THE

www.nswoc.ca

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DECEMBER 2018 VOLUME 29, ISSUE 3

Nurses Specialized in Wound, Ostomy and Continence Canada

© doomu

RECOGNIZING NSWOCS IN CONTINENCE PRACTICE

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LIEN

DÉCEMBRE

2018

VOLUME 29, PUBLICATION 3 PM43490512

Infirmières spécialisées en plaies, stomies et continence Canada

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The LINK, the official publication of the Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) is published three times a year. It is indexed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database.

DÉCEMBER 2018 • VOLUME 29, ISSUE 3

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 December 10th, 2018. La revue Le LIEN est une publication officielle des l’Infirmières spécialisées en plaies, stomies et continence Canada (ISPSCC) 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 décembre 2018. 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 NSWOCC. 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: 613-523-1878 E-mail: [email protected] Website: www.nswoc.ca/membership.htm ISSN 1701-2473 Publications Mail Agreement No. 43490512 Return Undeliverable Canadian Addresses Clockwork Communications Inc PO Box 33145 Halifax, NS B3L 1K3

CONTENTS HIghlights THE CONTINENCE EXCHANGE: TO FOSTER AND SUPPORT NSWOC CONTINENCE PRACTICE BY: LAURA ROBBS

18 - 20

Regular Features MEMBERSHIP COMMUNIQUÉ

4 - 10

WOC INSTITUTE

11 - 14

NSWOCC CALL FOR NOMINATIONS

16 - 17, 30 - 34 22 - 23

REGIONAL DIRECTORS' CORNER

24 - 27

CORE PROGRAM LEADERS

INTEREST GROUP NSWOC NEWS UPCOMING EVENTS

36 38 - 42 40

MEMBERSHIP COMMUNIQUÉ

NSWOCC PRESIDENT’S MESSAGE Submitted by: Christine Murphy RN, PhD, WOCC(C), NSWOCC President. [email protected]

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s the winter draws toward us and the holidays approach we take time to appreciate those special to us. As I reflect on my own gratitude it reminds me of how fortunate I am to have some of the most respected and talented nurses in the country as friends and colleagues. I am, of course, talking about each of you.

This year has marked some critical changes for our association and you have all been very supportive of those changes. Endless hours of volunteer work have been donated by our members to ensure we remain leaders in developing and providing excellence in care for those with wound, ostomy and continence health issues. As we retired the name “Canadian Association for Enterostomal Therapy – CAET” we gained a new focus and clarity to users and policy developers alike. “Nurses Specialized in Wound, Ostomy and Continence Canada” leaves no doubt to new friends of our purpose and focus. The certification credentials WOCC(C) have, additionally, helped build a familiarity easily recognized by our international friends while remaining unique to Canadian NSWOCs. Our campaign to advise employers and senior administrators of the meaning of NSWOC and WOCC(C) is advancing. Stay tuned for our marketing updates from Britney Butt. Get certified to show not only that you are specialized but also as evidence that you are current in 4

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your knowledge. A new certification study guide in now available free to all members through the website. The Board of Directors and your fellow NSWOCC members have worked hard with CNA to create and maintain this credential to support your practice – make the most of it! The WOC Institute has also been rebranded with new, updated, content and an improved website interface. This has been an enormous task but will be of great benefit to our students as they join us in our now DOUBLED class size. Our faculty, led by Dr. Kimberley LeBlanc, is second to none and the academic rigour and depth of practical knowledge in our program will, no doubt, continue to provide Canada with strong leaders in our tri-specialty. As I listened to the new students speaking about their passion, on the introduction night, it is clear to me that our group attracts the best and most energetic nurses who are capable of both impacting local care and moving the needle internationally. In both official languages NSWOCs are growing in number and continue to make a big difference. There are several key projects and expansions that NSWOCs have been working on this year that will help change the landscape for patients and caregivers alike. They include: The Nursing Best Practices: Enterocutaneous fistulas and Enteroatmospheric Fistulas;

the Ostomy Impact Study; an update to the Ostomy Care and Management module of the RNAO Best Practice Guidelines; the Intermittent Catheter Best Practice Recommendations project, and the creation of an Indigienous WOC Health Core Program in NSWOCC. Updates on these projects can be found in the Regional Director reports. If you are interested in becoming more involved in NSWOCC I encourage you to seek out a position as your Regional Director. On closing, I would like to especially thank my exceptional colleagues on the NSWOCC Executive who keep us moving forward. Cathy Harley, our Executive Director, for her constant guiding vision and business direction. Laureen Sommerey for her tireless work in preparing and documenting our meetings and mandates. Corey Heerschap for his meticulous treasurer skills. And our President-Elect Nevart Hotakorzian for her support as she prepares to take the reins in 2020. Their largely unseen work is critical to the success and growth of NSWOCC. Last, but not least, I would like to thank each one of you for what you do for every person you interact with whether they be colleagues or a vulnerable patient who is seeking guidance. NSWOCs are simply the best, and it is because of you! Wishing you a safe and happy holiday season. cd

MEMBERSHIP COMMUNIQUÉ

MESSAGE DE LA PRÉSIDENTE DE ISPSCC Soumis par : Christine Murphy, inf., Ph. D., PSCC(C), présidente de ISPSCC. [email protected]

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lors que l’hiver et le temps des Fêtes approchent à grands pas, prenons le temps d’apprécier les personnes qui nous sont chères. Tandis que je réfléchis aux personnes pour lesquelles je suis reconnaissante, cela me rappelle à quel point je suis chanceuse d’avoir comme amies et collègues quelques-unes des infirmières les plus respectées et talentueuses du pays. Je parle, bien sûr, de chacune d’entre vous. Cette année a été ponctuée par quelques changements essentiels pour notre association et vous avez toutes été très favorables à ces changements. Nos membres ont fait don d’innombrables heures de travail bénévole afin de s’assurer que nous demeurons des leaders pour développer l'excellence et offrir des soins de qualité supérieure aux personnes faisant face à des problèmes de santé liés aux plaies, aux stomies et à la continence. Alors que nous avons tiré un trait sur le nom de l’« Association canadienne des stomothérapeutes – ACS », les utilisateurs tout comme les responsables de l'élaboration de politiques ont pu voir dans le nouveau nom précision et clarté. En effet, « Infirmières spécialisées en plaies, stomies et continence Canada » est sans équivoque pour nos nouveaux amis quant à notre but et notre 6

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spécialité. De plus, le titre de compétence PSCC(C) a aidé à développer une familiarité facilement reconnaissable par nos amis internationaux tout en demeurant unique aux ISPSC canadiennes. Notre campagne visant à aviser les employeurs et les cadres supérieurs de la signification de ISPSC et de PSCC(C) fait des progrès. Ne manquez surtout pas les mises à jour sur le marketing de Britney Butt. Passez votre examen de certification pour démontrer que non seulement vous êtes spécialisée, mais aussi pour prouver que vos connaissances sont à jour. Un nouveau guide d’étude pour l’examen de certification est maintenant disponible gratuitement pour tous les membres par le biais de notre site Web. Le conseil d’administration et vos collègues ISPSCC ont travaillé d’arrache-pied en collaboration avec l’AIIC pour créer et maintenir ce titre de compétence afin d’appuyer votre pratique – tirez-en profit au maximum! L'Institut PSC a également été renommé et offre du nouveau contenu, du contenu mis à jour et une interface Web améliorée. Il s’agit d’une tâche colossale qui bénéficiera à nos étudiants alors qu’ils se joignent à nous dans une classe avec DEUX FOIS plus d’étudiants. Notre corps enseignant, dirigé par la Dre Kimberley LeBlanc, est sans égal et la

MEMBERSHIP COMMUNIQUÉ

MESSAGE DE LA PRÉSIDENTE DE ISPSCC (suite) rigueur académique ainsi que les connaissances pratiques approfondies de nos programmes continueront sans aucun doute à offrir au Canada des leaders solides au sein de notre triple spécialité. Lors de la soirée d’introduction, alors que j’écoutais les nouveaux étudiants parler de leur passion, il est clair, à mon avis, que notre groupe attire les meilleures infirmières et celles ayant le plus d’énergie qui peuvent à la fois avoir un impact sur les soins locaux et prendre le virage international. Les ISPSC francophones et anglophones ne cessent de croître et continuent de faire une grosse différence. Cette année, les ISPSC ont travaillé sur plusieurs importants projets qui aideront à modifier le paysage pour les patients et les personnes soignantes, soit : Les pratiques exemplaires en soins infirmiers : fistules entérocutanées et fistules entéroatmosphériques (The Nursing Best

Practices: Enterocutaneous fistulas and Enteroatmospheric Fistulas); l’Étude d’impact sur les stomies; une mise à jour du module Soins et gestion des stomies des Lignes directrices relatives aux pratiques exemplaires de l'Association des infirmières et infirmiers autorisés de l'Ontario (RNAO); le projet sur Les recommandations de pratiques exemplaires pour le cathétérisme intermittent et la création d’un programme de base intitulé Santé autochtone : plaies, stomies et continence au sein de ISPSCC. Vous trouverez les mises à jour sur ces projets dans les rapports de la directrice régionale. Si vous souhaitez vous impliquer davantage dans ISPSCC, je vous encourage à assumer un poste comme votre directrice régionale. En terminant, j’aimerais remercier tout particulièrement mes collègues exceptionnelles qui siègent au conseil de direction de ISPSCC et qui nous incitent

