of this page. I thank you in advance for sharing your resources. If you have an interest in the area of data collection, and would like to participate on this project when we expand our team, please email me to let me know or with any questions you may have. I look forward to what we can achieve as an association in 2017 and beyond. cd le LIEN

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CORE PROGRAM LEADERS’ CORNER

PROFESSIONAL DEVELOPMENT AND PRACTICE By: Laura Robbs RN, MN, CETN(C), NCA [email protected]

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CAET has a clear ET Nurse Position Statement declaring who ETNs are and how they are differentiated in the healthcare sector through the tri-specialty of wound, ostomy, and continence care.

t is exciting for me to become more involved with CAET. From 1999 until 2003 I held a similar Boardappointed position within the old association framework. I would like to acknowledge the hard work of my predecessor, Mary Mark RN, MCISc(WH), MHS, GNC(C), CETN(C). We are lucky that Mary has moved to another Board position, as Regional Director for Prairies/NWT/NU, so CAET will still benefit from her strengths. I recently attended the mid-year Board Meeting, in Toronto, as the Professional Development and Practice Core Program Leader and am starting to work on priorities that were identified for this position. There will be at least three areas toward which I will focus my energy for the next two years: 1) revision of the CAET Standards of Practice; 2) revision of the ET Nurse Position Statement; and 3) working toward supporting and fostering continence ETN practice. The CAET Standards for ET Practice were revised in April 2016 and all CAET members have access to this second edition of the standards. The third edition is planned to be completed in 2 years and to be presented at the AMM in May 2018. I will be looking for experienced ETNs to help with this revision.

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CAET has a clear ET Nurse Position Statement declaring who ETNs are and how they are differentiated in the healthcare sector through the trispecialty of wound, ostomy, and continence care. I am looking for at least three ETN volunteers, each with a minimum of 10 years’ experience, to help revise this ET Nurse Position Statement. This statement is due to be presented at the May 2017 AMM. Finally, I am planning to develop activities to support and foster ETN continence practice. I feel wellpositioned to support continence practice among my ETN colleagues as I have specialized in continence practice for over 16 years. My first project is an ongoing column in the Link called “The Continence Exchange” (see page 20) that will provide a forum for the sharing of continence-related knowledge, experiences, questions, and issues among ETNs. Although primarily written by myself, The Link’s readers will be encouraged to e-mail me with interesting or challenging case studies or questions from their own practice. These case studies and questions would be featured in subsequent issues of The Link. If you’re interested in volunteering to assist with any of the revisions mentioned above please do not hesitate to contact me at the email address at the top of this page. I look forward to hearing from CAET members and to working together throughout my term in this position. cd

CORE PROGRAM LEADERS’ CORNER

POLITICAL ACTION By: Kimberly LeBlanc MN, RN, CETN(C), PhD (student) [email protected]

The purpose of this study is to explore how Canadians are impacted financially by having an ostomy and if there are differences in this impact from province to province.

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he Political Action Core Program group currently has several projects underway. I encourage anyone with an interest in any of the projects listed below to contact either Catherine Harley (CAET Executive Director) or myself to see how you can get involved! Financial Impact of Living with an Ostomy: Cross-Sectional Study

CAET is, in conjunction with Ostomy Canada Society (OCS), conducting a cross-sectional, nationwide, survey to study the financial impact of living with an ostomy in Canada. The purpose of this study is to explore how Canadians are impacted financially by having an ostomy and if there are differences in this impact from province to province. To date we have had 512 respondents from across Canada. We still require more participants from the Atlantic provinces. Preliminary results show that more than 35% of individuals purchase more than $1,500/year of ostomy supplies and that 30% of all individuals receive no reimbursement for supplies. Forty-five percent of respondents reported that living with an ostomy has affected their ability to work or caused them to take time off from work. Only 50% reported having access to an ETN. While these results are only preliminary they do, however, provide a glimpse into the reality of those living with an ostomy across Canada. At the time of this writing we had extending this study until January 1, 2017 in order to enable us to get a true cross-section of the financial impact across Canada. Further

results will be available to CAET members soon. By developing a better understanding of the financial impact on individuals living with an ostomy the CAET and OCS will be better positioned to lobby Federal and Provincial governments to improve the financial support available. Ostomy Society Canada, along with Ostomy Halifax, developed an information sheet for physicians and individuals living with an ostomy that provides details on how individuals living with an ostomy can apply for the disability tax credit. OCS is spearheading a task force, which will include CAET members to publish an article on how physicians can raise awareness of how their patients can apply for the disability tax credit. New Brunswick1 In October, 2016, the province of New Brunswick released a statement on the changes to the province’s ostomy and incontinence program. The province’s program assists individuals with coverage for ostomy, catheterization, and incontinence supplies that are not covered by other agencies or private health insurance plans. This program covers supplies directly related to the management of: • A colostomy, ileostomy or urostomy; • Internal, external or intermittent catheterization; or • Incontinence. le LIEN

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CORE PROGRAM LEADERS’ CORNER

POLITICAL ACTION (cont.)

Major sectors of the Ontario healthcare system – including public health, primary care, hospitals, home care and long-term care – will now be aligned under one umbrella.

Eligible services are paid monthly. Quantities and frequencies are monitored and may be restricted. Brand name products will only be considered when generic products are not available or when generic products will not meet the client’s medical needs (justification will be required). There is no cost, to eligible clients, for entitled ostomy, catheterization or incontinence supplies. The following are eligible: Department of Social Development clients and their dependents who hold a valid white Health Card indicating: • “Supplementary” in the BASIC HEALTH ELIGIBILITY section; OR • “OS” (Ostomy Supplies) in the ADDITIONAL HEALTH ELIGIBILITY section Department of Social Development clients who hold a valid yellow Health Card that indicates a “Y” under the OTH in the VALID ONLY FOR box. Clients must not have any other medical coverage to be eligible for full benefits. British Columbia: The Ministry of Health recently appointed a Chief Nursing Advisor (CNA) for the Province of British Columbia (BC) – Dr. David Byres DNP, MSN, BA, RN, CHE. The CNA’s role will be, through engagement and collaboration, to recommend how to optimize the role of nursing in BC. CAET’s Laureen Sommerey has been instrumental in developing a relationship with Dr. Byres and promoting the ETN role. British Columbia is to be applauded for this recognition of the importance of the role nurses play in health care. LHINS Changes in Ontario: On December 17, 2015, Dr. Eric Hoskins, the Ontario Minister of Health

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and Long-term Care, announced that the Local Health Integration Networks (LHINs) would, as of January of this year, assume responsibility for all aspects of the healthcare system’s planning, funding, allocation and performance accountability. Major sectors of the Ontario healthcare system – including public health, primary care, hospitals, home care and long-term care – will now be aligned under one umbrella. This raises an opportunity for ETNs in the province of Ontario to showcase their valuable role in care coordination across our tri-specialty. CAET has prepared a position statement and brief on the ETN role that highlights how CAET can be of assistance to the Minister in reaching his goals and additional lobbying efforts began early this year. Catherine Harley and I are both sitting on the Health Quality Ontario’s “Wound Care Quality Standard Advisory Committee”. The purpose of this committee is to standardize care across Ontario and to ensure that all individuals living in the province receive evidence-based, and timely, wound care. I ask all of you living in Ontario to stand up and be heard by getting involved with hospital, community and long-term care committees. Total Contact Casting Reimbursement The CAWC, CAET and RNAO recently collaborated and attended a meeting with Health Quality Ontario regarding the assessment of total contact casting. CAET, CAWC and RNAO put forth a joint bid to have a broad spectrum of off-loading devices covered, for all Ontario residents at risk of neuropathic ulcers, as a means of prevention and treatment of neuropathic ulcers. cd Reference: 1. http://www2.gnb.ca/content/gnb/en/ services/services_renderer.8135. Health_Services_Ostomy__ Incontinence_Program_.html

CORE PROGRAM LEADERS’ CORNER

NATIONAL CONFERENCE PLANNING By: Mary Hill RN, BScN, MN, CETN(C). Special Guest Presentations:

How do we define Person Centered Care and how do we apply this concept to our practice? We all have an understanding of patient focused care that we apply to our practice. But do we practice Person Centered Care?

From Patients to People: Humanizing Healthcare – Sholom Glouberman, PhD.

Person and Family Centered Care is a concept where there is one team, integrated at the point of care, so that clients and families experience seamless care across multiple health sectors (including primary health care, acute care, specialty care, and home and community care).1

RNAO BPG Assessment & Management Recommendations for Pressure Injuries for the Internal Professional Team – Karen Campbell, RN, PhD, MClScWH, Field Leader, Western University Wound Project Manager, and ARGC, Lawson Research, St Joseph’s Health Care, London, ON.

When we look at the definition of person and family centered care we need to evaluate if we create patient partnerships. Do patients actively participate in all aspects of care including being partners in planning, implementation, and evaluation of existing and future care and services? Do we identify patient outcomes that will humanize the healthcare experience?