à toujours aller de l’avant. Cathy Harley, notre directrice générale, pour sa vision directrice constante et son orientation commerciale. Laureen Sommerey, pour son travail inlassable à préparer et documenter nos réunions et mandats. Corey Heerschap, pour ses compétences méticuleuses en tant que trésorier a que notre présidente élue, Nevart Hotakorzian, pour son soutien alors qu’elle s’apprête à prendre les rênes en 2020. Leur travail, qui reste en grande partie dans l’ombre, est essentiel au succès et à la croissance de ISPSCC. Enfin, j’aimerais remercier chacune d’entre vous pour ce que vous faites pour chaque personne avec laquelle vous interagissez, que ce soit vos collègues ou un patient vulnérable à la recherche de conseils. Les ISPSC sont tout simplement les meilleures et c’est grâce à vous! Je vous souhaite de très belles Fêtes! 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 Nurses Specialized in Wound, Ostomy and Continence Canada

This publication is copyright in its entirety. Material may not be reprinted without the written permission of

(NSWOCC). Although reasonable efforts

NSWOCC. Contact through

are made to ensure accuracy NSWOCC,

www.NSWOC.ca.

and its agents, take no responsibility whatsoever for errors, omissions or any consequences of reliance on material or the accuracy of information. Publication does not constitute NSWOCC endorsement of, or assumption of liability for, any claims made in advertisements. le LIEN

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

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or the past fourteen years as the Executive Director of the CAET (now NSWOCC), I have seen hundreds of people’s lives transformed because of ETNs – now Nurses Specialized in Wound, Ostomy and Continence (NSWOC). Patient stories of resilience, and aspirations are inspiring and so are the stories of the impact that a NSWOC had on their journey. NSWOCC is fortunate to have a committed volunteer Board of Directors and a strong team of volunteer Core Program Leaders. They provide sound guidance in the areas of governance, finance, community engagement and advocacy, policy development, and overall decision-making. On May 4th of this year, during the Annual Members Meeting in Victoria, BC, we launched our new association name, nursing designation, education program names, and CNA certification credentials. While our association is steeped in history the new names and rebranding have stimulated a new energy and leveraged our strategy of creating a clear identity for Nurses Specialized in Wound, Ostomy and Continence. Thank you for your support as we navigated through this history-making project. Dr. Kimberley LeBlanc, Chair of the Wound, Ostomy and Continence Institute, and the institute’s faculty have exceeded expectations in multiple ways. 8

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Some of the other exciting results for 2018 included the launch of the Indigenous Wound Ostomy and Health Core Program. The redeveloped WOC-EP Ostomy Module was launched to see September 2018 enrollment that was double the historical numbers. A new Skin Health Program concept was launched for Wound and Ostomy and we had the highest-ever number of students register in September 2018 for the Skin Health Wound Program. The WOC Institute’s dedicated team supports students by helping them navigate distance learning, providing on-site preceptorships, and helping students maintain a balance of work, learning, and family life. Some of the other exciting results for 2018 included the launch of the Indigenous Wound Ostomy and Health Core Program which will focus on improving the care of our Indigenous population experiencing wound, ostomy and or continence issues. The Research and Practice Group completed the stakeholder review of the outstanding Nursing Best Practice Recommendations: Enterocutaneous Fistulas (ECF) and Enteroatmospheric Fistulas (EAF) and it will be released by January 1, 2019. Another key project was launched – Best Practice

Recommendations for Intermittent Catheterization. This project is being implemented in collaboration with Canadian Nurse Continence Advisors, Urology Nurses Canada, and Infection Prevention and Control Canada. You will hear more about this exciting project in 2019. Please stay tuned to our website www.nswoc.ca for updates on these projects and more. I am grateful to the NSWOCC Board Members for their vision and expertise, to the Core Program Leaders for providing their input into innovative initiatives and for implementing the results, and to all the other volunteers who bring their special talents to this association. I also truly appreciate our dedicated contract suppliers for their commitment to NSWOCC and helping us support NSWOCs as they make a difference in people’s lives. They should all take pride in knowing that NSWOCC is making a difference in the Canadian healthcare system. We look forward to 2019. We are revitalized, heading in a new direction, honoured to be your professional association! cd

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MEMBERSHIP COMMUNIQUÉ

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

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u cours de mes quatorze dernières années à titre de directrice générale de l’ACS (maintenant ISPSCC), j’ai vu la vie de centaines de personnes être transformée à cause des stomothérapeutes – maintenant appelées les infirmières spécialisées en soins des plaies, stomies et de la continence (ISPSC). Les histoires de résilience et d’aspirations des patients sont inspirantes tout comme les histoires de l’impact qu’une ISPSC a eu dans leur parcours. ISPSCC a la chance d’avoir un conseil d’administration bénévole engagé et une solide équipe de leaders bénévoles pour nos programmes de base. Ces personnes fournissent des conseils éclairés en termes de gouvernance, de finances, de participation communautaire et de défense des droits, d’élaboration des politiques ainsi que de prise de décisions générales.

Le 4 mai dernier, lors de l’Assemblée annuelle des membres, à Victoria, C.-B., nous avons inauguré notre nouveau nom pour l’association, le titre infirmier, les noms de programmes éducatifs et le titre de certification de l’AIIC. Même si notre association est ancrée dans l’histoire, les nouveaux noms et la nouvelle image de marque ont insufflé une nouvelle énergie et équilibré notre stratégie pour créer une identité claire pour les infirmières spécialisées en soins des plaies, des stomies et de la continence. Merci pour votre soutien alors que nous pilotions ce projet qui marquera l’histoire. La Dre Kimberley LeBlanc, présidente de l’Institut d’enseignement plaies, stomies et continence, et le corps enseignant de l’institut ont surpassé les attentes sur plusieurs points. Le module sur les 10

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Parmi les autres résultats excitants pour 2018, notons le lancement du Programme de base intitulé Santé autochtone. stomies du PF-PSC qui a été élaboré à nouveau a été lancé alors que le nombre d’inscriptions de septembre 2018 avait doublé par rapport au nombre d’inscriptions des années précédentes. Un nouveau concept pour le programme de santé cutanée a été lancé pour les volets Plaies et Stomies et nous avons connu le plus grand nombre d’inscriptions d’étudiants en septembre 2018 dans le programme de santé cutanée des plaies. L’équipe dévouée de l’Institut PSC soutient les étudiants en les aidant à s’habituer à l’apprentissage à distance, en leur fournissant du préceptorat sur place et en les aidant à concilier le travail, leur formation et leur vie familiale. Parmi les autres résultats excitants pour 2018, notons le lancement du Programme de base intitulé Santé autochtone : plaies, stomies et continence qui se concentrera à améliorer les soins donnés à la population autochtone connaissant des problèmes liés aux plaies, stomies et (ou) à la continence. Le groupe Recherche et pratique a effectué l’examen par les intervenants de l’excellente publication Nursing Best Practice Recommendations: Enterocutaneous Fistulas (ECF) and Enteroatmospheric Fistulas (EAF) et il sera publié d’ici le 1er janvier 2019. Un autre important projet a été lancé : Best Practice Recommendations for Intermittent Catheterization (Les recommandations de pratiques

exemplaires pour le cathétérisme intermittent). Ce projet est mis en oeuvre en collaboration avec les organismes Canadian Nurse Continence Advisors, Urology Nurses Canada et Infection Prevention and Control Canada. Vous en apprendrez davantage sur ce projet trépidant en 2019. Surveillez notre site Web www.nswoc.ca pour être informés des mises à jour sur ces projets et bien plus. Je suis reconnaissante envers les membres du conseil d’administration de ISPSCC pour leur vision et leur expertise, envers les leaders des programmes de base pour avoir offert leur contribution à des initiatives novatrices et pour avoir mis en œuvre les résultats ainsi qu’envers tous les autres bénévoles qui contribuent par leurs talents spéciaux à cette association. Je remercie également nos fournisseurs contractuels dévoués pour leur engagement envers ISPSCC et leur aide pour appuyer les ISPSC à faire une différence dans la vie des personnes. Toutes ces personnes devraient être fières de savoir que ISPSCC fait une différence dans le système de soins de santé du Canada. Nous sommes impatients d’entamer l’année 2019. Nous nous sentons redynamisés, prêts à suivre une nouvelle orientation et honorés d’être votre association professionnelle! cd

WOC INSTITUTE

WOC INSTITUTE REPORT FROM THE CHAIR Submitted by: Kimberly LeBlanc PhD, RN, WOCC(C), IIWCC, Chair of the WOC Institute. [email protected]

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all has been a very exciting time for the WOC Institute with many new programs and initiatives as well as a facelift for older programs. Below you will find a brief summary of some of the initiatives we are working on! 1. With the association name change came the need to rename the CAET Academy and its programs. The CAET Academy became the Wound Ostomy and Continence Institute (WOC Institute). The CAET Enterostomal Therapy Nurse Education Program (ETNEP) was renamed the WOC Education Program (WOC-EP). The CAET Knowledge to Practice (K2P) courses have been moved under the umbrella of the WOC Institute Skin Health Courses. K2P Ostomy has been renamed Foundations of Ostomy Care and Management and the K2P Wound has been renamed the Foundations of Wound Care and Management. 2. The WOC-EP’s first re-launch was on September 4th with the new Ostomy Management course. We partnered with Benchmark, an online educational design company, to upgrade to new technology and include on-line simulation exercises. This re-launch was the vision of Virginia McNaughton and it was because of her inspiration and vision that this program redevelopment was put into motion. The re-development would also not have been possible without the dedication, and expertise, of Nancy Parslow. Nancy is the team lead on

With the association name change came the need to rename the CAET Academy and its programs. the re-design and has worked closely with Benchmark to turn this dream into a reality. The new Continence Management course will launch in January 2019 and the Wound Management course will follow in the spring of 2019. The WOC-EP faculty is hard at work making the necessary revisions and are excited to showcase their new state-of-the-art courses! 3. The WOC Institute is striving to ensure that all of our programs are available in both English and French. A huge thank you to Louise Samuel for coordinating the translation and to Louise Turgeon and Melanie Fauteaux for all of their assistance in this process. 4. Due to high demand for NSWOCs and a large volume of quality applicants, the WOC Institute experienced a doubling of enrollment in the English WOC-EP program that began in September 2018. Our September Ostomy cohort is also the largest ever with 45 students and we have plans to admit another 45 into the January 2019 program intake. The French WOC-EP enrollment is also at an all-time high with 16 students. 5. With the growth of the WOC-EP came the need for more faculty. We

are pleased to have welcomed Britney Butt, Susan Peckford, and Niki Grady as WOC Institute Academic Advisors. After many years of providing dedicated education to our students Dorothy Phillips will be retiring in January 2019 and will be greatly missed! Thank you so much Dorothy for all that you have done for our students and for NSWOCs across Canada. We have posted a position for an Academic Advisor in our Continence course. Visit www.caetacademy.ca for the latest updates on positions available. 6. Our new Skin Health Programs launched on September 10th. Courses are the Foundations of Ostomy Care and Management and Foundations of Wound Care and Management. Each course is 10 weeks in length and consist of a mixture of self-learning modules, interactive discussion forums, and educational videos. They are geared towards RNs, RPNs/LPNs, and other healthcare professionals who wish to gain foundational knowledge in ostomy and / or wound Care. Each course will be offered twice per year (Fall and Winter Terms). A huge thank you to Cathy Downs, Nancy Parslow, Teri-Anne Schroeder and Barb Plumstead for assisting with the re-design of these programs. Planned launch of the Skin Health Programs in French (coming in 2019). le LIEN

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WOC INSTITUTE CHAIR’S REPORT (cont.) We have also added in the option of in-class programs (2 full days). Our first classroom program took place in Ottawa in September. We plan to work with local NSWOCs to provide the onsite programs on demand. We encourage NSWOCs to explore possible onsite opportunities in their areas. The WOC-Institute will provide educational materials and operational support and planning to interested NSWOCs. Interested groups should contact me at [email protected].

the members page of www.nswoc.ca and choose ‘view available downloads’ to find the NSWOCC CNA Certification Prep Course. Thank you to Nancy Parslow, Corey Heerschap, Cathy Downs, Vida Johnston, and Dawn Christensen for their hard work in the development of this program.

7. The WOC Institute has launched a bilingual Clinical and Professional Practice Webinar series for its students and for the greater NSWOCC membership. Professional practice topics include: How to search the literature using CINAHL; how to write a consultation note; transitioning to the role of a consultant; writing for publication; and how to write your CV. Additional topics will be added in the coming months. Foundational Clinical practice webinars are also available for topics related to Ostomy and Wound management, with continence topics coming soon. These clinical practice webinars have been developed for the novice clinician but future webinars are planned for the advanced clinician.

9. The WOC Institute recognizes that not all education happens within an educational program. As a result, we offer Recognition of Prior Learning (RPL) for our incoming students – a prescribed process wherein a student accepted into the WOC-EP, who has an extensive theoretical and/or clinical background prior to starting the program, can demonstrate that they have already achieved knowledge consistent with that gained through the completion of the WOC-EP (in either wound, ostomy, or continence). It is a rigorous assessment and if the required level of knowledge is successfully demonstrated then the applicant will be given credit for this learning in the theoretical and/or clinical portion of the course. Applications for RPL must be completed in advance of the program start. For further information regarding the process please contact me at [email protected].

8. By popular demand the WOC Institute is proud to announce that it has launched a prep course for NSWOCs interested in writing the CNA Certification Exam. This course is FREE to NSWOCC members. NSWOCs taking this prep course are provided with a self-paced guide that includes the NSWOC competencies, focused readings, exam writing tips, and sample exam questions. A Facebook page has been established as a forum for NSWOCs to connect with others who are preparing for the exam so that they can develop study groups and ask questions. For more information visit 12

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The prep course will be available in French by the early spring of 2019. Thank you to Valerie Chaplain for facilitating this translation.

We have recently had two individuals obtain recognition of prior learning (RPL) in both the continence and wound courses and at the time of this writing another five individuals had applied for RPL in the wound course. The above summary is just a small sample of what we have been working on behind the scenes at the WOC Institute. Stay tuned as we roll out many more exciting initiatives in the months to come! cd

WOC INSTITUTE

RAPPORT DE LA PRÉSIDENTE DE L’INSTITUT D’ENSEIGNEMENT EN PLAIES, STOMIES ET CONTINENCE Soumis par : Kimberly LeBlanc, Ph. D., inf., PSCC(C), IIWCC, présidente de l’Institut d’enseignement en plaies, stomies et continence. [email protected]

’automne a été une période très excitante pour l’Institut PSC en raison de ses nombreux nouveaux programmes et nouvelles initiatives ainsi que le remaniement de programmes existants. Vous trouverez ci-dessous un résumé de quelques-unes des initiatives sur lesquelles nous travaillons!

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Avec le changement de nom de l’association est venu le besoin de renommer l’Académie de l’ACS et ses programmes.

1. Avec le changement de nom de l’association est venu le besoin de renommer l’Académie de l’ACS et ses programmes. L’Académie de l’ACS est devenue l’Institut d’enseignement en plaies, stomies et continence (Institut PSC). Le Programme de formation infirmière stomothérapeute) (PFIS) de l’ACS a été renommé Programme de formation PSC (PF-PSC). Les cours Knowledge to Practice (K2P) font maintenant partie des cours en santé cutanée de l’Institut PSC. Le cours K2P sur les stomies a été renommé Foundations of Ostomy Care and Management (version en français à venir) et le cours K2P sur les plaies a été renommé Foundations of Wound Care and Management (version en français à venir).

de simulation en ligne. Ce lancement est le fruit de la vision de Virginia McNaughton et c’est grâce à sa vision et son inspiration que ce programme a subi un remaniement, ce qui n’aurait aussi pas été possible sans le dévouement et l’expertise de Nancy Parslow. Chef d’équipe pour la nouvelle conception, Nancy a travaillé en étroite collaboration avec Benchmark pour transformer ce rêve en réalité.

2. Le lancement du PF-PSC a eu lieu le 4 septembre et s'est ouvert avec le nouveau cours de gestion des stomies. Nous nous sommes associés à Benchmark, une entreprise de conception pédagogique en ligne, afin de nous mettre à jour relativement à la nouvelle technologie et inclure des exercices

Le nouveau cours de gestion de la continence sera lancé en janvier 2019 et le cours de gestion des plaies suivra au printemps 2019. Le corps enseignant du PF-PSC travaille fort pour effectuer les révisions nécessaires et est impatient de présenter ses nouveaux cours à la fine pointe de la technologie! 3. L’Institut PSC s’efforce de s’assurer que tous ses programmes sont offerts à la fois en français et en anglais. Un gros merci à Louise Samuel pour avoir coordonné la traduction et à Louise Turgeon et Mélanie Fauteaux pour leur aide lors de ce processus.

4. En raison de la forte demande pour des ISPSC et de la grande quantité de candidats qualifiés, l’Institut PSC a vu doubler le nombre d’inscriptions pour son PF-PSC anglophone qui a commencé en septembre 2018. Notre cohorte de septembre pour le cours sur les stomies est également la plus importante à ce jour avec 45 étudiants et nous prévoyons en accepter 45 autres dans le programme de janvier 2019. Les inscriptions pour le PF-PSC francophone ont également connu un niveau inégalé avec 16 étudiants. 5. La croissance du PF-PSC a fait ressortir le besoin de se doter davantage d’enseignants. Nous sommes fiers d’accueillir Britney Butt, Susan Peckford et Niki Grady en tant que conseillères pédagogiques de l’Institut PSC. Après de nombreuses années à offrir de manière dévouée de l’éducation à nos étudiants, Dorothy Phillips prendra sa retraite en janvier 2019 et elle nous manquera énormément! Merci beaucoup, Dorothy, pour tout ce que tu as fait pour nos étudiants le LIEN

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WOC INSTITUTE

L’INSTITUTE D’ENSEIGNEMENT PSC (suite) et pour les ISPSC de partout au Canada. Nous avons un poste à pourvoir pour une conseillère pédagogique du cours sur la continence. Toute personne intéressée par ce poste devrait communiquer avec moi à [email protected]. 6. Nos nouveaux cours en santé cutanée ont été lancés le 10 septembre. Voici le titre de ces cours qui sont seulement offerts en anglais pour l’instant : Foundations of Ostomy Care and Management et Foundations of Wound Care and Management. Chaque cours est d’une durée de 10 semaines et comprend des modules d’autoapprentissage, des groupes de discussion interactifs et des vidéos éducatives. Ils s’adressent aux IA, aux inf. aux. aut. et aux autres professionnels de la santé qui souhaitent acquérir des connaissances de base en soins liés aux stomies et (ou) aux plaies. Chaque cours sera offert deux fois par année (semestre d’automne et d’hiver). Un gros merci à Cathy Downs, Nancy Parslow, Teri-Anne Schroeder et Barb Plumstead pour avoir aidé au remaniement de ces programmes. Le lancement des programmes en santé cutanée en français est aussi prévu (à venir en 2019). Nous avons également ajouté l’option des programmes en classe (2 journées complètes). Notre premier programme en classe a eu lieu à Ottawa en septembre. Nous prévoyons travailler avec des ISPSC de la région pour offrir sur demande les programmes sur place. Nous encourageons les ISPSC à explorer les occasions sur place offertes dans leur région. L’Institut PSC offrira des documents pédagogiques, du soutien et de la planification opérationnels aux ISPSC intéressés. Les groupes intéressés devraient communiquer