Can you hear me? Enhancing the Patient Journey – presented by a panel of persons living with an ostomy. The South West Regional Wound Care Program: A Collaborative Approach to Wound Care – Crystal McCallum, RN, MClSc, Clinical Lead, South West Regional Wound Care Program - South West CCAC, Seaforth, ON.

The CAET National Conference Planning Committee is excited present the 2017 conference with the theme “Person Centered Care: Growing Stronger Together.”

Guidelines on Bariatric Patients – Simon Palfreyman, RN, PhD, Tissue Viability Nurse and Assistant Professor at the University of Alberta, Edmonton, AB.

We have collaborated with local health care professionals from the Southwest Regional LIHN, local patients, and local ET nurses to create a program around the concept of ‘one team.’ This unique opportunity will allow participants from an array of health care sectors to share knowledge, explore generalized and specialized health care, and evaluate person centered approaches that create the best possible care for our patients. Some conference highlights are listed to the right and the full program can be found on page 22 of this issue of The LINK.

Other Highlights: Reverse Exhibit Hall: A creative innovation showcase highlighting ET nursing practice across Canada! Nightmares in London: Submit your WOC practice challenges to get guidance from multidisciplinary health care professionals. Poster Abstracts: Share your knowledge and submit a poster that showcases your nursing practice, research, education or leadership. Submissions are being accepted, via the CAET website, until March 31st.

Reference: 1. AHS. Patient and Family Centered Care 101. Web based e-learning.

CAET Annual Membership Meeting: Thursday, May 25th, at 1800.

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INTEREST GROUP

INTERNATIONAL SKIN TEAR ADVISORY PANEL REPORT By: Kimberly LeBlanc MN, RN, CETN(C), PhD (student) [email protected]

In the recent literature there has been an increase in the attention given to this type of wound but, however, skin tear research remains in its infancy.

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he International Skin Tear Advisory Panel (ISTAP) was formed to raise international awareness around the prediction, assessment, prevention and management of skin tears. In the spring of 2016 ISTAP became an official interest group of CAET. ISTAP serves as a think tank to improve patient outcomes in the areas of skin tear prediction, assessment, prevention and management. Its primary goal is to raise global awareness and discussion pertaining to skin tears and to inspire research on the topic. In the recent literature there has been an increase in the attention given to this type of wound but, however, skin tear research remains in its infancy. The financial and quality of life impact of these wounds has not yet been addressed and the impact skin tears have on both the individual and the healthcare system is yet to be fully understood. To date ISTAP has published State of the Science: Consensus Statements for the Prevention, Prediction, Assessment, and Treatment of Skin Tears, developed and validated a New Classification System for Skin Tears, established a Skin Tear Tool Kit to aid in the prevention, assessment, identification, and management of skin tears, and published the results of a Delphi study on the appropriate treatment of skin tears.

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ISTAP’s future aspirations include the following: • Establish a team of global experts to lobby the World Health Organization. Our objective is to have skin tears included as unique wounds and be identified by the International Statistical Classification of Diseases and Related Health Problems (ICD); • Develop global Best-Practice Guideline’s pertaining to skin tears; and • To raise, in the long-term, the global awareness of skin tears to the awareness level currently associated with other wound types such as pressure ulcers and venous leg ulcers. In September of 2016, during the conference of the World Union of Wound Healing Societies (WUWHS), in Florence, Italy, ISTAP was privileged to have the opportunity to conduct a workshop on skin tears. The purpose of the session was to bring the plight of skin tears to the global wound care community and to open dialogue regarding the current research being conducted and the gaps that are yet to be studied. ISTAP was honoured to be awarded the WUWHS Most Progressive Society Award for its work raising the global awareness of skin tears. ISTAP was, in addition, named the most “tweeted” group of the conference. cd

ET COMMUNITY NEWS

OSTOMY CANADA SOCIETY INC. REPORT Submitted By: Ann Ivol, President, Ostomy Canada Society / Société canadienne des personnes stomisées www.ostomycanada.ca

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he Regional Directors/ Administrators of Ostomy Canada Society have been busy contacting the Chapter Presidents across Canada to determine if the chapters agree to the proposed change in governance of the Society (from the member chapters to the Board of Directors). The original special resolution was removed from the agenda, prior to the 2016 AGM, because there were questions raised by some of the delegates regarding the change from Chapter governance to Board governance. Chapters are being given the opportunity to come forward with an alternative form of governance and the resolution will now be presented at the 2017 AGM. The Society’s Board of Directors is composed of a President, Secretary, Treasurer, five directors acting as pillar administrators and five directors acting as regional administrators. We have, unfortunately, been unable to fill three of the pillar administrator positions. While the Governance and Advocacy Pillars each have an administrator we are looking for volunteers with specific skills or expertise, in these areas, for the remaining three pillars: Finance and Fundraising Administrator: financial background, awareness of fundraising possibilities, and skills to assume leadership of an audit committee.

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Marketing and Communication Administrator: experience and ideas in marketing, good communication skills, and awareness of types of communication i.e. print, social media etc. Outreach Administrator: good communication skills, awareness of types of support groups, proven ability to network with agencies, ostomy manufacturers and the medical community.

Collaboration is the “catchword” of Ostomy Canada Society and CAET.

As an ET Nurse, in either a hospital setting or a local community, you may know of a volunteer who would be interested in the mission of Ostomy Canada Society and who would be a suitable candidate to fill a pillar administrator position. If you do, please feel free to send his/her contact information to me at [email protected]. I will personally contact them to discuss what is involved as a pillar administrator on the Board of Ostomy Canada Society.

awareness in their respective local communities. Copies of both posters are available by contacting the Ostomy Canada Society Office by phone 1 888 969-9698 or email at [email protected].

I want to take this opportunity to thank the Board of Directors of CAET for its financial support to print 2500 copies of the Ostomy Canada poster, (2000 in English and 500 in French). Several copies of each poster have been sent to chapter presidents and ostomy support leaders to help increase ostomy

Collaboration is the “catchword” of Ostomy Canada Society and CAET. Following our success through the work of the Advocacy Committee Ostomy Canada wants to investigate other ways in which our two associations can collaborate. Three ET nurses (Lina Martins, Rosemary Hill and Susan Hunter), have already offered their help to revise the Ostomy Canada Visitor Training Manual and Participant’s Workbook. Revamping the Ostomy Canada ET Bursary is another project under the auspices of Andy Manson RN, ET. At a meeting of the Spouses and Significant Others (SASO) Andy, along with Susan Hunter RN, ET, agreed to investigate how Ostomy Canada can renew its outreach to this group. It is very encouraging that our two organizations can work together for the good of persons with an ostomy and their families. cd

ET COMMUNITY NEWS

THE QUEBEC ASSOCIATION OF ENTEROSTOMAL THERAPY NURSES (AIISQ) PAYS TRIBUTE TO NICOLE DENIS

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icole Denis, as an Enterostomal Therapy nurse, played a very crucial role in CAET during her professional career. She started with a certificate in Enterostomal Therapy (1981) in British Columbia and finished with a Masters in Nursing Science (1997-2001) in Ottawa. She sat on the Board of Directors of CAET, led the Enterostomal Therapy Nursing Education Program (ETNEP) and then the ETNEP preceptorship program. It’s thanks to Nicole Denis that the ETNEP has grown into today`s CAET Academy. She was the first Director of the program and remains a vital support for the online students of the Academy. The first francophone cohort started, in 1998, thanks to Nicole Denis. She is currently the Education Consultant for the French ETNEP Academy and is the Preceptorship Advisor for all of Canada. Her exceptional commitment to students as well as her leadership talents, her incredible organisation skills, her devotion and all her hard work were recognised by the AIISQ during our last member meeting in October 2016.

Nicole Denis (centre) receives the Distinction Award, presented by Chantale Côté (right) and Julien Côté (left)

In recognition of her contributions Nicole Denis received the first Distinction Award, from AIISQ, on the 28th of October 2016. Julien Côté, her first ETNEP student, gave a testimony on the life and career of Nicole Denis. Catherine Harley (CAET Executive Director), Rosemary Hill (CAET President) and Virginia McNaughton (Director CAET Academy) also shared briefly their thoughts for that day. Nicole received a trophy, a bouquet of flowers, and a check in her honour from the AIISQ. The AIISQ decided that every 2 years, there will be a Nicole Denis Distinction Award given to an ET nurse who is a member of the AIISQ and who distinguishes his or herself in the following manner:

Nicole Denis with Chantale Côté:

Presentation of the check to Nicole Denis on behalf of AIISQ by Véronique Brassard 40

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• Having a remarkable professional development with a significant impact on the practice of the specialty;