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avec moi à [email protected]. 7. L’Institut PSC a lancé une série de webinaires bilingues sur la pratique clinique et professionnelle pour ses étudiants et l’ensemble des membres de ISPSCC. Parmi les sujets portant sur la pratique professionnelle, notons : Comment faire une recherche de la littérature à l’aide de CINAHL; comment rédiger une note de consultation; passer au rôle de consultant; rédiger une publication; et comment rédiger votre curriculum vitæ. Des sujets additionnels seront ajoutés dans les prochains mois. Des webinaires de base sur la pratique clinique sont également offerts pour les sujets liés à la gestion des stomies et des plaies et les sujets sur la continence suivront bientôt. Ces webinaires sur la pratique clinique ont été élaborés pour les cliniciens débutants, mais les prochains webinaires s’adresseront aux cliniciens chevronnés. 8. À la demande générale, l’Institut PSC est fier d’annoncer le lancement d’un cours préparatoire pour les ISPSC souhaitant passer leur examen de certification de l’AIIC. Ce cours est GRATUIT pour les membres de ISPSCC. On remet aux ISPSC qui suivent ce cours préparatoire un guide adapté au rythme de chacun qui inclut les compétences des ISPSC, des lectures ciblées, des conseils pour rédiger l’examen et des exemples de questions d’examen. Une page Facebook a été créée pour permettre aux ISPSC d’établir des liens avec les autres ISPSC qui se préparent pour l’examen afin qu’elles organisent des groupes d’étude et qu’elles posent leurs questions. Pour de plus amples renseignements, visitez la page des membres à www.nswoc.ca et sélectionnez Consulter les documents téléchargeables disponibles pour trouver le cours de

préparation de ISPSC pour la certification de l’AIIC. Merci à Nancy Parslow, Corey Heerschap, Cathy Downs, Vida Johnston et Dawn Christensen pour leur bon travail d’élaboration de ce programme. Le cours préparatoire sera offert en français d’ici le début du printemps 2019. Merci à Valerie Chaplain pour la coordination de cette traduction. 9. L’Institut PSC reconnaît que l’apprentissage peut se faire en dehors du programme éducatif. Par conséquent, les étudiants peuvent faire une demande d’exemption reconnaissant leurs acquis. Ce processus établi, faisant l’objet d’une évaluation rigoureuse, permet à l’étudiant qui a été accepté au PFPSC et qui possède une vaste formation théorique et (ou) clinique avant de commencer le programme, de démontrer qu’il possède déjà les connaissances qui seront enseignées dans le PF-PSC (soit dans le domaine des plaies, des stomies ou de la continence). Si le niveau exigé de connaissances est démontré avec succès, alors l’étudiant obtiendra des crédits pour son apprentissage dans la portion théorique et (ou) clinique du cours. Les demandes d’exemption reconnaissant les acquis doivent être remplies avant le début du programme. Pour de plus amples renseignements concernant le processus, veuillez me contacter à [email protected]. Récemment, deux personnes ont obtenu une exemption reconnaissant leurs acquis pour les cours sur la continence et les plaies et au moment d’écrire ces lignes, cinq autres personnes avaient fait une demande d’exemption pour le cours sur les plaies. Le résumé ci-dessus n’est qu’un exemple de ce sur quoi nous avons travaillé en coulisse à l’Institut PSC. Ne manquez pas nos nombreuses autres initiatives qui seront lancées dans les prochains mois! cd

NSWOCC Executive President: Christine Murphy President-Elect: Nevart Hotakorzian Secretary: Laureen Sommerey Treasurer: Corey Heerschap Executive Director: Catherine Harley

Regional Directors

By L. Fines

Core Programs

BC/Yukon: Lani Williston Prairies/NWT/Nunavut: Jodi Quinlan Ontario: Rose Raizman Québec: Valerie Chaplain Atlantic: Marcia Leard

Research and Practice: Karen Napier Marketing: Britney Butt National Conf. Planning: Mary Hill Community Engagement: NSWOCC Board Professional Development: Laura Robbs Indigenous WOC Health: To be announced

NSWOCC Support

Membership Coordinator: Noëlla Trudel Webmaster: ImaginationPlus Bookkeeper: André Lavigne

WOC Institute

NSWOCC/JWOCN Editorial Board

Chair: Dr. Kimberley LeBlanc Office Coordinator: Suzanne Sarda IT Coordinator: Marc-Andre Fortin Academic Advisors: Britney Butt, Gail Creelman, Cathy Downs, Mary Engel, Mélanie Fauteux, Niki Grady, Eleanore Howard, Nancy Parslow, Dorothy Phillips, Susan Peckford, Barb Plumstead, Laura Robbs, Louise Samuel, Teri Schroeder, Louise Turgeon. Preceptor Coordinator: Nicole Denis Preceptor Markers: Liette St Cyr and Britney Butt Preceptor Program Assistant: Lisa Almon

Features Editor: Lina Martins BC/Yukon: Dr. Karen Campbell Prairies/NWT: Mary Hill Ontario: Dr. Kevin Woo Québec/Atlantic: Louise Forest Lalande

NSWOCC Ad Hoc Committees Bylaws Chair: Vivien Wass Nominations Chair: Jillian Brooke

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CORE PROGRAM LEADERS’ CORNER

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

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dvanced Specialized Nursing: Learning that sets us apart! This is the conference theme for the 38th Annual NSWOCC Conference in beautiful Lac Leamy resort in Gatineau, QC. The Hilton Lac-Leamy Resort and Casino is located on the shores of Leamy Lake and just across the river from Ottawa. While attending the NSWOCC conference you can choose from one of the resort’s five restaurants or relax in the indoor/outdoor pool, take advantage of the spa or just sit back and enjoy the beautiful views. The National Conference Planning Committee is pleased to provide you with an exciting educational program that will set your learning apart from other nursing specialties. We have heard your feedback and are providing presentations from NSWOCs, physician specialists, and other health care specialities. Educational Sessions • Opening keynote speaker – Dr. Claire Betker, CNA President, and Derik Fage, Co-Host of Breakfast Television, Montreal; • Diabetic foot assessment and offloading – Dr. Mike Robern MD, FRCPC, Dermatologist; • Sternal wound – Christie Cowan RN, BScN, NSWOC and Stephanie Kearney RN, BScN, NSWOC; • CNA Certification: Prep to Achieve WOCC(C) – Kimberly LeBlanc PhD, RN, WOCC(C), IIWCC; • New research: Does bowel stimulation, before loop ileostomy closure, reduce post-operative ileus? – Dr. Richard Garfinkle MD, General Surgery Resident, and Louise Samuel RN, BScN, NSWOC; 16

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• Transition to home: Navigating the differences and challenges of a WOC client from hospital to home – Eileen Emmott RN, BScN, WOCC(C), IIWCC and Jillian Brooke RN, BSc (Hons), MClScWH, WOCC(C); • Complex wound case studies – Physician specialist panel comprising Dr. Jing Zhang MD, FRCSC, Plastic Surgery, Dr. Sudhir Nagpal MD, FRCSC, Vascular Surgery, Dr. Vicente Corrales-Medina MD, Infectious Diseases, and Christine Murphy RN, PhD, MCIScWH, WOCC(C); • Ostomy Management: From pre-op marking to surgery, rehab and then community life – Connie Schultz RN, BN, WOCC(C) Toba Miller RN, MScN, MHA, GNC(C), WOCC(C); • In a Haze: Medical Cannabis Overview – Laura Neal, RN, BScN, MSc; • Bundled Approach to Skin Health, Skin Tears, IAD, and Pressure Ulcer Prevention – Dimitri Beeckman RN, BSc, MSc, FEANS, PhD, Kim LeBlanc PhD, RN, WOCC(C), IIWCC and Karen Campbell RN, PhD, NSWOC; and • So much more! Join a Workshop for Hands-on Experience • Continence Workshop – Laura Robbs RN, MN, WOCC(C), NCA; • Foundations: Conservative Sharp Wound Debridement – Rosemary Hill RN, BScN, CWOCN, WOCC(C) and Tarik Alam RN, BScN, NSWOC, MClScWH; • Advanced Conservative Sharp Wound Debridement and lower leg assessment – Dr. Tim Brandys MD, FRCSC, Vascular Surgery and

CORE PROGRAM LEADERS’ CORNER

NATIONAL CONFERENCE PLANNING (cont.) Our industry/NSWOC social event will be back by popular demand. Christine Murphy PhD, MClScWH, RN, WOCC(C) (pre-requisites required); • Adjunctive Therapies: E-stim, Ultrasound, and UVC – Pamela Houghton PT, PhD Lyndsay Orr, PT, MClScWH; • Limbs and other places you never compressed before – Nancy Parslow RN, MCIScWH, WOCC(C); and • Research: Writing for publication – Kimberly LeBlanc PhD, RN, WOCC(C), IIWCC. Benefits of Coming to Conference: • Keep up to date with evidenceinformed practice and issues

• • • •

•

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affecting wound, ostomy and continence care; Continuous learning hours for CNA Certification; Meeting NSWOCs from across Canada; Engagement and participation in learning; Understanding similarities and differences in WOC practices across the country; Growing your practice and knowledge and taking action on issues that affect WOC nursing and care; and Certificates of Attendance for both conference and workshops to add to your continuing education hours.

Join us for Networking Events! Our industry/NSWOC social event will be back by popular demand. Be sure not to miss this year’s production as NSWOCs and Industry partners combine their talents to perform their favorite Broadway or movie musical! The NSWOCC banquet on Saturday evening will also showcase the graduation ceremony for new NSWOCs from the WOC-EP program. And, of course, the night would not be complete without live music, dancing, and celebration! Be sure not to miss this opportunity to network with your colleagues and industry and enjoy the entertainment. Don’t Miss Out! Register today at www.NSWOC.ca and click on National Conference. You do not want to miss it! cd

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CONTINENCE EXCHANGE

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

NSWOCs should be Recognized as Nurse Continence Specialists n 2018, a Local Health Integration Network (LHIN) in Ontario determined that only a Nurse Continence Advisor could provide continence consultation to home care patients and would not approve continence consultations to be done by a Nurse Specialized in Wound, Ostomy and Continence (NSWOC) formerly known as an Enterostomal Therapy Nurse. The LHIN did not change their position even after reviewing the Nurses Specialized in Wound, Ostomy and Continence Canada’s (NSWOCC’s) 2018 NSWOC Position Statement that summarizes the education and benefits of NSWOC practice.1 This issue of NSWOCs not being recognized as continence nurse specialists has been a concern across Canada. This article utilizes a recent research publication which defined and validated an international role profile for a position called the “Nurse Continence Specialist” (NCS) as a means to argue that NSWOCs are highly qualified to fulfill this role.2

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Over a six-year period the International Continence Society (ICS) Nursing Committee has defined, characterized 18

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and validated an international role profile for the Nurse Continence Specialist (NCS).2 It was identified that the practice of the NCS (however titled) was first identified in 1973 in England and has evolved around the world in a dynamic manner responding to the “changing health needs of the community, health policy decisions and consumer demand.”2 The primary focus of this nurse specialist is the assessment and management of urinary and fecal incontinence.2 There were two phases to the development and validation of the NCS role. Phase 1 involved the below 3 steps and resulted in a draft NCS role profile: • Identification and review of existing knowledge regarding the NCS role; • Identification and analysis of national and international organization-based competency standards; and • Ongoing communication and consultation with ICS nurse members.2 Phase 2 involved validation of the draft role profile that included a Delphi study of ICS nurse members and an online survey of national and international

CONTINENCE EXCHANGE

THE CONTINENCE EXCHANGE (cont.) organizations with a professional interest, or role, in bladder/bowel dysfunction (with a focus on fecal and urinary incontinence).2 This project has resulted in an internationally validated competency-based role profile for the NCS and its research reflects that nurses from 19 different countries, including Canada, agree that continence nursing is “a distinct and defined area of nursing practice, that it requires an application of specially, focused knowledge, and skill sets, and that it is based on a core body of nursing knowledge.”2 The ICS’s Nursing Committee identified and analyzed continence nurse specialty competencies, developed at a national or international organizational level, in four different countries. The committee utilized the Nurse Continence Advisor Standards of Practice (2008) from

Canada, the Wound, Ostomy and Continence Nursing Scope and Standards of Practice (2010) from the United States, and competencies from the United Kingdom and Australia.2 The 2016 CAET Standards for Enterostomal Therapy Nursing Practice (2016)3 were not included as part of this project. This is despite the fact that, in 2018, 47.4% of the 350 members in the NSWOCC database, or 166 NSWOC, identified that they practice in the field of continence with 146 members specializing in adult clients and 20 members specializing in paediatric clients. It can be argued that NSWOC are highly qualified to practice as NCSs. The NCS role profile identifies 6 elements as identified on the left column of Table 1 below. The NSWOCC

Table 1: Comparison of Elements of the NCS Role to those in the NSWOC Competency Standards Identified NCS Role Profile Elements2 1. Diversity of practice settings

2. Regulation/ethics/accountability

3. Leadership in continence through education 4. Leadership in continence through effective communication and professional service

5a. Person-Centred collaborative approach to assessment and care plan

5b. Systematic, evidence-based care plan 6. Research; uses, and participates

Location of these elements in the NSWOC Competency Standards3 See Table 2 below

Standard 7 “Ethics” (p. 15)

Standard 8 “Provides Education” (p. 16-17)

Standard 9 “Leadership” (p. 17-18) Standard 10 “Advocacy” (p. 18-19) Standard 11 “Consultant” (p. 19-20)

Standard 1 “Assessment” (p. 12) Standard 2 “Nursing Diagnosis” (p. 12) Standard 3 “Goal Setting” (p. 13) Standard 5 “Implementation/Evaluation” (p. 14-15) Standard 6 “Evaluation” (p. 15) Standard 4 “Care Plan Development” (p 13-14)

Standard 12 “Researcher” (p. 20-21) le LIEN

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CONTINENCE EXCHANGE

THE CONTINENCE EXCHANGE (cont.) Table 2: Diversity of Continence Practice roles for NSWOCs (from NSWOCC 2018 Member Database) Identified Continence Practice Setting Acute Care

Community/Home Care Long-term Care Rehabilitation

Percentage (Number) of NSWOC in each Setting 43% (72)

32.5% (54)

16.2% (27) 7% (13)

member database and NSWOCC (formerly CAET) Standards of Practice provide evidence that the NSWOC role contains all these NCS role elements. The internationally validated, competency-based, role profile for the NCS is very important in the process of recognition for nurses with the specialized knowledge and skill in research, education, and practice in the care of people with urinary incontinence, fecal incontinence, and pelvic floor dysfunction.1 Only NSWOCs can be certified by the Canadian Nurses Association (CNA) as recognized specialists in continence care (in addition to wound and ostomy care) within Canada. If members of the NSWOCC’s sister organization, the US Wound, Ostomy and Continence Nursing Society (WOCN), are recognized as NCSs2 it begs the question as to why NSWOCs are not also recognized in this manner. There is clear evidence in the NSWOCC member database (2018) and in the CAET (now known as NSWOCC) Standards of Practice, that NSWOCs are indeed highly qualified to be NCSs and, if comfortable in their continence skills, should be allowed to practice

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continence nursing in every part of Canada. References: 1. Position Statement: Nurses Specialized in Wound, Ostomy, and Continence Canada (NSWOCC) (formerly Canadian Association for Enterostomal Therapy) Position Statement on Nurses Specialized in Wound, Ostomy and Continence (NSWOC). [Cited August 8, 2018] Available from http://nswoc.ca/wpcontent/uploads/2018/05/NSWOCPosition-Statement-May-2018.pdf. 2. Paterson J, Ostaszkiewicz J, Suyasa G, Skelly J, Bellefeuille L. Development and Validation of the Role Profile of the Nurse Continence Specialist. J Wound, Ostomy Continence Nurs. 2016;43(6):641-647. 3. The Canadian Association for Enterostomal Therapy (CAET). The CAET Standards for Enterostomal Therapy Nursing Practice, 2nd Edition, April 2016. [Cited August 8, 2018] Available from: http://nswoc.ca/wp-content/uploads/ 2017/08/CAET-ET-PracticeStandards.pdf.

Have a patient diagnosed with bladder cancer? We can help!

Bladder Cancer Canada (BCC) was formed by two bladder cancer survivors, David Guttman and Jack Moon. They each sought out other bladder cancer patients with whom they could talk about their fears and uncertainty. At that time, there was no one to turn to. So, in 2009, they formed Bladder Cancer Canada. Today, as the only organization in Canada serving those facing a bladder cancer diagnosis, BCC is a registered national charity with three main objectives: • Helping bladder cancer patients and their support teams address the day-to-day issues of this disease; • Increasing awareness of bladder cancer among the general public and medical community; and • Funding research which pursues the diagnosis, treatment and elimination of bladder cancer.

We can offer bladder cancer patients support in a number of ways: •

•

• • •

Access to our free bladder cancer patient guidebooks at www.bladdercancercanada.org OR multiple hard copies can be ordered by medical professionals for FREE. Our three informative books on non-muscle invasive bladder cancer, radical cystectomy and bladder preservation will help answer many of your patients’ questions; Joining our supportive online discussion forum to ask questions, chat with fellow patients and caregivers, or simply read about the experiences of others; Talking with others one-on-one who have been “through it” via our trained peer-support volunteers; Registering for our e-newsletter to get the latest news and updates about bladder cancer; and Attending our patient education meetings, online webinars, or local support group meetings (where available).

To order our free materials or refer your patients please contact us at: Bladder Cancer Canada 1-866-674-8889 [email protected] www.bladdercancercanada.org

We’re here to help!

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Nurses Specialized in Wound, Ostomy & Continence Canada (NSWOCC) CALL FOR NOMINATIONS Open Leadership Positions for 2019

The Nurses Specialized in Wound, Ostomy & Continence Canada (NSWOCC) Board of Directors has the following elected Director positions open: • Regional Director - Prairies / NWT / NU • Regional Director - British Columbia Term: 2 years with opportunity to run for an additional 2 years

The following NSWOCC Board Director and Officer positions are open: • Treasurer Term: 2 years with opportunity to run for an additional 2 years

Nominations Deadline: January 10, 2019

Qualifications:

i) Must be a Member of the NSWOCC for a minimum of two (2) years as a member in good standing; ii) Must be a Registered Nurse who has successfully completed a Wound, Ostomy, and Continence Nursing Education Program that is recognized by WCET OR a non-registered nurse who completed a recognized Wound, Ostomy, and Continence Education Program prior to 1976; iii) Not an employee or representative of a company whose primary business involves the development, manufacture and sole distribution of products in the field of wound, ostomy, and/or continence care; and iv) The individual cannot be a contractor of the NSWOCC.

Nominations for these Board positions will be accepted by the Nominations Chair, via the NSWOCC Head Office, at [email protected]. The Nominations Application paperwork is available on the NSWOCC website at www.nswoc.ca (in the news section of the home page). For further information regarding these open positions please contact the NSWOCC Executive Director at [email protected].

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Infirmières spécialisées en plaies, stomies et continence Canada (ISPSCC) APPEL DE CANDIDATURES Postes de leadership à pourvoir pour 2019

Le conseil d’administration de Infirmières spécialisées en plaies, stomies et continence Canada (ISPSCC) souhaite pourvoir aux postes suivants de directeur(trice) élu(e) : • Administrateur(trice) régional(e) - Prairies / T.-N.-O. / NU • Administrateur(trice) régional(e) - Colombie-Britannique Mandat : 2 ans avec possibilité de prolonger pour 2 ans de plus.

Le poste suivant au sein du conseil de direction de ISPSCC est à pourvoir : • Trésorier(ère) Mandat : 2 ans avec possibilité de prolonger pour 2 ans de plus.

Qualifications:

Date limite pour recevoir les mises en candidature : 10 janvier 2019

i) Doit être membre en règle de ISPSCC depuis au moins deux (2) ans; ii) Doit être une infirmière autorisée ayant terminé avec succès un programme de formation en soins infirmiers, spécialisés en plaies, stomies et continence, qui est reconnu par le WCET OU une infirmière non autorisée ayant terminé avec succès un programme de formation en soins des plaies, stomies et continence avant 1976; iii) Ne pas être une employée ou représentante d’une entreprise dont la principale activité implique le développement, la fabrication et la distribution exclusive de produits utilisés dans le domaine des soins des plaies, des stomies et (ou) de la continence; iv) La personne ne peut pas être un entrepreneur de ISPSCC.

Les mises en candidatures pour ces postes au sein du conseil d’administration seront examinées par la présidente des mises en candidature, via le siège social de ISPSCC, à l’adresse [email protected]. Vous trouverez les documents pour poser votre candidature sur le site Web de ISPSCC à www.nswoc.ca (dans la section des nouvelles sur la page d’accueil). Pour de plus amples renseignements concernant ces postes à pourvoir, veuillez communiquer avec la directrice générale de ISPSCC [email protected].

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REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM BC & YUKON By: Lani Wiliston, RN, BScN, WOCC(C), BC & Yukon Regional Director. [email protected]

Have you ever wondered what it would be like to work as a NSWOC in another area?

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ave you ever wondered what it would be like to work as a NSWOC in another area? We all get comfortable with our roles in our own areas but I’ll bet most of us don’t realize what our colleagues do when they go to work. Sara P is a new NSWOC that lives in Golden, BC, a town of 3700 people nestled in the Rocky Mountains trench located on Hwy 1. It is 262 km from Calgary and 713 km from Vancouver. She facilitates education in acute, community, and residential care in Golden and Invermere which are 2 hours apart in the East Kootenays. She covers for Jackie G when Jackie is off and for this she travels to Fernie, Cranbrook, and Creston (the furthest town in her area that is 357 km, or about 5½ hours, away. Sara tells me that this is a temporary position and that she has found the provincial guidelines really helpful in her practice. She finds that training at least one home care nurse in each area saves her having to travel to these areas each time someone needs wound care. We are very happy to have her as a valued team member in Interior Health. In Whitehorse, YT, 2,200 km north of Sara, Teresa M is not working in a 24

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NSWOC role but is, instead, using her knowledge to provide education and share it, as she can, in this vast and remote area. She works through the Territorial Health Investment Fund (THIF) wound care working group and they are in the process of adopting BC’s wound guidelines. In the Northwestern area of BC NSWOC Elaine V from Terrace covers at least 12 communities, with a combined population of 80,000, to provide wound and ostomy support and education to nurses. This requires creative and strategic use of technology as well as long days of travel (600 km return) and a 6 hour ferry ride to beautiful Haida Gwaii. She once found herself broken down on the side of the Highway of Tears with no cell service and had to hitch a ride to the nearest community. She says every day is an exciting journey in the northern corner of BC. Each region, and healthcare setting, has its own beauty, rewards, and challenges but all NSWOCs bring BC’s standardized guidelines to their area and serve the needs of their clients in creative and interesting ways. cd

REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM ONTARIO By: Rose Raizman RN-EC, WOCC(C), M.Sc., MN, Ontario Regional Director. [email protected]

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ime is flying so fast and here we are already heading in to a new year. I wish you all happy holidays and the best year to come. We are aiming to host our first Regional Education Day, in the Fall of 2019, to celebrate our tri-specialty of wound, ostomy and continence care. I am looking for topics, pertinent to your work issues or life challenges, that you would like to share with others or learn about from your peers. We are currently looking for the best location and timing for this event. Please respond to survey monkey that was sent to you or just email me at the address at the top of this page.

The new Wound, Ostomy, Continence Institute (WOC Institute), formerly the CAET Academy, has launched a new website. I encourage you to visit www.wocinstitute.ca to explore educational options available to you to others interested in learning more about our specialties.

please consider becoming a preceptor or mentor. Two volunteer positions with the NSWOCC Board of Directors are currently open for nominations – the Marketing Core Program Leader and the Community Engagement Core Program Leader. All those are great opportunities to get involved with your professional association, improve your leadership skills, and contribute to your profession. Contact me for more details.

I would like to also encourage you to write your CNA certification exam if you haven’t already done so. The WOC Institute is offering free exam prep modules, for NSWOCC members, via the website and there are also a number of mentors available to help you. If you are already certified

That’s all for now. I hope to bring to you more exciting news in next reports.cd

REGIONAL DIRECTORS’ CORNER

REPORT FROM ATLANTIC REGION By: Marcia Leard RN, BScN, WOCC(C), Atlantic Regional Director. [email protected]

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he phone rings... I pick it up and begin to speak... then I halt. It has taken me a while to get accustomed to answering the telephone and introducing myself as an NSWOC. When I contact my colleagues within the region I hear the name change spreading. Orienting our health care colleagues and the general public to the name change also continues, and highlights, the importance of the healthcare provider community and public recognizing our specialist knowledge and what our expertise brings to healthcare. The Atlantic Region hosted its 3rd Education Day in beautiful Fredericton, 26

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NB, on September 28, followed by the Atlantic Regional NSWOCC meeting on September 29. Over 240 healthcare providers in the Atlantic Region attended the education day and learned from NSWOCC members presenting on wound, ostomy, and continence issues of interest. Pressure injuries continue to be in the news in Atlantic Canada – and not in a positive way. Patients and families are seeing the healthcare system as uncaring of the traumas they are experiencing and that the system is, in fact, contributing to the problem instead of developing solutions. The NSWOCs providing

support in these conditions have very challenging waters to navigate. NB and PEI both recently provided ostomy education to the public, people with ostomies, and patients’ support systems. There was an “Ostomy Info Day” on September 22nd in Charlottetown, PEI, and “Ostomy Outreach Atlantic 2018” in Moncton, NB, on October 13th. Both sessions were supported by Ostomy Canada. Wishing you a happy holiday season. Yours in wound, ostomy and continence!! cd

LE COIN DES DIRECTEURS RÉGIONAUX

RAPPORT RÉGIONAL DU QUÉBEC / REGIONAL REPORT FROM QUEBEC Par/by: Valérie Chaplain Inf/RN, BSc (Biologie et Sc Inf)/BSc (Biology and Nursing Science), PSCC(C)/WOCC(C). Directrice régionale du Québec/Quebec Regional Director. [email protected]

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’est avec grand plaisir que les stomothérapeutes du Québec ont appris la bonification de la subvention pour les patients stomisés du Québec offerte par la RAMQ. C’est en effet suite au décret 1196-2018 que les stomisés permanents du Québec recevront, et ce à partir du 1er octobre 2018, la somme forfaitaire annuelle de 1 200 $ au lieu des 700 $ actuels ; et que les stomisés temporaires auront maintenant droit à 800 $ annuellement. À compter du 1er avril 2019, cette nouvelle subvention aux stomisés temporaires sera distribuée en 2 versements de 400 $. Le premier, au moment de la recevabilité de la demande, le deuxième, six mois plus tard. Cependant, d’ici le 31 mars 2019, une mesure transitoire prévoit que le

montant forfaitaire de 800 $ sera distribué en un seul versement. Il incombera aux patients stomisés d’aviser la RAMQ au moment de la fermeture de leur stomie.

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There is, however, a transitional provision in place, until March 31st, 2019, stipulating that the lump sum of $800 will be paid in a single instalment. Ostomy patients will be responsible for notifying the RAMQ when their stoma has closed.

he enterostomal therapy nurses of Quebec were very pleased to learn that the RAMQ has increased the subsidies given to ostomy patients in Quebec. Under the Government of Quebec’s Order 11962018, as of October 1st, 2018, permanent ostomy patients in Quebec will receive an annual lump sum of $1,200 instead of the current $700, and temporary ostomy patients will now be entitled to an annual amount of $800. Starting April 1st, 2019, this new subsidy to temporary ostomy patients will be paid in two instalments of $400. The first will be issued the moment the application has been accepted and the second will be paid six months later.

L’Association des infirmiers et infirmières stomothérapeutes du Québec (AIISQ) aura déjà tenu sa rencontre de l’automne au moment de la sortie de ce numéro. Lors de cette rencontre, les membres de l’exécutif de l’Association ont présenté aux membres la lettre de demande d’appui adressée à Mme Sylvie Dubois, directrice nationale des soins infirmiers du Québec. Cette lettre est un plaidoyer en faveur du changement de notre désignation professionnelle et une demande de soutien dans la démarche du

The Association des infirmiers et infirmières stomothérapeutes du Québec (AIISQ) will have already held its fall meeting when this issue is released. At this meeting, the Association’s Executive presented, to members, a letter to be sent to Ms. Sylvie Dubois, National Director of Nursing Care in Quebec, requesting her support. This letter presents an argument in favour of changing our

changement de nom de stomothérapeute à infirmière spécialisée en plaies, stomies et continence, comme c’est déjà le cas dans le reste du Canada. La nouvelle cohorte d’étudiante au Programme francophone de l’Institut d’enseignement en plaies, stomie et continence regroupe 15 étudiantes, dont 5 du Nouveau-Brunswick, nous leur offrons à toutes du succès dans cette extraordinaire démarche d’apprentissage. Un rappel de la tenue de la Conférence annuelle de ISPSCC à Gatineau en mai prochain a été fait aux membres de l’AIISQ présents lors de la rencontre de l’automne, les encourageant à y assister en grand nombre. cd

professional designation and a request for support in the process for changing our title from Enterostomal Therapy Nurse to Nurse Specialized in Wound, Ostomy and Continence (as is already the case in the rest of Canada). The WOC Institute is welcoming 15 francophone students this year, including 5 from New Brunswick, and we wish them success in this extraordinary learning process. AIISQ members attending the meeting were reminded of the NSWOCC National Conference in Gatineau next May and they were all encouraged to attend. cd le LIEN

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CORE PROGRAM LEADERS’ CORNER

RESEARCH & PRACTICE By: Karen Napier RN, BScN, WOCC(C), MClSc-WH [email protected]

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he projects that fall under the Research & Practice portfolio are determined by the NSWOCC Board and align with the strategic plan for the association. There is currently a very active body of work under this portfolio. All of our projects involve volunteer NSWOCC members working together in teams. Thank you to all of the individuals who have volunteered over the last year. We appreciate your patience and flexibility as well as the time you give to move our initiatives forward. Your support and contributions have been greatly appreciated! The Nursing Best Practice Recommendations: Enterocutaneous Fistulas (ECF) and Enteroatmospheric Fistulas (EAF) document has been completed and posted at www.NSWOC.ca. The document is very comprehensive, and it has several appendices that can be used at the beside. Our volunteer group hopes that you will find the document to very helpful in your future management for patients with an ECF or EAF. The team has done an excellent job of updating the document and I am very

The projects that fall under the Research & Practice portfolio are determined by the NSWOCC Board and align with the strategic plan for the association. 30

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proud of their commitment to this project. It took over two years to complete this update so it involved a significant time commitment. I would like to say a special thank you to Jillian Brooke, Laureen Sommerey. and Amanda El-Ghaname. Together we will present the document at the conference in May. My collaborative work with the Association of the Advancement of Wound Care (AAWC), on the wound infection prevention and treatment guidelines, has also involved a substantial amount of time and effort. In November 2017 the group published an article titled “The Development of the Content Validation of a Multidisciplinary, Evidence-based, Wound Infection Prevention and Treatment Guideline” in the peerreviewed journal Ostomy Wound Management. The recommendations on wound infection prevention and treatment are also now available on the AAWC website (www.aawconline.org). A poster abstract was submitted to a several 2018 conferences (including the CAET conference in May). I am also working with a local Alberta group of NSWOC on a data collection tool that will help us to better define the work that we do. My hope is to focus, in the new year, on sharing this tool with members. Happy Holidays everyone. cd

CORE PROGRAM LEADERS’ CORNER

INDIGENOUS WOC HEALTH Submitted by: Catherine Harley RN, eMBA, NSWOCC Executive Director. [email protected]

A new NSWOCC Core Program was launched, in June 2018, called Indigenous Wound, Ostomy and Continence Health.

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new NSWOCC Core Program was launched, in June 2018, called Indigenous Wound, Ostomy and Continence Health. The first step was forming a committee that is representative of NSWOC and allied health caring for First Nations people, Inuit, and Metis across Canada. It was also critical to have an Indigenous ostomy patient representative, to ensure the patient’s perspective and advocacy, and we were fortunate to have Tamara Henry step forward in this role. A call for volunteers resulted the beginning of a strong multiprofessional team that includes: • Kathy Mutch NSWOC – Atlantic Provinces; • Heather Wright NSWOC – Northern Ontario; • Catherine Harley – Executive Director of NSWOCC; • Tamara Henry – Patient Advocate, Ottawa, ON; • Victoria Marchand – Indigenous Advocacy, Canadian Student Nurses Association; • Tracey Locke NSWOC – British Columbia; • Benedict Leonard, Nurse Navigator – NUU-Chah-nulth Tribal Council, Port Alberni, BC; • Anna Tumchewics NSWOC – Northwest Territories; and • Steven Fisher Pharmacist – Vanier Pharmacy (works with Wabano First Nations Reserve) The Goal: To establish a Core Program that will, through collaboration with aligned organizations, identify opportunities for improvement of

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outcomes in wound, ostomy and continence for Indigenous people, in all Provinces and Territories, by December 31, 2019 and support the Federal Government Truth and Reconciliation initiative on an ongoing basis. Objectives: 1. Establish a committee of individuals who work with Indigenous people in the areas of wound, ostomy and continence and can share their experience and expertise; 2. Assess the current situation in Indigenous WOC Health by completing a “SOAR” Analysis (strengths, weaknesses, opportunities and threats) to identify opportunities for improvement; 3. Identify key priorities for change; 4. Communicate the key priorities for change to the First Nations Assembly and to Health Canada; 5. Support the implementation of agreed upon change initiatives; and 6. Evaluate the outcomes of this Core Program on an annual basis. Key Priorities: 1. Develop a Standardized and streamlined process for primary access to supplies through National Insured Health benefits (NIHB); 2. Improve Access to Nurses Specialized in Wound, Ostomy and Continence (NSWOC) for assessment, development of care plans, education; 3. Consideration of NSWOC to be NIHB authorizers; 4. Change the philosophy to create a stronger focus on patient outcomes; and

CORE PROGRAM LEADERS’ CORNER

INDIGENOUS WOUND, OSTOMY AND CONTINENCE HEALTH (cont.) 5. Provide patient education regarding lifestyle management, for individuals who need wound, ostomy and continence care, in order to support overall health and improve outcomes. Progress to Date The committee has conducted four meetings and has provided input into a SOAR analysis. The committee had a guest speaker Debra Keyes-White, Regional Executive Officer, First Nations and Inuit Health Branch Indigenous Services Canada/ Government of Canada from Atlantic Canada, in August. The committee engaged in a dialogue with Debra and communicated the results of the SOAR analysis. Debra provided key background information and also connected the committee with leaders from Indigenous Healthcare Groups.

The committee has also had face-to-face meetings to discuss findings of the SOAR Analysis with: 1. Marian Crowe, Executive Director of Canadian Indigenous Nurses Association,Nurses Association; 2. Marilee A. Nowgesic, Executive Director of the Canadian Indigenous Nurses Association (CINA); and 3. Addie Pryce, Director of Health Assembly of First Nations (AFN), Judith Eigenbrod, Senior Policy Analyst (AFN), Health and Julian Morrison Senior Policy Analyst – Chronic Disease and Primary Care (AFN). The committee for this Core Program will continue to advocate for change as we build the committee and partnerships to support improved wound, ostomy and continence care for Indigenous people. 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 Nurses Specialized in Wound, Ostomy and Continence Canada

This publication is copyright in its entirety. Material may not be reprinted without the written permission of

(NSWOCC). Although reasonable efforts

NSWOCC. Contact through

are made to ensure accuracy NSWOCC,

www.NSWOC.ca.

and its agents, take no responsibility whatsoever for errors, omissions or any consequences of reliance on material or the accuracy of information. Publication does not constitute NSWOCC endorsement of, or assumption of liability for, any claims made in advertisements. le LIEN

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CORE PROGRAM LEADERS’ CORNER

PROFESSIONAL DEVELOPMENT By: Laura Robbs RN, MN, WOCC(C), NCA. [email protected]

Please email if you are interested in joining the Standards revision panel. he Professional Development Core Program team has continued to work on the identified priorities. The revised Position Statement: Nurse Specialized in Wound, Ostomy and Continence (NSWOC), formerly the Enterostomal Therapy Nurse (ETN) Position Statement, was presented to members at the AMM in Victoria, BC. This position statement will be revised in time for the Spring 2023 AMM.

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continuing. The ongoing column in the Link called “The Continence Exchange” (see page 18) provides a forum to share and exchange continence-related knowledge, experiences, questions, and issues among NSWOCs. Readers of The Link are encouraged to submit continence questions and issues, from their own practice, that could be addressed in subsequent issues of the Link (submit to the email at the top of this page).

The next large project is the revision of the 2016 CAET Standards for ET Practice (available to members at www.nswoc.ca). These standards, once revised, will be called the NSWOCC Standards for NSWOC Practice. As the standards must be revised every five years I am looking for experienced NSWOCs to begin work on this revision in 2019 to ensure we can present them at the AMM in 2021. Please email if you are interested in joining the revision panel.

I am also part of a group comprising representatives from NSWOCC, Canadian Nurse Continence Advisors, Urology Nurses of Canada, and Infection Prevention and Control Canada, that is working towards developing the first-ever Canadian Best-Practice Recommendations for Intermittent Catheterization.

Activities NSWOC 34

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to support and foster continence practice are

In addition, I am also now a member of the International Continence Society and hope to join their Nursing Committee in order to ensure that NSWOCC has an international presence and input in to continence issues. cd

INTEREST GROUP

INTERNATIONAL SKIN TEAR ADVISORY PANEL REPORT Submitted By: Karen E. Campbell PhD, RN, President of the International Skin Tear Advisory Panel (ISTAP). [email protected]

In May 2018 Dr. Kim LeBlanc has ended her term as President of ISTAP and Canadian Dr. Karen E. Campbell is now the President with Dr. Dimitri Beeckman, of Belgium, as the current President-Elect.

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he International Skin Tear Advisory Panel (ISTAP) continues to be an active part of NSWOCC. ISTAP identified the key knowledge gaps and areas of common misperception amongst clinicians. To address these issues, and to provide vital support to healthcare professionals around the world, ISTAP, in collaboration with Wounds International (WINT), convened a group of international experts in November 2017 to discuss key topics around skin tears. Topics included: • •

• • •

Definitive guidance on terminology for skin tears (ISTAP definition); Differences across age groups, patient populations, and care settings; Skin tear prediction: risk factors; Skin tear prevention disciplines; Skin tear assessment and classification (ISTAP, STAR, Payne Martin);

• •

Skin tear management (across different care settings); and Skin tear complications.

The output from these discussions formed the basis of a global bestpractice document that was published by Wounds International in May 2018 and officially released at the European Wound Management Association (EWMA) 2018 Conference in Krakow, Poland. Molnlycke sponsored a session, at EWMA, where the official release occurred. ISTAP now has formal relationships with both the World Union of Wound Healing Societies (WUWHS) and EWMA. At the next WUWHS meeting, in 2020, ISTAP will be presenting key new research and clinical work in the field. For more information www.skintears.org. cd

ISTAP now has formal relationships with both the World Union of Wound Healing Societies (WUWHS) and EWMA 36

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visit

NSWOC NEWS

Marge Lovell Award NSWOCC President, Christine Murphy RN, PHD, WOCC(C) has been awarded the prestigious Marge Lovell Award by the Canadian Society of Vascular Nursing (CSVN). Marge Lovell was the original founder of London, ON, and Canadian CSVN Chapters. She is a Past-President of the International Society for Vascular Nursing and past Chair of the international PAD Awareness Campaign. The Marge Lovell Award recognizes a nurse who demonstrates excellence in the area of vascular nursing, research, education or clinical practice. Christine demonstrated excellence in the area of vascular nursing, research, education and clinical practice through her role in the lower extremity wound healing clinic at the Ottawa Hospital and she has been dedicated to promoting awareness of Vascular disease and the specialty of vascular nursing.

Prix Florence Julien Côté, inf., B. Sc., stomothérapeute et conseiller en soins infirmiers, volet soins de plaies, CIUSSS de la Capitale-Nationale a reçu le Prix Florence 2018 de l’OIIQ pour l’excellence de ses soins. Communicateur hors pair, Julien Côté sait transmettre la passion qui l’anime aux infirmières et aux infirmiers, aux médecins et aux autres intervenants qui participent à ses formations. Sa rigueur scientifique, son souci d’approfondir ses connaissances et ses 35 ans d’expérience s’attirent le respect de ses pairs, tant des infirmières et infirmiers que des autres professionnels de la santé. Son engagement envers l’amélioration des soins de la peau, des plaies et des stomies ont fait de lui une référence dans le domaine. À ce titre, il participe à l’élaboration et à la mise à jour de nombreux documents d’encadrement clinique et collabore à la diffusion et à l’implantation des nouvelles pratiques. Il favorise aussi la collaboration interprofessionnelle, en donnant notamment des cours aux étudiants en médecine de l’Université Laval afin d’assurer des soins cohérents entre les médecins et les infirmières. Julien Côté offre aussi un soutien constant, par l’entremise d’activités de formation, par courriel ou par téléphone, aux infirmières-ressources en soins de plaies du CIUSSS de la Capitale-Nationale. Depuis 2017, celles-ci peuvent le joindre grâce au projet de téléassistance en soins de plaies (TASP), qui lui permet d’évaluer à distance des situations complexes. Il évite ainsi au patient de se déplacer et assure un mentorat aux infirmières.

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Upcoming Events NPUAP March 1 - 2, 2019 St. Louis, MO www.npuap.org/events/

SAWC May 7 - 11, 2019 San Antonio, TX www.sawc.net

World Union of Wound Healing Society (WUWHS) Global Healing Changing Lives March 8 - 12, 2020 Abu Dabi, UAE http://www.wuwhs2020.com

EWMA June 5 - 7, 2019 Gottenburg, Sweden www.ewma.org

WOCN Society June 23 - 26, 2019 Nashville, TN www.wocn.org

NSWOCC National Conference Advancing Specialized Nursing - Learning that Sets You Apart May 24 - 26, 2019 Gatineau, QC www.nswoc.ca

NSWOC Week is April 15 - 20, 2019

THE NSWOCC – JWOCN CONNECTION The NSWOCC Feature Section of JWOCN is Seeking

Authors to Share their Expertise in…

wound, ostomy and continence clinical practice, program development/education and quality improvement. Submissions are 250-500 words including pictures, tables and figures. OR Are you writing an original manuscript for publication? Consider JWOCN first! Share your professional NSWOC expertise NOW

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Contact your NSWOCC Regional Editorial Board Representative for more information. (First time authors are encouraged. Coaching from the Editorial Board is FREE)

Canadian Feature Editor: Lina Martins ([email protected]) BC/Yukon: Dr Karen Campbell ([email protected]) Prairies/NWT: Mary Hill ([email protected]) Ontario: Dr. Kevin Woo ([email protected]) Québec & Atlantic: Louise Forest Lalande ([email protected])

NSWOC NEWS

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

Annual General Meeting Due to technical problems, the Ostomy Canada Society Annual General Meeting (AGM) of National Council was moved from August 18, 2018 to September 15, 2018. For the first time, no delegates attended the AGM inperson but by electronic means only. As of writing this report, there are thirtyone members of Ostomy Canada Society. Sixteen chapters were represented at the AGM, thirteen delegates and three proxies. During the meeting, officers, Ann Ivol and Stephen Maybee were appointed President and Treasurer, respectively, for another year. The following directors were acclaimed for a two-year term: Peter Folk, ViceChair of the Board; Ann Durkee-Isaac, Administrator, Atlantic Region; Deb Carpentier Administrator, Prairie Region; Debra Rooney, Administrator, Pacific Region and Jeff O’Leary, Director-at-Large. Position of Vice-President An on-going issue is the search for volunteers to fill important positions in the Society. The most pressing is finding a suitable candidate to accept the position of Vice-President. This volunteer would be in training to eventually take on the duties of President of Ostomy Canada Society.

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Do you know of a volunteer who would be willing to accept the responsibilities of Vice-President? Governance of Ostomy Canada Society The membership issue in Ostomy Canada Society is still unresolved. As mentioned earlier, chapters as entities are members of the Society. There are however other groups that have an interest in Ostomy Canada Society. These groups, such as peer support groups, national supporters and social media groups currently do not have voting rights and therefore are not involved in the governance of the organization. Special meetings of National Council have been convened to discuss the status quo and to research forms of governance structure in other not-for-profit corporations. These meetings will continue until such time as the delegates of Member Chapters come to a decision regarding the meaning of “membership” in Ostomy Canada Society. National Office For the past few years, Income Manager has been the back-office platform in the National Office. This platform became increasingly unreliable and therefore difficult to administer the office

efficiently. As of July, 2018, Ostomy Canada Society has changed the backoffice platform to eTapestry offered by Blackbaud Inc. With online training for office staff and on-going support from Blackbaud, we hope to achieve a successful transfer to eTapestry within the next few months. Advocacy Sometimes, it becomes necessary to advocate for those living with an ostomy, especially, when having an ostomy could be used inappropriately for advertising. This past summer, Ostomy Canada became aware of the Public Opinion Research Health Warnings by the Tobacco Control Directive to choose images and statements, for ‘shock value’ on cigarette packaging. One of the illustrations, implying that colorectal cancer is caused by smoking, showed a man wearing a colostomy pouching system along with the statement: “You may need to use a bag as a toilet for the rest of your life”. A letter of concern was written to the Minister of Health, Ginette Petitpas Taylor. James Van Loon, Director General, Tobacco Control Directorate, replied, assuring us that this particular illustration and statement would not be used on cigarette packaging. The Health Warning, however, will remain on file in the Public Opinion Research report.cd