NOUVELLES DE LA COMMUNAUTÉ DES STOMOTHÉRAPEUTES

L’ASSOCIATION DES INFIRMIÈRES ET INFIRMIERS STOMOTHÉRAPEUTES DU QUÉBEC (AIISQ) REND HOMMAGE À NICOLE DENIS

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icole Denis est une infirmière stomothérapeute qui a joué un rôle très important pour l’Association canadienne des stomothérapeutes (ACS) durant toute sa carrière. Elle a débuté par un certificat en stomothérapie (1981) en ColombieBritannique pour finir avec une maîtrise en sciences infirmières (1997-2001) à Ottawa. Elle a siégé au conseil d’administration de l’ACS, a dirigé le programme de formation infirmière stomothérapeute (PFIS) et ensuite le programme de préceptorat. D’ailleurs, c’est grâce à Nicole Denis que le PFIS s’est maintenant développé en l’Académie de l’ACS. Elle a été la première directrice du programme et demeure impliquée dans le programme de soutien aux étudiants en ligne. Par l’entremise de Nicole, la première cohorte francophone a débuté en 1998. Nicole est actuellement conseillère pédagogique pour le PFIS francophone de l’Académie et conseillère pour les précepteurs de partout au Canada. Son engagement exceptionnel envers les étudiants ainsi que son leadership, sa capacité d’organisation, son dévouement et son travail acharné ont été reconnus par l’AIISQ lors notre dernière assemblée en octobre 2016.

Nicole Denis (au centre) reçoit le prix Distinction de la part de Chantale Côté (à droite) et de Julien Côté (à gauche)

Pour souligner sa contribution, l’AIISQ a remis à Nicole Denis le premier prix Distinction le 28 octobre 2016. Julien Côté, son premier étudiant en stomothérapie, a livré un témoignage sur la vie et la carrière de Nicole Denis. Cathy Harley (directrice générale de l’ACS), Rosemary Hill (présidente de l’ACS) et Virginia McNaughton (directrice de l’Académie de l’ACS) ont aussi fait part de leurs impressions lors cette journée. Nicole a reçu un trophée, un bouquet de fleurs et un chèquecadeau en son honneur de la part de l’AIISQ. L’AIISQ a décidé d’offrir tous les deux ans un prix Distinction Nicole Denis à une infirmière stomothérapeute, membre de l’AIISQ qui se distingue comme suit : Nicole Denis et Chantale Côté

• Démontre un perfectionnement professionnel remarquable ayant un impact significatif sur la pratique de la spécialité;

Remise d’un chèque-cadeau de la part de l’AIISQ à Nicole Denis par Véronique Brassard le LIEN

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NOUVELLES DE LA COMMUNAUTÉ DES STOMOTHÉRAPEUTES

REND HOMMAGE À NICOLE DENIS (suite) • Est une source d’inspiration qui sert de modèle à ses membres; • A des réalisations professionnelles novatrices et reconnues par ses pairs; • Participe à des activités professionnelles provinciales, régionales et internationales; • Est impliquée dans la communauté; • Représente un rayonnement pour la spécialité; • Fait preuve d’excellence en offrant des soins de qualité conformément aux valeurs professionnelles infirmières (compétences, relation avec les autres intervenants, clientèle); • Fait preuve de leadership : implication dans des dossiers où le rôle de la stomothérapeute a été un atout majeur; • Enseigne et assure la relève (formations, implication, préceptorat); et • Publie des écrits pertinents à notre spécialité. Nous sommes reconnaissants pour le dévouement de Nicole qui s’est impliquée dans l’ACS pendant plus de 20 ans et son exemple continuera de nous inspirer bien après sa retraite. Bravo Nicole!! Nevart Hotakorzian B. Sc. Inf., stomothérapeute Directrice régionale du Québec Ce fut une journée émouvante pour Nicole Denis

ET COMMUNITY NEWS

TRIBUTE TO NICOLE DENIS (cont.)

• Being a source of inspiration that serves as a model for its members; • Having innovative professional achievements recognized by peers; • Engaging in provincial, regional and international professional activities; • Demonstrating community Involvement; • Outreaching for specialty; • Having excellence in quality care in relation to nursing professional values (competencies, relationship with other stakeholders, clientele); • Giving leadership: being involved in cases where the role of the therapist was a major asset; • Teaching and succession training, involvement and preceptorship; and • Publication of literature relevant to our specialty. We are grateful to Nicole for over than 20 years dedication to CAET and her example will continue to inspire us well after her retirement. Congratulations Nicole!!

Nevart Hotakorzian, BScN, Enterostomal Therapy Nurse Quebec Regional Director

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Nicole Denis was very touched by this day: