THE

www.caet.ca

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MARCH 2016 VOLUME 27, ISSUE 1

The Canadian Association for Enterostomal Therapy

Courtesy: Ostomy Society Youth Camp.

CAET/WOCN PRE-CONFERENCE ISSUE

YOUTH OSTOMY CAMP LE

LIEN

MARS 2016 VOLUME 27, 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 2016 • VOLUME 27, 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, 2016. 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 2016. 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 ISSN 1701-2473 Publications Mail Agreement No. 42202514 Return Undeliverable Canadian Addresses to 66 Leopolds Drive, Ottawa, ON, K1V 7E3 [email protected]

CONTENTS HIghlights BEYOND THE CLINICAL SETTING: ET NURSES AT THE 2015 OSTOMY YOUTH CAMP BY: LOUISE FOREST-LALANDE RECOGNIZING OSTOMY CARE HISTORY IN CANADA BY: KATHRYN KOZELL AND DIANNE GARDE 2016 WOCN SOCIETY & CAET JOINT CONFERENCE PROGRAM

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CAET ACADEMY

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REGIONAL DIRECTORS' CORNER

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CORE PROGRAM LEADERS' CORNER ET COMMUNITY NEWS INDUSTRY NEWS

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MEMBERSHIP COMMUNIQUÉ

CAET PRESIDENT’S MESSAGE Submitted by: Paulo DaRosa RN, BScN, MClScWH, CETN(C). [email protected] s I finish my term as President of the Canadian Association for Enterostomal Therapy (CAET) I would like to recognize all of the hard work and support that I have received from members and Board members during my two-year term. We have been through many changes, and have endured many growing pains, but staying stuck would be more painful in the long run. Our healthcare system is undergoing constant change and we must keep up. Our patients' needs are also continually changing and we need to adapt to meet those needs.

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I have been a member of CAET since I first became an ET and the opportunities for personal and professional growth have been endless.

Being a member is, for me, a result of wanting to contribute to a higher level of care for those with wound, ostomy and continence issues and to create change at all levels of healthcare. I also believe that being a resource for fellow members and colleagues allows myself, and those around me, to grow together and achieve greater excellence. I will, despite the fact that my Board role comes to a conclusion after the joint CAET/WOCN Conference, continue to be a member of CAET and to participate in as many ways as possible. I believe that all contributions to the growth of this association result in the betterment of healthcare in our three fields of expertise. I challenge you to participate in the various programs and to help recruit members

in order to help strengthen the voice of CAET in healthcare across Canada and beyond. Please join me in beautiful Montreal, June 4-8, 2016, at the exciting CAET/WOCN Joint Conference. I look forward to the event and to welcoming the new President and Board members. cd

MESSAGE DU PRÉSIDENT DE L'ACS Soumis par : Paulo DaRosa, inf. aut., B.Sc.Inf., M. Sc. cliniques, guérison des plaies, ICS(C) [email protected]

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lors que je termine mon mandat à titre de président de l’Association canadienne des stomothérapeutes (ACS/CAET), j’aimerais souligner tout le travail qui a été fait et le soutien que j’ai reçu des membres et du conseil d’administration pendant mon mandat de deux ans. Nous avons vécu de nombreux changements et nous avons fait face à de nombreuses crises de croissance, mais à long terme, il serait encore plus douloureux de rester coincer. Notre système de soins de santé fait constamment face à des changements et nous devons suivre le rythme. Les besoins de nos patients changent aussi de façon constante et nous devons nous adapter pour satisfaire leurs besoins. 4

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Je suis membre de l’ACS depuis que je suis devenu stomothérapeute et les occasions de croissance personnelle et professionnelle ont été innombrables. Pour moi, être membre est l’aboutissement d’un désir de contribuer à un niveau plus élevé aux soins des personnes ayant des problèmes en matière de plaies, de stomies et de continence et de créer des changements à tous les niveaux des soins de santé. Je crois également qu’être une ressource pour les membres et mes collègues me permet, et permet à ceux et celles qui m’entourent, de grandir et de mieux exceller. Malgré le fait que mon rôle au sein du conseil d’administration prend fin après la Conférence commune de l’ACS/WOCN, je continuerai d’être membre de l’ACS et de participer le plus

possible. Selon moi, toute implication en vue de faire grandir notre association mène à l’amélioration des soins de santé dans nos trois domaines d’expertise. Je vous mets au défi de participer aux différents programmes et d’aider à recruter des membres afin de renforcer la voix de l’ACS au sein du système de santé à travers le Canada et ailleurs. Veuillez vous joindre à moi dans la belle ville de Montréal, du 4 au 8 juin 2016, pour assister à la passionnante Conférence commune de l’ACS/WOCN. Je suis impatient de participer à cet événement et de souhaiter la bienvenue au nouveau président ou à la nouvelle présidente ainsi qu’aux nouveaux membres du conseil d’administration.cd

CAET Executive President: Paulo DaRosa President-Elect: Rosemary Hill Past President: Susan Mills-Zorzes Secretary: Lina Martins Treasurer: Deb Cutting Executive Director: Catherine Harley

Regional Directors BC/Yukon: Teresa Stone Prairies/NT/Nunavut: Karen Napier Ontario: Donna Fossum Québec: Nevart Hotakorzian Atlantic: Kathy Mutch

Core Programs Informatics and Research: Jean Brown Marketing: Susan Mills-Zorzes National Conf. Planning: Mary Hill Political Action: Kim LeBlanc Professional Development & Practice: Mary Mark

CAET Staff

CAET/JWOCN Editorial Board

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

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

CAET Academy Director: Virginia McNaughton Office Coordinator: Suzanne Sarda Academic Advisors: Nicole Denis, Mary Engle, Melanie Fauteux, Marilyn Langlois, Toba Miller, Nancy Parslow, Barb Plumstead, Sue Rosenthal, Louise Samuel, Louise Turgeon. Preceptor Coordinator: Nicole Denis IT Support: Linda Forster

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

MEMBERSHIP COMMUNIQUÉ

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

CAET: YOU Belong!

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hile 2016 has started with a great deal of energy within the CAET we know that it is only if we work together that we will succeed! We hope that you have, by now, already renewed your CAET membership. While its official title is "membership" it is really an investment in our specialized nursing profession! It is important that you don’t just join the CAET but that you also belong. There are many volunteer opportunities where you can get involved so please let us know if you are able to get involved in one of our core programs or initiatives.

We also encourage you to attend the upcoming CAET Annual Members Meeting that will take place during the annual conference in Montreal – the meeting will take place on June 4, 2016 at 0900. Members can attend live or through our virtual meeting space (precise details will be available soon at www.caet.ca). This is a great opportunity to have your voice heard, contribute to the future of your professional association, and cast your vote on CAET resolutions. We are all working together to transform the health care delivery system, prepare for future changes that are on the horizon, and to put thought and leadership in to determining what else the future might hold. The CAET Board of Directors and Core Program Leaders have been actively engaged in regular meetings, discussions, and decisionmaking processes in order to bring more value to CAET members. This work, in support of the CAET mission and strong membership benefits, is further supported, on a daily basis, by the CAET’s contracted staff and suppliers. 8

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Highlights of current and upcoming activities include the following: CAET Membership Survey Results: Thank you to everyone who provided their feedback through this survey – the information you provided will give CAET a strong foundation on which to make future decisions on association direction and on ways to bring value to our members. Survey results can be found on page 39 of this Link. Assessment of a Potential Name Change for the CAET and ET Nurses: As part of the CAET Strategic Plan an assessment in underway to determine the need for, and impact of, a potential name change for the CAET and the ET Nurse title. By June 2016 CAET will announce if its due diligence has determined if the name should change or remain the same. ET Nurse Standards of Practice: Please stay tuned to the website for the newest edition of the ET Nurse Standards of Practice that will be available to members shortly. CAET/WOCN Joint Conference – Montreal, QC, June 4-8, 2016: We have been collaborating extensively with the WOCN in order to bring CAET members a high quality educational conference that you will not want to miss!! If you have not already registered do so now at www.wocnconference.com. CAET Leadership Program: The first cohort of students will complete this program by June of this year. Dates and information for the next program will be available soon on the CAET website.

Strengthening Collaborations: CAET will continue to collaborate with Ostomy Society Canada, the Canadian Continence Foundation, Wound Care Alliance Canada, and the Canadian Nurses Association to further advance the role of the ET Nurse. Involvement in Research: CAET is going to be involved in three research projects. One project, on Ostomy Quality of Life, is affiliated with Ottawa University, and two others, on Ostomy Reimbursement and on Peripheral Artery Disease, are affiliated with Queen’s University. Political Action: CAET continues to support an increase in ostomy reimbursement across Canada. Branding/Marketing Campaign: We will continue to brand and market the value of Enterostomal Therapy Nurses throughout the Canadian healthcare system. New Awards: CAET Academy has launched two new awards for ETNEP students. Please go to www.caet.ca and click on awards for further information. These are exciting times for the Canadian Association for Enterostomal Therapy (CAET) and we encourage all members to take advantage of the many benefits that CAET offers. Let us know how we can best serve you by e-mailing me at the address at the top of this report. cd

MEMBERSHIP COMMUNIQUÉ

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

CAET : Vous êtes à VOTRE place! ême si le début de 2016 montre des signes d’un grand dynamisme au sein de la CAET, nous savons que nous connaîtrons du succès que si nous travaillons ensemble! Nous espérons que vous avez maintenant déjà renouvelé votre adhésion à la CAET. Bien que le titre officiel de ce renouvellement soit une « adhésion », nous considérons que c’est en fait un investissement dans notre profession spécialisée en soins infirmiers! Il est important que vous n’adhériez pas seulement à la CAET, mais que vous vous y sentiez à votre place. Il existe de nombreuses occasions de faire du bénévolat, alors faites-nous le savoir si vous pouvez vous impliquer dans l’un de nos programmes de base ou l’une de nos initiatives.

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Nous vous encourageons aussi à participer à la prochaine Assemblée générale annuelle de la CAET qui se tiendra lors de la Conférence annuelle à Montréal — l’Assemblée aura lieu le 4 juin 2016, à 9 h. Les membres peuvent y participer en direct ou en accédant à notre espace virtuel pour l’Assemblée

(plus de détails seront bientôt communiqués sur le site www.caet.ca). C’est pour vous l’occasion idéale de faire entendre votre voix, de contribuer à l’avenir de votre association professionnelle et de voter les résolutions de la CAET. Nous travaillons tous et toutes ensemble pour transformer le système de prestation des soins de santé, pour nous préparer aux futurs changements qui se dessinent à l’horizon et pour mettre sur table nos idées et notre leadership afin de déterminer ce que l’avenir pourrait nous réserver. Le Conseil d’administration et les leaders des programmes de base de la CAET ont participé de façon active aux réunions et discussions régulières ainsi qu’aux processus de prise de décisions dans le but d’offrir une valeur accrue aux membres de la CAET. Ce travail pour appuyer la mission de la CAET et les solides avantages que confère l’adhésion à la CAET est d’autant plus soutenu de façon quotidienne par le personnel et les fournisseurs contractuels de la CAET.

Nous travaillons tous et toutes ensemble pour transformer le système de prestation des soins de santé, pour nous préparer aux futurs changements qui se dessinent à l’horizon et pour mettre sur table nos idées et notre leadership afin de déterminer ce que l’avenir pourrait nous réserver. 10

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Voici les points saillants des prochaines activités et de celles en cours actuellement : Résultats du sondage des membres de la CAET : Nous tenons à remercier toutes les personnes ayant offert leur rétroaction à l’aide de ce sondage. L’information fournie donnera à la CAET une bonne base sur laquelle elle pourra prendre ses futures décisions quant à l’orientation de l’association et aux façons d’offrir une valeur accrue aux membres. Vous pouvez consulter les résultats du sondage à la page 39 de ce numéro du Lien. Évaluation du changement potentiel de nom pour la CAET et les stomothérapeutes : Dans le cadre du plan stratégique de la CAET, une évaluation est en cours afin de déterminer le besoin et les répercussions d’un changement potentiel de nom pour la CAET et le titre des stomothérapeutes. La CAET annoncera avant le mois de juin 2016 si sa diligence raisonnable a déterminé si le nom devrait être changé ou demeurer le même. Normes de pratique des stomothérapeutes : Veuillez surveiller le site Web qui affichera sous peu la nouvelle édition des normes de pratique des stomothérapeutes qui pourront être consultées par les membres. Conférence commune de la CAET/WOCN – Montréal, QC, 4 au 8 juin 2016 : Nous avons collaboré

RAPPORT DE LA DIRECTRICE GÉNÉRALE (suite) étroitement avec la WOCN afin d’offrir aux membres de la CAET une conférence éducative de qualité supérieure qu'ils ne voudront pas manquer! Si vous n’êtes pas déjà inscrits, faites-le dès maintenant à www.wocnconference.com. Programme de leadership de la CAET : La première cohorte d’étudiants terminera ce programme en juin de cette année. Les dates et l’information pour le prochain programme seront disponibles bientôt sur le site Web de la CAET. Des collaborations plus solides : La CAET continuera de collaborer avec la Société canadienne des personnes stomisées, la Fondation d'aide aux personnes incontinentes, l’Association canadienne du soin des plaies et l’Association des infirmières et

infirmiers du Canada pour faire progresser davantage le rôle des stomothérapeutes. Notre participation à la recherche : La CAET est sur le point de participer à trois projets de recherche. L’un des projets, sur la qualité de vie associée à la stomie, est affilié à l’Université d’Ottawa, et les deux autres, sur le remboursement des fournitures de stomie et sur la maladie artérielle périphérique, sont affiliés à l’Université Queen’s. Action politique : La CAET continue de plaider en faveur d'une augmentation du remboursement des fournitures de stomie à travers le Canada. Campagne pour la marque/de marketing : Nous continuerons de

souligner l’importance de la marque et de commercialiser la valeur des stomothérapeutes à travers tout le système canadien de soins de santé. Nouveaux prix : L’Académie de l’ACS a instauré deux nouveaux prix pour les étudiants au ETNEP. Veuillez visiter le site www.caet.ca et cliquer sur l’onglet Prix pour obtenir plus de renseignements. L’Association canadienne des stomothérapeutes (CAET) vit une période trépidante et nous encourageons tous les membres à profiter des nombreux avantages qu’offre la CAET. Dites-nous de quelle façon nous pouvons mieux vous servir en nous faisant parvenir un courriel à l’adresse indiquée dans la partie supérieure de ce rapport. 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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CAET ACADEMY DIRECTOR’S REPORT Submitted by: Virginia McNaughton, BA, MPA, RN, CETN(C), Director of the CAET Academy [email protected]

Frequently Asked Questions

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t is the start of a new year and I would like to take this opportunity to answer some of the many questions that we get about our CAET Academy programs and continuing education courses. Some of these questions have come from the member’s survey and some from personal correspondence. If you don’t see your question here, please feel free to contact me at [email protected]. Please take the time to review the CAET Academy website at www.caetacademy.ca.

Question: I have heard that some ET Nurses have lost their jobs to less qualified nurses who have taken other wound or ostomy management courses including K2P courses. Why do you provide courses that threaten ET Jobs? Answer: There are many courses in Wound, Ostomy and Continence available to interested health professionals on-line or Face-to-Face. The CAET takes the position that ET Nurses are experts and leaders in Wound Ostomy and Continence and thus it is the CAET that should be setting the standard in the education of other health professionals in these areas of practice. Continuing education courses do not provide an individual with the qualifications to “replace” ET nurses from our perspective. Employers make these decisions based on finances because they don’t always know the difference between an ET Nurse and a generalist nurse who has completed with a K2P course. Nor do they understand the value that the ET brings to the bedside and to the boardroom. It is up to every ET Nurse to be a leader in their 12

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organization and to be able to “prove” their value with data that demonstrates how they have improved patient care and saved the organization money. We differentiate between the ETNEP program and the K2P courses in many ways. a. The CAET ETNEP program is a bilingual program for the Baccalaureate prepared Registered Nurse who wants to become an ET Nurse (Tri specialist in Wound, Ostomy and Continence) and a leader in their organization. It is a rigorous 12-month program including 360 hours of clinical theory, 60 hours of Professional Practice, and 225 hours of clinical Preceptorship (75 hours per each of 3 areas). Preceptorship is key to helping the student transfer theory in to practice and this is a key differentiator from other programs. Graduation allows the student to use the title Enterostomal Therapy Nurse and write the Canadian Nurses Association Certification Exam in ET Nursing (thereby gaining access to the legally protected title of Certified Enterostomal Therapy Nurse). b. The K2P (Knowledge to Practice) Courses are continuing education

courses relating to Wound, Ostomy and Continence for Registered Nurses, Registered/Licensed Practical Nurses and other health professionals. Applicants for these courses do not require a Baccalaureate degree. Students do not spend time in professional practice or learning leadership theory. Emphasis is placed on being able to provide informed care through a strong theoretical foundation in the subject, role differentiation as part of the multidisciplinary team, and knowing when to refer to the higher level of knowledge and skill of the ET Nurse. Question: How are these programs staffed? Answer: The CAET Academy is fortunate to have the support of three strong professionals. There is the Academy Director, myself, the IT Support Person, Linda Forster, and the Administrative Assistant, Sue Sarda. We three support both the ETNEP programs in French and English and the K2P courses in

CAET ACADEMY

CAET ACADEMY DIRECTOR’S REPORT (cont.) The ETNEP is a rigorous academic program that is focused on graduating ET Nurses who are not only experts in clinical knowledge but who will be able to take up leadership positions in their work places that require excellent writing, research and communication skills.

English. We also have the support of an Academic Advisor for each course. In the English ETNEP we have Barb Plumstead in Ostomy, Nancy Parslow in Wound and, at the time of writing, there was a vacancy in Continence. In the French ETNEP we have Louise Samuel in Ostomy, Melanie Fauteux in Wound, and Louise Turgeon in Continence. Toba Miller is the Academic Advisor for the English Professional Practice and Louise Samuel is the Academic Advisor for the French Professional Practice. We also have Nicole Denis who is our dedicated Preceptor Coordinator. Nicole supports up to 60 students per year to find placements across Canada for students in each of the three different courses. In the K2P we have Marilyn Langlois in the RN Wound Course, Nancy Parslow in the Ostomy course, Mary Engel in the Lymphedema and RPN Wound Course and Sue Rosenthal in the Writing for Publication course. All faculty and staff work on a contractual, part-time basis which means there are no paid holidays, benefits or pension plans. Whenever we have a vacancy for faculty we send out an e-bulletin to CAET members first, and then, if necessary, post an advertisement in other professional journals. We look for ET Nurses, where possible, who have a Master’s degree and who have recent or current experience in the domain that we need. A selection committee interviews applicants. CAET is a not-for-profit Registered Charity and, as such, our financial reimbursement for academic faculty is not equivalent to current market rates. It can be a challenge to attract qualified faculty and those highly qualified individuals that work with us are dedicated professionals who find a great deal of satisfaction in educating the next generation of ET Nurses and increasing the knowledge base of the generalist.

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Question: I have heard that students don’t really have a “teacher” in the ETNEP or K2P programs. How are these programs taught? Answer: These programs are approached differently than in a face-to-face classroom. This is an on-line, guided, learning approach. This means that the student interacts with the course materials in an in-depth way and is supported and guided by the Academic Advisor through feedback and coaching in discussion forums and assignments. Students may contact their Academic Advisors at any time by e-mail and also arrange to speak by phone at a mutually convenient time... Question: I have worked with some graduates of the ETNEP program who really did not know their theory and who demonstrated marginal skill. Why do you accept people who are not competent? Answer: We, like all other academic programs, set general standards for admission. Requirements for the ETNEP include a Baccalaureate related to Nursing (the Canadian Nurses Association requires that we only graduate Baccalaureate prepared nurses in order for graduates to be eligible for Certification), 2 years’ full-time employment as an RN (our program cannot teach basic nursing skills, we require these skills to be solidified prior to entry), a written assignment, other health related documents and a resume. If the applicant meets these requirements the can then be accepted. I review all applications to ensure that the criteria have been met.

CAET ACADEMY

CAET ACADEMY DIRECTOR’S REPORT (cont.) Acceptance to K2P is first come first served until the course is full. Question: How do you evaluate ETNEP students? Answer: The ETNEP is a rigorous academic program that is focused on graduating ET Nurses who are not only experts in clinical knowledge but who will be able to take up leadership positions in their work places that require excellent writing, research and communication skills. Each course in the ETNEP is broken into units covering all aspects of the domain. Each unit has at least 8-12 readings including textbook and journal articles and other learning aids such as videos and PowerPoint presentations. Each clinical course has 3 graded assignments, 2 graded discussion forums, and an exam. The pass mark is 70%. We are very strict about writing and referencing styles and have a zero tolerance for any form of plagiarism. Although we have few students who fail or withdraw, once they have started, we, like most academic programs, have graduates with varying success within the program. We have graduated students with 71% and those who have achieved over 98%. We rely on our Preceptors, who also formally evaluate students, to use the template that we provide to them and to sustain the rigour of the program by setting a high standard for their students, evaluating them promptly, and returning the evaluations to us. All evaluations may be completed on-line. Please see our website for a description of the Preceptor role.

today’s world. It is also a challenge because it means that they are marking on the weekends or in the evenings. Because marking is where faculty can have the biggest impact with students, they are encouraged to take time to “teach” in their marking. Under our current system faculty have 4 weeks to post marks. Although no assignment is linked to any other assignment we know that students are anxious to get their marks and that this delay is a hardship for them. We are looking for creative ways to speed up the marking process yet keep the academic rigour. Question: Why isn’t the ETNEP associated with or accredited by a university?

Answer: We believe that the ETNEP program is rigorous enough to offer the equivalent of a university program and we continue to investigate the possibilities of an accreditation process or university affiliation. The ET Program was, historically, a hospital-based program that later moved to a university setting (housed by 2 universities). In the 1990s, however, universities made the decision that they would no longer house certificate programs and therefore it stopped being offered in this way. The course materials and supporting documents that had been provided by the CAET (and that had been painstakingly compiled by members) were not returned to us. Concerned members who did not want Canadian nurses to have to go to the USA for training (due to both the cost and time away from work

One of our biggest challenges is the timely marking of assignments. Most of our faculty work full time in the profession. This is good because it means that they are up to date and experienced with care delivery in le LIEN

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CAET ACADEMY DIRECTOR’S REPORT (cont.) and home) re-created a new ETNEP. Because of this experience we need to ensure that we maintain ownership of the intellectual property rights for the program so that we can ensure that it continues to be both current and of high quality. We are, as a result, cautious regarding who we approach to deliver our program. Thanks to our not-for-profit status we do not have to turn a profit on these programs like universities do and, as a result, we are able to keep our fees and expenses as low as possible. Question: Why is it so hard for students to get clinical placements? Answer: Each ETNEP student is required to complete 75 hours of placement at the end of each clinical course. We have up to 60 students per year and have waitlists for placements. The current tuition for the program does not include a charge for placements because 90% of our preceptors are volunteers. Some institutions levy a fee to students but this money is directed to their general education funds. The preceptor does not receive this money. In several provinces we are required to work through HSP Net (http://hspcanada.net/) – a placement coordination service that has very strict rules. They determine the availability of the placement and the preceptor and neither CAET Academy, nor our students, can contact preceptors. Sometimes this process is very slow and if the paperwork or the process hasn’t been followed perfectly the placement can be cancelled! Sometimes students have taken vacation time for their placement but by the time the process has been completed their vacation time is over and they aren’t able to complete the placement at that time. We also recognize that many ET Nurses are required to take students from other educational institutions and that they may not be able to take an ETNEP student because they 16

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have nursing students from universities. This is completely out of our hands. We have over 90 preceptors throughout Canada and could not run this program without them. They provide students with the opportunity to experience the real life of a working ET and to apply, in ET practice, the theories they have learned. We think it is very important for our graduates to have had experience with an ET Nurse and we do our best to ensure this – but unfortunately we cannot ensure that every preceptorship is with an ET Nurse. We have no control over when a Preceptor can take students and when their workload will not permit it. Preceptorship is a key differentiator between us and other specialties in Canada but we are limited in the number of students we can take based on the number of volunteer preceptors. In areas where there are few ET Nurses practicing in one of the specialties we will provide an alternative assignment. We try to be flexible at these times while maintaining our standard for excellence. We could take in more students and not have waiting lists by adding more academic faculty but we would still be limited by the number of preceptors available. Please check out www.caetacademy.com and consider volunteering as a preceptor. Question: I have heard that there are long wait lists for the ETNEP. Why shouldn’t students go to the United States and take a program there? Answer: As previously stated, our ability to take students is determined by the number of preceptors we have available. We have tried to make sure that students can be accepted in a timely way. In 2014, when we had a significant wait

list, we added an extra class in the English program. This was a huge challenge for both the academic and clinical faculty. Academic Advisors worked hard to keep up with the marking, and did not get any time off during the year. Some preceptors stopped taking students because they felt overloaded. Many have not since reopened their doors to ETNEP students. So we have to tread carefully. We do not support the recommendation that students on the waiting list should go to the US for their training. The Canadian ETNEP differs from the American programs in terms of length in the academic portion and time spent in the clinical area. American programs range from 8 – 10 weeks with clinical time of from 24 to 60 hours. We believe that the more extensive (225 hours) clinical experience that Canadian students complete is a key differentiator and that our students are more thoroughly prepared to take their new skills into the work place. It can also be very difficult for a Canadian student in an American program to complete the required preceptorship in Canada because the American programs require preceptors to be American Board Certified WOC Nurses (CWOCN). There are very few Canadian ET nurses with this designation as it is not recognized in Canada. This significantly increases the cost to the student as they will likely have to complete their preceptorship in the US. We also believe that the health care systems in the two countries are different enough that if the intention is to practice in Canada then the training should be in Canada. The ETNEP is currently in the position of having a waiting list. Please volunteer to be a preceptor to help us reduce wait time. I hope I have been able to answer your most pressing questions. I am always available to talk about our programs so please contact me at any time at [email protected]. But don’t be surprised if I ask you to volunteer… I just can’t help myself!!!! 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]

Foire aux questions – Académie de l’ACS

C

’est le début d’une nouvelle année et j’aimerais profiter de cette occasion pour répondre à quelques-unes des nombreuses questions que nous avons reçues concernant nos programmes et nos cours de formation continue de l’Académie de l’ACS. Quelques-unes de ces questions proviennent du sondage que nous avons effectué auprès de nos membres et d’autres de lettres personnelles que nous avons reçues. Si vous ne voyez pas votre question ici, n’hésitez pas à communiquer avec moi à l’adresse [email protected]. Veuillez prendre le temps de consulter le site Web de l’Académie de l’ACS à www.caetacademy.ca. Question : J’ai entendu dire que quelques stomothérapeutes ont perdu leur emploi parce que des infirmières moins qualifiées avaient pris d’autres cours de gestion des plaies ou des stomies, dont le cours K2P. Pourquoi offrez-vous des cours qui mettent en péril les emplois des stomothérapeutes? Réponse : Il existe de nombreux cours en ligne ou en personne dans le domaine des plaies, de la stomie et de la continence qui sont d’intérêt pour les professionnels de la santé. L’ACS (CAET) considère que les stomothérapeutes sont des spécialistes en soins des plaies, des stomies et de la continence et que c’est donc l’ACS (CAET) qui devrait établir les normes d’éducation des autres professionnels de la santé dans ces champs de pratique. Selon nous, les cours de formation continue n’offrent pas aux étudiants les qualifications nécessaires pour « remplacer » les stomothérapeutes. Les employeurs prennent ces décisions en fonction de leur budget, car ils ne savent pas toujours faire la différence entre une stomothérapeute et une infirmière généraliste ayant effectué un cours K2P.

De plus, ils ne comprennent pas l’importance du travail des stomothérapeutes auprès des patients et dans la salle du conseil. C’est le rôle de chaque stomothérapeute d’être une leader au sein de son organisme et de pouvoir « prouver » son importance à l’aide de données démontrant comment elle a amélioré les soins de ses patients et permis à l’organisme d’épargner de l’argent. De bien des façons, nous faisons la différence entre le programme d’ETNEP et les cours K2P. a. Le programme d’ETNEP de l’ACS (CAET) est un programme bilingue à l’intention des infirmières et des infirmiers titulaires d’un baccalauréat qui souhaitent devenir stomothérapeutes (spécialistes dans trois domaines, soit en soins des plaies, des stomies et de la continence) et des leaders au sein de leur organisme. C’est un programme rigoureux de 12 mois, incluant 360 heures de théorie clinique, 60 heures de pratique professionnelle et 225 heures de préceptorat clinique (75 heures pour chacun des 3 domaines). Le préceptorat est essentiel pour aider les étudiants à mettre en pratique la théorie apprise et c’est ce qui distingue ce programme des

autres programmes. Le diplôme obtenu permet aux étudiants d’utiliser le titre d’infirmièrestomothérapeute et de faire l’examen de certification en stomothérapie de l’Association des infirmières et infirmiers du Canada (et, par conséquent, d’obtenir le titre légalement protégé d'infirmier(ère) certifié(e) en stomothérapie). b. Les cours K2P (Knowledge to Practice) sont des cours de formation continue traitant des soins des plaies, des stomies et de la continence à l’intention des infirmières/infirmiers autorisés, des infirmières/infirmiers auxiliaires autorisés et des autres professionnels de la santé. Les candidats à ces cours n’ont pas besoin de détenir un baccalauréat. Les étudiants ne bénéficient pas de pratique professionnelle et n’apprennent pas de théorie sur le leadership. On met l’accent sur la capacité à offrir des soins éclairés à l’aide d’une bonne base théorique sur le sujet, en faisant la différence des rôles dans le cadre d’une équipe multidisciplinaire et en sachant quand consulter un professionnel ayant davantage de connaissances et de compétences que la stomothérapeute. le LIEN

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RAPPORT DE L’ACADÉMIE DE L’ACS (suite) Question : Qui enseigne ces programmes? Réponse :

Quand il y a un poste vacant pour un poste d’enseignement, nous envoyons d’abord un cyberbulletin aux membres de l’ACS (CAET), et ensuite, si nécessaire, nous publions une publicité dans d’autres revues professionnelles. Nous recherchons des stomothérapeutes qui, si possible, détiennent une maîtrise et qui possèdent de l’expérience récente ou actuelle dans le domaine du poste à pourvoir. Un comité de sélection passe les candidats en entrevue.

L’Académie de l’ACS a la chance d’avoir le soutien de trois solides professionnels. Il y a, moi-même, la directrice de l’Académie, la responsable du soutien technique, Linda Forster et l’adjointe administrative, Sue Sarda. À nous trois, nous offrons du soutien aux programmes d’ETNEP en français et en anglais et aux cours K2P en anglais. Nous avons également l'aide d’une conseillère pédagogique pour chacun des cours. Dans le programme anglophone d’ETNEP, Barb Plumstead enseigne les cours sur la stomie, Nancy Parslow, ceux sur les plaies et, au moment de rédiger cet article, le poste pour enseigner les cours sur la continence était à pourvoir. Dans le programme francophone d’ETNEP, Louise Samuel enseigne les cours sur la stomie, Mélanie Fauteux, ceux sur les plaies et Louise Turgeon, ceux sur la continence. Toba Miller est la conseillère pédagogique pour la pratique professionnelle en anglais et Louise Samuel est la conseillère pédagogique pour la pratique professionnelle en français. Nicole Denis est notre coordinatrice dévouée pour le préceptorat. Nicole soutient jusqu’à 60 étudiants par année afin de trouver des placements à travers le Canada pour les étudiants dans chacun des trois cours différents.

Réponse :

Dans le cours K2P, Marilyn Langlois offre le cours sur les plaies à l’intention des infirmières, Nancy Parslow, le cours sur les stomies, Mary Engel, le cours sur le lymphœdème et le cours sur les plaies à l’intention des IA et Sue Rosenthal, le cours intitulé Rédaction pour publication. Tous les membres du corps enseignant et le personnel travaillent à forfait et à temps partiel, ce qui signifie qu’ils ne bénéficient pas de vacances payées, d’avantages sociaux ni de régimes de pension.

Ces programmes ont une approche différente des formations face à face en classe. C’est une approche d’apprentissage guidée en ligne. Ce qui signifie que l’étudiant interagit avec le matériel pédagogique du cours de façon approfondie et qu’il est soutenu et guidé par la conseillère pédagogique à l’aide de rétroaction et d’encadrement offerts sous forme de groupes de discussion et de devoirs. Les étudiants peuvent communiquer en tout temps avec leur conseillère pédagogique par courriel et

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L’ACS (CAET) est un organisme de bienfaisance à but non lucratif et, à ce titre, la rémunération que nous offrons aux membres du corps enseignant n’équivaut pas aux tarifs actuels du marché. Il peut donc être difficile d’attirer des enseignants qualifiés et les membres du personnel hautement qualifié qui travaillent avec nous sont des professionnels dévoués qui retirent beaucoup de satisfaction personnelle à enseigner à la prochaine génération de stomothérapeutes et à accroître la base des connaissances des infirmières généralistes. Question : J’ai entendu dire que les étudiants n’ont pas vraiment d’« enseignant » dans les programmes d’ETNEP ou K2P. Comment ces programmes sont-ils enseignés?

peuvent aussi prendre rendez-vous à une heure préalablement fixée pour se parler au téléphone. Question : J’ai travaillé avec quelques diplômés du programme d’ETNEP qui ne connaissaient vraiment pas la théorie et qui démontraient des compétences minimes. Pourquoi acceptez-vous des personnes incompétentes? Réponse : Comme tous les autres programmes pédagogiques, nous fixons des normes générales d’admission. Les exigences pour le programme d’ETNEP sont : de posséder un baccalauréat dans le domaine des soins infirmiers (l’Association des infirmières et infirmiers du Canada exige que nous diplômions seulement des infirmières/infirmiers titulaires d’un baccalauréat afin que ces derniers soient admissibles à la certification), d’avoir travaillé à temps plein durant 2 ans en tant qu’infirmière/infirmier autorisé(e) (notre programme ne peut pas enseigner les compétences de base en soins infirmiers, ces compétences doivent avoir été solidifiées avant l’admission), de rédiger un devoir, de soumettre d’autres documents liés à la santé et un curriculum vitæ. Si le candidat se conforme à ces exigences, il peut alors être admis. Je passe en revue toutes les demandes et je m’assure que les critères sont respectés. Les admissions au programme K2P se font par ordre d’arrivée jusqu’à ce que le cours soit plein. Question : Comment évaluez-vous les étudiants d’ETNEP? Réponse : Le programme d’ETNEP est un programme pédagogique rigoureux

CAET ACADEMY

CAET ACADEMY DIRECTOR’S REPORT (cont.) visant à décerner un diplôme aux stomothérapeutes qui sont non seulement des spécialistes en connaissances cliniques, mais qui pourront aussi occuper des postes de leadership au sein de leur milieu de travail. Ces derniers doivent posséder d’excellentes aptitudes de rédaction, de recherche et de communication. Chaque cours du programme d’ETNEP est divisé en modules traitant de tous les aspects du sujet. Pour chaque module, les étudiants doivent lire au moins 8 à 12 lectures, y compris des articles dans des manuels et des revues ainsi que d’autres outils d’apprentissage, tels que des vidéos et des présentations PowerPoint. Chaque cours clinique comporte trois devoirs évalués, deux forums de discussion évalués et un examen. La note de passage est de 70 %. Nous évaluons de façon très stricte le style de rédaction et de mention des sources et nous ne tolérons aucune forme de plagiat. Même si quelques étudiants échouent ou abandonnent, une fois qu’ils ont commencé, nous, comme la plupart des programmes pédagogiques, avons des diplômés connaissant divers degrés de succès au sein du programme. Certains étudiants diplômés obtiennent une note de 71 % tandis que d’autres excellent avec une note de plus de 98 %. Nous comptons sur nos précepteurs, qui évaluent aussi officiellement les étudiants, pour utiliser le modèle que nous leur fournissons et pour maintenir la rigueur du programme en fixant des normes élevées pour leurs étudiants, en les évaluant en temps opportun et en nous faisant parvenir les évaluations. Toutes les évaluations peuvent être rédigées en ligne. Veuillez consulter notre site Web pour obtenir la description du rôle de précepteur. L’un de nos plus grands défis est la correction rapide des devoirs. La plupart des membres de notre corps enseignant exercent à temps plein la profession. C’est une bonne chose, car cela signifie qu'ils sont à jour et qu’ils possèdent de l’expérience pour offrir les soins dans le monde d’aujourd’hui. Cela constitue

également un défi, car ces derniers doivent corriger les devoirs les fins de semaine ou les soirs de semaine. En raison du fait que, selon nous, c’est la correction effectuée par les membres du corps enseignant qui peut avoir le plus d’influence sur les étudiants, nous encourageons les correcteurs à prendre le temps de se servir de leurs corrections comme outil d’« enseignement ». Dans le cadre de notre système actuel, le corps enseignant dispose de quatre semaines pour publier les résultats. Même si les devoirs ne sont pas reliés les uns aux autres, nous savons que les étudiants sont anxieux de recevoir leurs résultats et que tout retard est une épreuve pour eux. Nous sommes à la recherche de façons créatives pour accélérer le processus de correction tout en conservant notre rigueur pédagogique. Question : Pourquoi le programme d’ETNEP n’estil pas associé à une université ou n’est-il pas accrédité par une université? Réponse : Nous croyons que le programme d’ETNEP est assez rigoureux pour offrir l’équivalent d’un programme universitaire et nous continuons de rechercher des possibilités afin d'obtenir un processus d’accréditation ou d’affiliation universitaire. Le programme de stomothérapie était historiquement un programme offert en milieu hospitalier qui est plus tard passé au milieu universitaire (offert par 2 universités). Toutefois, dans les années 90, les universités ont pris la décision de ne plus offrir les programmes de certificat et, par conséquent, le programme a cessé d’être offert de cette manière. Le matériel pédagogique et les documents connexes qui avaient été fournis par l’ACS (CAET) (et qui avait été minutieusement compilés par les membres) ne nous ont pas été retournés. Les membres inquiets qui ne souhaitaient pas que les infirmières

canadiennes aient à se rendre aux ÉtatsUnis pour suivre leur formation (à la fois en raison des dépenses encourues et du temps qu’elles doivent s’absenter du travail et de la maison) ont recréé un nouveau programme d’ETNEP. À la suite de cette expérience, nous devons nous assurer que nous conservons la propriété des droits de propriété intellectuelle du programme afin de nous assurer qu’il continue d’être actuel et de grande qualité. De ce fait, nous sommes prudents relativement aux personnes/établissements que nous approchons pour offrir notre programme. Grâce à notre statut d’organisme à but non lucratif, nous n'avons pas à générer de profits sur ces programmes, comme les universités ont à le faire et nous pouvons donc maintenir nos frais et nos dépenses le plus bas possible. Question : Pourquoi est-il si difficile pour les étudiants d’obtenir un stage clinique? Réponse : Chaque étudiant du programme d’ETNEP doit effectuer 75 heures de stage à la fin de son cours clinique. Nous avons jusqu’à 60 étudiants par année et il y a des listes d’attente pour les stages. Les droits de scolarité actuels pour le programme n’incluent pas de frais pour les stages parce que 90 % de nos précepteurs sont des bénévoles. Certains établissements imposent des frais aux étudiants, mais ces derniers sont affectés à leurs fonds d’éducation générale. Le précepteur ne reçoit pas cet argent. Dans plusieurs provinces, nous devons travailler en collaboration avec HSP Net (http://hspcanada.net/) – un service de coordination de stages qui a des règles très strictes. L’organisme détermine la disponibilité des stages et des précepteurs, et l’Académie de l’ACS ni nos étudiants ne peuvent communiquer avec ces derniers. Ce processus est parfois très lent et si les documents le LIEN

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CAET ACADEMY

RAPPORT DE L’ACADÉMIE DE L’ACS (suite) remplis ou le processus n’ont pas été suivis à la lettre, le stage peut être annulé! Les étudiants ont parfois pris des vacances pour effectuer leur stage, mais quand le processus aboutit enfin, leurs vacances sont terminées et ils ne peuvent faire leur stage. De plus, nous sommes conscients du fait que de nombreux stomothérapeutes doivent accepter des étudiants provenant d’autres établissements scolaires et qu’il se peut que ces derniers ne puissent pas accepter un étudiant du programme d’ETNEP parce ce qu’ils ont déjà des étudiantes infirmières provenant des universités. C’est hors de notre contrôle. Nous avons plus de 90 précepteurs à travers le Canada et ce programme ne pourrait pas être offert sans eux. Ils permettent aux étudiants de faire l’essai de ce qu’est vraiment le travail de stomothérapeute et de mettre en pratique les théories apprises. Nous croyons qu’il est très important que nos diplômés aient fait l’expérience de travailler en tant que stomothérapeute et nous nous efforçons de faire en sorte qu’ils puissent vivre cette expérience. Malheureusement, nous ne pouvons garantir que chaque préceptorat se fera exclusivement auprès d’une stomothérapeute. Il n’est pas de notre ressort de savoir quand un précepteur pourra prendre des étudiants et quand sa charge de travail ne lui permettra pas d’en prendre.

Veuillez vous porter volontaire pour être précepteur afin de nous aider à réduire le temps d’attente.

membres du corps enseignant, mais nous serions tout de même restreints par le nombre de précepteurs disponibles. Veuillez consulter le site www.caetacademy.com si vous envisagez de faire du bénévolat en tant que précepteur. Question : Nous avons entendu dire qu’il y a de longues listes d’attente pour le programme d’ETNEP. Pourquoi les étudiants devraient-ils devoir se rendre aux États-Unis pour suivre le programme là-bas? Réponse : Comme nous l’avons mentionné, notre capacité à accepter des étudiants est déterminée par le nombre de précepteurs disponibles.

Le préceptorat est l’élément qui nous différencie le plus des autres spécialités au Canada, mais nous sommes restreints quant au nombre d’étudiants que nous pouvons accepter en fonction du nombre de précepteurs bénévoles. Dans les régions où il y a peu de stomothérapeutes qui pratiquent dans l’une des spécialités, nous offrirons des devoirs de rechange. Dans ces cas, nous essayons d’être flexibles tout en maintenant nos normes d’excellence.

Nous avons essayé de faire en sorte que les étudiants puissent être acceptés rapidement. En 2014, lorsque nous avions une importante liste d’attente, nous avons ajouté une classe additionnelle dans le programme anglophone, ce qui s’est avéré être un gros défi tant pour le corps enseignant de l’Académie que pour celui en clinique. Les conseillères pédagogiques ont travaillé d’arrache-pied pour maintenir le rythme des corrections et n’ont pas eu de congé durant l’année. Certains précepteurs ont arrêté de prendre des étudiants se sentant trop débordés et plusieurs d’entre eux n’ont pas repris d’étudiants du programme d’ETNEP depuis ce temps. Nous devons donc nous montrer prudents.

Nous pourrions accepter davantage d’étudiants et ne pas avoir de listes d’attente en augmentant le nombre de

Nous n’appuyons pas la recommandation à savoir que les étudiants sur la liste d’attente devraient se rendre aux É.-U.

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pour suivre leur formation. Le programme d’ETNEP canadien diffère des programmes américains en termes de durée de la portion pédagogique et de temps passé à vivre une expérience clinique. Les programmes américains s’étendent sur 8 à 10 semaines avec 24 à 60 heures d’expérience clinique. Nous croyons que l’expérience clinique plus longue (225 heures) que les étudiants canadiens effectuent nous distingue et que nos étudiants sont davantage préparés à mettre en pratique en milieu de travail leurs nouvelles compétences. Il se peut également que les étudiants canadiens suivant un programme américain aient beaucoup de difficulté à effectuer le préceptorat obligatoire au Canada, parce que les programmes américains exigent que les précepteurs soient agréés par le American Board Certified WOC Nurses (CWOCN). Il existe très peu de stomothérapeutes canadiennes détenant ce titre, étant donné qu’il n’est pas reconnu au Canada. Vu que les étudiants devront probablement effectuer leur préceptorat aux É.-U., ces derniers voient augmenter leurs dépenses. Nous croyons également que les systèmes de santé des deux pays sont assez différents que si l’étudiant prévoit exercer au Canada, sa formation devrait donc se faire au Canada. Nous prévoyons actuellement que le programme d’ETNEP aura une liste d’attente. Veuillez vous porter volontaire pour être précepteur afin de nous aider à réduire le temps d’attente. J’espère avoir pu répondre à vos questions les plus pressantes. Je suis toujours disponible pour discuter des programmes, alors n’hésitez pas à communiquer en tout temps avec moi à [email protected]. Par contre, ne soyez pas surpris si je vous demande de faire du bénévolat… Je ne peux tout simplement pas m’en empêcher!!!! cd

CAET President-Elect Rosemary Hill Recognized by ARNBC Courtesy ARNBC

At a gala ceremony held in downtown Vancouver, in November 2015, The Association of Registered Nurses of British Columbia (ARNBC) honoured 14 exceptional individuals who have demonstrated excellence in nursing practice, research, and leadership, with the 2015 ARNBC Nursing Awards.

One of the 14 nurses to win an award for Nursing Excellence was CAET President-Elect, Rosemary Hill, RN, BScN, CETN(C) who was recognized for Excellence in Nursing Practice. Awards were presented at a gala emceed by Lynn Stevenson, the BC Associate Deputy Minister of Health, with attendees including a number of dignitaries, award recipients, and nursing leaders. "Continuing the tradition of recognizing excellence in nursing is very important to our profession," said Zak Matieschyn, ARNBC President. "It is an honour and inspiration to read the stories of these incredibly committed individuals, and to take a moment to applaud their achievements on behalf of all British Columbians."

L to R Lynn Stevenson, BC Associate Deputy Minister of Health, with CAET President-Elect Rosemary Hill during the ARNBC Awards Gala.

2015 was the first year that ARNBC has hosted BC's nursing recognition awards, which have been presented to deserving nurses by the Registered Nurses Association of BC/College of Registered Nurses of British Columbia for the past 30 years.

Upcoming Conferences CAET and WOCN Joint Conference “Crossing Borders & Breaking Boundaries” June 4 - 8, 2016 Montreal, QC www.wocnconference.com Ostomy Canada Society August 18 - 20, 2016 Winnipeg, MB www.ostomycanada.ca SAWC Spring Meeting April 13 - 17, 2016 Atlanta, GA, USA www.sawcspring.com

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EWMA May 11 - 13, 2016 Bremen, Germany http://www.ewma2016.org/

World Union of Wound Healing Societies (WUWHS) September 25 - 29, 2016 Florence , Italy http://www.wuwhs2016.com

SAWC Fall Meeting October 20 - 22, 2017 Las Vegas, Nevada www.sawc.net

CAWC 22nd Annual Conference November 3 - 6, 2016 Niagara Falls, Ontario www.cawc.net www.cawc.net

Friday June 3

8:30 am - 5:00 pm Saturday June 4

CAET Board Meeting

Time TBA

WOCN Board Meeting

2:00 pm - 8:00 pm

Registration Open

9:00 am - 12:00 pm 2:00 pm - 5:00 pm 3:30 pm - 4:30 pm • • • • •

6:30 pm - 8:00 pm Sunday June 5

D. Cyber Security - Jennifer Hurley

4:00 pm - 5:00 pm

CAET Annual Members’ Meeting (AMM) Poster Set Up

Nurse Networking Opportunities Including:

Advanced Practice Foot & Nail Care Home Care New WOC/ET Nurse Outpatient Clinic

4:30 pm - 6:00 pm

C. Appreciate the Landscape: Advanced Assessment & 1st Line Treatments for Urinary Incontinence – Lynette Franklin

• • • •

Paediatrics Professional Growth Program VA Nurses WOC/ET Nurses in Industry

Dinner Symposia Sessions TBA

President’s Welcome Address and Awards

11:20 am - 1:00 pm 1:10 pm - 2:40 pm

2:50 pm - 3:50 pm

General Session – Abstracts

Concurrent Sessions

A. Breaking Bad: Pharmacologic Impact of Medications on Wound Healing - Janice Beitz B. Rupert Turnbull Lecture: Update on ERAS - Deborah Abner & Julie Thacker

Grand Opening Reception with Exhibitors

Registration Open

7:00 am - 8:30 am

Breakfast Symposia Sessions TBA

8:40 am - 9:40 am

Concurrent Sessions

Poster Viewing

C. Thelma Wells Lecture: Long-term Implications of Urinary Diversions - Jan Colwell

General Session: Compression for Primary Prevention, Treatment, and Prevention of Recurrence of Venous Ulcers Lunch Symposia Sessions

5:00 pm - 8:00 pm

B. Management of the High Output Stoma - Carol Rees Parrish

8:00 am - 9:00 am

10:10 am - 11:10 am

D. The Drama Triangle (Empowerment Dynamic) - Chrisopher Nagel

A. WTA Program - Dea Kent

Poster Viewing

Opening Keynote Speaker: Sam Glenn, Motivational Speaker

C. Tube Care and Complications - Vittoria Pontieri-Lewis

8:30 am - 5:00 pm

Registration Open

9:00 am - 10:00 am

B. Ostomy Clinics - Mary A. Gerlach

6:30 am - 6:30 pm

7:00 am - 7:00 pm 8:00 am - 8:00 pm

A. Wounds, Bugs & Drugs - Dr. John Lynch

Monday June 6

CAET Academy & First Time Conference Attendee Receptions

Concurrent Sessions

D. On the Witness Stand - Kevin Yankowsky, Esq.

9:50 am - 10:50 am

11:00 am - 12:00 pm

General Session: Protecting the Border: Skin Health – Mikel Gray Concurrent Sessions

A. Defining Unstageable Pressure Ulcers as Full Thickness Wounds: Is this Definition Consistent with Clinical Outcomes? - Sunniva Zaratkiewicz B. Update on the Management of the Patient with Rectal Cancer - Dr. Neil Hymen

C. 2nd Line Treatments for Urinary Incontinence - JoAnn Ermer-Seltun

D. Removing Barriers to Publication - Mikel Gray

12:00 pm - 2:30 pm 2:40 pm - 3:40 pm

Exhibits Open

Concurrent Sessions

For full speaker credentials and up-to-date pro

A. Managing Neonatal and Paediatric Wound Infections Dr. Sundeep Kewasni

B. Ostomy Abstracts

C. Building Bridges Across Specialties: Managing Incontinence in the Presence of Pressure Ulcers and Wounds - Tod Brindle

D. Continuity Through the Continuum - Colleen Drolshagen, Julie Ho, Kimberly LeBlanc, & Deborah Zaricor

3:50 pm - 4:50 pm

Concurrent Sessions

A. Member Spotlight: Wound

B. Site Marking the Difficult Abdomen - Jane Fellows & Debbie Miller C. Families Welcome: Paediatric Bowel and Bladder Voiding Dysfunctions - Valre Welch

D. Panel Discussion on WOC vs. CAET Roles - Cathy Reimanis & Susan Mills-Zorzes

7:00 pm

Tuesday, June 7, 2016

Joint Social Event

6:30 am - 6:00 pm

Registration Open

8:30 am - 6:00 pm

Poster Viewing

7:00 am - 8:30 am 8:40 am - 9:40 am

9:50 am - 10:50 am

Breakfast Symposia Sessions

General Session: Pressure Ulcer Staging Laura Edsberg Concurrent Sessions

A. Top 10 Derm Diagnoses - Mary Glockner & Dr. Jennifer Powers

B. The Psychosocial Issues of Living with a Stoma - Stephanie Horgan C. Weathering the Storm: Fecal Management Programs Joy Pittman D. Use Technology - Linda Stricker

11:00 am - 12:00 pm

Concurrent Sessions

A. Evidence-based Protocol for Care of Pilonidal Sinus Wounds - Connie Harris

B. Paediatric Ostomy Consult Skill Set - Louise Forest-Lalande, & Gale Creelman

C. Continence Abstracts

D. Member Spotlight: Professional Practice

12:00 pm - 3:00 pm

Exhibits Open

1:30 pm - 1:45 pm

Poster Awards

12:30 pm - 2:30 pm

Meeting the Authors (Posters)

3:10 pm- 4:10 pm Concurrent Sessions A. Wound Abstracts

B. Panel Discussion: What We Wish our WOC/ET Nurse Had Told Us Andréanne Gousse, Kimberly LeBlanc, Carly Lindsay, & Ian McNeil C. What is CAUTI? – Dr. Jennifer Meddings

D. CAET Leadership Program - Catherine Harley

4:20 pm - 5:50 pm

General Session: Nightmares on St Catherine Street - Vittoria Pontieri-Lewis

Wednesday, June 8, 2016 7:30 am - 1:00 pm

Registration Open

8:00 am - 9:00 am

Concurrent Sessions

8:00 am - 1:00 pm

Poster Viewing

A. Spinal Cord Injury and Pressure Ulcers - Pamela Houghton & Linda Norton B. Fistula Part I - Barbara Hocevar & Mary Arnold Long

C. Detours: The Road Less Travelled - Acute and Chronic Urinary Retention - Laura Robbs D. Sunshine Act - Diane Mackey

10:20 am - 11:20 am Concurrent Sessions

A. Preventative Foot Care for Diabetic Patients - Brandon Hawkins

B. Fistula Part II Hands-On - Jane Fellows

C. Member Spotlight: Continence

D. Updates: 2016 WOCN Society Guidelines for Prevention and Management of Pressure Ulcers - Catherine Ratliff

11:30 am - 12:30 pm 12:30 pm - 1:00pm

ogram details visit www.wocnconference.com.

Closing Keynote Speaker: Derick Fage, Living with Incontinence - A Personal Perspective Closing Remarks

FEATURE ARTICLE

BEYOND THE CLINICAL SETTING: ET NURSES AT THE 2015 OSTOMY YOUTH CAMP Author: Louise Forest-Lalande, RN, M.Ed., is an ET nurse from Montreal, QC.

Courtesy Ostomy Canada Society Youth Camp

opportunity for these children to attend camp while maintaining the necessary part of their usual routines. In 2015 47 children, aged 9 to 18 years old, attended the camp with the majority of whom were autonomous for their own care. They were able to change their appliance, do selfcatherization, and do their own cecostomy irrigation. The presence of Enterostomal Therapy nurses is, however, always an important addition to the Youth Camp team. Some of the kids have new ostomies and are so often need assistance or supervision as they adjust to their new reality and work towards autonomy. Others may be facing unresolved medical issues and so welcome the opportunity to get advice and professional care from ET nurses. This is why myself and another ET Nurse, Danielle Gilbert from Quebec City, decided to volunteer to the camp.

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ummer camps offer kids a great opportunity to get some time away from home, to be independent of their family, and to experience a change from their usual friends and activities. It is a special time when they can open themselves up to new adventures, new friends, and a new perspective. The Canadian Ostomy Youth Camp offers children and teenagers with special needs, such as ostomies, intermittent self-catheterizations and cecostomy irrigations, a wonderful opportunity to meet other kids experiencing the same reality. The Canadian Ostomy Youth Camp, in Bragg Creek, Alberta, provides an

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In the 1990s I had the pleasure of attending two Ostomy Youth Camps that took place in the province of Quebec. Pat Cimmeck, who coordinates the volunteers, was involved then and she is still involved now so the Summer 2015 camp was a great opportunity to renew my acquaintance with both her and the special ambiance of summer camp. I must say that few things have changed over the years! Of course our hairdos have improved, but the spirit and objectives of the camp remained the same. The Ostomy Youth Camp not only provides children with the occasion to renew friendships and start new ones but it also gives them a chance to

FEATURE ARTICLE

ET NURSES AT THE 2015 OSTOMY YOUTH CAMP (cont.)

share their concerns and personal feelings with each other. This opportunity to open up to others who share similar challenges is a unique occasion that families, healthcare professionals, and other friends who do not have an ostomy or special needs can truly provide. We were very pleased to have the assistance of Carly Lindsay who is both a young nurse and a former camper. Her perspective was very valuable and we are thankful to her.

Danielle and I plan to repeat this experience next year and we definitely hope that other ET nurses will join the team!! 28

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It is obvious that being an ET nurse at camp is a far cry from working at the hospital or in a clinic. Instead of commuting to the hospital you get to walk a path bordered by majestic pines. Instead of fighting traffic you get to take deep breaths of fresh air before starting the day! The nurses’ clinic had everything we needed to assist campers thanks to the generous support of Hollister, Coloplast and ConvaTec.

Some kids had to visit the nurse clinic for minor issues such as wounds after falls, abdominal pain, sore throat, or fever. They were assessed, treated and, if needed, accompanied to the hospital. One such case gave me the opportunity to visit the Calgary Children’s Hospital -- a very impressive facility providing high Courtesy Ostomy Canada Society Youth Camp

Courtesy Ostomy Canada Society Youth Camp

Almost half of the children at camp were on medication so we decided to give them a vacation from that responsibility and we stored medication in the nursing clinic and took care of giving it out. Some parents expressed a desire for their child to become more autonomous in their ostomy care, or self-catheterization or irrigation, especially those children who only recently had their surgery. Children and teenagers with an ostomy were invited to come to the nurse clinic when it was time to change their appliance so we could provide supervision or assistance. We were impressed with their competency! This also gave us the opportunity to check their technique, give them some recommendations and tips, and, in some cases, solve recurrent skin problems.

FEATURE ARTICLE

ET NURSES AT THE 2015 OSTOMY YOUTH CAMP (cont.)

Danielle and myself were impressed by the dedication of all the volunteers who were always available to the children and listened to their concerns as well as playing, dancing, swimming, and keeping them company at night!

quality care! I was there for 24 hours supporting a young camper while Danielle remained at camp caring for the rest of the campers. Many thanks to Pat Cimmeck our chauffeur and tour guide in Calgary! ET nurses also like having fun – and camp is fun! It was refreshing to see young people all dolled up and dancing, enjoying good times outside, or sharing their feelings around the campfire. Danielle and myself were impressed by the dedication of all the volunteers who were always available to the children and listened to their concerns as well as playing, dancing, swimming, and keeping them company at night! Thank you Pat, Lisa, Carly, Janet, Maria Jose, Mary, Aaron and Jason, it was wonderful to live the camp experience with you all. You inspired us!

I also want to thank Ostomy Canada Society for its continued support of the children and for recognising their special needs. Finally, but not least, I thank Karen Spencer who has been volunteering at the camp for many years. Thank you Karen for having the perseverance to invite me year after year! It was wonderful to finally get to share my experience and expertise at camp. Danielle and I plan to repeat this experience next year and we definitely hope that other ET nurses will join the team!! And to all the ET nurses out there who are working with children and teenagers please make sure you inform them about the camp! cd For more information visit http://www.ostomycanada.ca/ostomyyouth-camp/ Courtesy Ostomy Canada Society Youth Camp

Courtesy Ostomy Canada Society Youth Camp

called our patients when they are in another environment away from the hospital. It has been a great life and learning experience for us and we look forward to attending the camp next year. If you wish to visit a beautiful location and practice ET Nursing in a different, and very rewarding environment the Ostomy Youth Camp is the place to go!

We wish for more ET nurses to take the opportunity to participate in this camp in the future. It is a volunteer activity but it is an enriching one. It is always amazing to see those we 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] embers from the Atlantic region met in Moncton, in November 2015, for our regional meeting and education day. We had wonderful presentations and discussions about ET practice. The meeting began with my report about CAET activates and mid year report.

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Credit: By: W. Maund

Karla Lohnes presented information about the CPAC Rectal Cancer Project. Elizabeth Baker, Connie Harvey, and Karla Lohnes, from the QEII in Halifax, have been working with ETs, from eight other centers across Canada, to help improve the patient experience with an ostomy after a rectal cancer diagnosis. This has been done through the CPAC Rectal Cancer Project which is a threeyear knowledge translation study designed to implement effective quality initiatives across eight high volume rectal cancer centers in Canada. The project looks at a variety of areas such as radiology, surgery, pathology, radiation oncology and the patient experience. The project is co-lead by Dr.

Erin Kennedy and Dr. Nancy Baxter. The ET Co-leads on the project are Jo Hoeflok, Monica Frecea, and Julie Tjan-Thomas. One of the top items identified by patients, as requiring improvement, was the experience with their ostomy. This project has revealed that there is a disconnect between what the patients want and the ET’s perceptions about what the patients want. Work has now underway to identify the gaps in practice and implement strategies to close those gaps. Marcia Leard challenged us with two presentations that were of keen interest to ETNs. The first was titled “In-services Just Don't Work Anymore”, where she shared ideas on providing education in these busy times when staff are often unable to attend longer sit-down educations sessions. Marcia also presented on “Quality Improvement and Wound Care” and focused on the 2016 ROP guidelines. Accreditation standards for health care include a detailed section on wound care. This provides ETNs, involved in wound care, with a great opportunity to highlight the significant contribution that can be made by an ETN with this expertise.

CAET Atlantic Canada regional meeting in Moncton, NB, November 2015. Back row left to right: Nancy Schuttenbeld, Bev Beck, Karla Lohnes, Marcia Laird, Gail Creelman, Joan Peddle, Denise Nicholson. Front row left to right: Kathy Esligar, Michele Langille, Kathy Mutch, Bridget Pinaud, Jean Brown 30

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Nightmares on ET Street is our open forum for case studies. Gail Creelman, Michele Langille, and Kathy Mutch each presented case studies involving significant

challenges for the ETN. Members offered many helpful suggestions. “A Snap Shot on How to Improve the Quality of Your Work Photographs” was presented by Winston Maund, a professional photographer from PEI. He offered suggestions on how to use a camera and smart phone to obtain better pictures. He used work-related photos to discuss ways to improve photo quality. During a day meeting New Brunswick ETNs met and set priority areas for education over the next year. The number one priority for education will be on the Wound Assessment Treatment Flow Sheet (WATFS). Marg James, from Saint John, inspired the group with the creation of a pre-operative care plan package developed for patients having ostomy surgery. Marg also offered a one-day workshop entitled “Taking Care of Me” that focused on education and support for people in the community with an ostomy. Fredericton will be holding its annual wound education day for all health care practitioners on Friday April 15, 2016. For more information contact Nancy Schuttenbeld. Several centers in NB have also introduced diabetes foot clinics. PEI continues its implementation of a provincial foot-screening program. Congratulations to Anne Sharrard who has completed the Masters of Nursing program from Athabasca University! Congratulations as well to Marcia Leard who the Prince County Hospital Award for Patient Safety for her leadership in developing provincial education posters on Wound, Ostomy, and Continence Care. 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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a 35ième conférence nationale annuelle de l’Association Canadienne des Stomothérapeutes (ACS) aura lieu à Montréal et plus précisément au Palais des Congrès du 4 au 8 juin 2016. Cette conférence qui est en association avec the American Wound, Ostomy, Continence Nurses Society (WOCN) promet d’élargir nos connaissances en « franchissant des frontières ». Des traductions en français auront lieu à quelques sessions de la conférence permettant à ceux et celles qui sont moins à l’aise en anglais de pouvoir assister. La date limite pour obtenir des tarifs réduits d’inscription est le 15 avril 2016. De plus, tous les membres de l’ACS peuvent bénéficier d’une réduction additionnelle lors de l’inscription à la conférence. Donc, si vous ne l’avez pas déjà fait, assurezvous de mettre à jour votre adhésion à l’ACS.

Lors de la conférence à Montréal, venez visiter le kiosque de l’Association des Infirmières et Infirmiers Stomothérapeutes du Québec (AIISQ).

De grandes opportunités vous attendent pour approfondir vos connaissances ainsi qu’augmenter vos réseaux d’infirmières stomothérapeutes. C’est aussi une belle occasion pour les membres d’assister à l’assemblée générale annuelle de l’ACS et de découvrir tout ce qui se développe dans notre association. Lors de la conférence à Montréal, venez visiter le kiosque de l’Association des Infirmières et Infirmiers Stomothérapeutes du Québec (AIISQ). Il nous plaira de répondre à vos questions et de faire en même temps votre connaissance. Si vous désirez commencer une association dans votre province, il nous fera plaisir de partager nos démarches qui ont fait de l’AIISQ un succès. Pour les stomothérapeutes québécoises qui le désireraient vous pourriez devenir membre de l’AIISQ, il vous serait possible de participer à nos assemblées qui ont lieu deux fois par an. Durant ces réunions, nous abordons des sujets importants pour le Québec et la stomothérapie. Vous porriez entrer en contact avec d’autres infirmières stomothérapeutes et avoir une opportunité d’élargir vos connaissances. Vous ferez partie des échanges de courriels concernant des partages de connaissances ou des réponses aux questions d’autres stomothérapeutes. Nous sommes privilégiées d’être une association qui se donne la main et est toujours prête à aider ses membres. De plus, l’ACS a débuté des démarches avec l’OIIQ dans le but d’obtenir des

heures accréditées pour la conférence à Montréal ainsi que pour des événements futurs. Nous ne sommes qu’au début de ce processus et une fois que ce sera finalisé, un courriel sera envoyé aux membres. Ceci est une autre excellente nouvelle pour les infirmières stomothérapeutes car il est très difficile de pouvoir trouver des formations avec des heures accréditées dans notre domaine d’expertises. Le règlement au Québec permettant à l’infirmière de prescrire est entré en vigueur le 11 janvier 2016. Les infirmières stomothérapeutes au Québec peuvent dorénavant prescrire des analyses de laboratoires telles que des cultures de plaies, l’albumine et la préalbumine. Elles peuvent aussi prescrire des pansements, des barrières cutanées et des médicaments topiques sauf la sulfadiazine et ceux qui sont relatifs aux traitements dermatologiques ou oncologiques. Les infirmières en soins à la communauté qui suivent des patients avec des plaies sont dans l’obligation de consulter une infirmière spécialisée en soins de plaies comme une stomothérapeute ou un médecin spécialisé en soins de plaies s’il n’y a pas d’évolution de la plaie dans un délai raisonnable. Il est encourageant de voir que l’OIIQ reconnait la spécialité de l’infirmière stomothérapeute dans ce dossier. Venez me voir à la conférence à Montréal en juin 2016. Il me fera plaisir de vous connaître et d’entendre vos exploits en stomothérapie. A 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 congratulate those who recently completed the CAETETNEP program and welcome you to CAET. CAET has an abundance of resources for you and will support you in your new career. Becoming involved with CAET will help you to strengthen your professional role. If you are interested in getting involved please let me know and I will connect you with the right person. I would also like to thank CAET members for completing the membership survey. Results appear on page ______ of this LINK. Information gathered from this survey will guide the CAET in future program planning. Thank you to those who were able to donate to the Ostomy Museum, at the Zane Cohen Centre for Digestive Diseases at Mount Sinai Hospital, in Toronto. I am hoping that we will be able to see photos in the New Year. The LINK is published by Clockwork Communications Inc. At Christmas time, in recognition of the positive relationship that Clockwork has with

CAET, Clockwork sponsored a plot of land, in the Common Roots Urban Farm Garden in Halifax, on behalf of CAET. Volunteers care for the gardens and all food grown on this plot will benefit the Parker Street Food Bank.

Housing information is available on the 2016 WOCN Society & CAET Joint Conference webpage at www.wocnconference.com. The 2017 CAET Conference will be in London, ON, from May 25 to 28.

The CAET board continues to meet regularly. Recent discussions have covered many topics but have mainly focused on our website, upcoming conferences, International Skin Tear Advisory Panel (ISTAP) as a special interest group of CAET, and Ontario Assistive Devices Program (ADP) funding.

The board is still considering allowing ISTAP to partner with CAET as a special interest group. The board is very keen on this relationship but will first do its due diligence to ensure CAET is protected.

The CAET website has been updated by Imagination Plus. They are proving to be very dependable and reliable and CAET is pleased with this new relationship. We hope you are also pleased with the re-design of the site. Getting the website up and running smoothly has been a priority at CAET. We have received multiple calls re the “Find an ET Program” and this also is a priority of CAET. This service is used widely by both CAET members and clients. Organizing conferences is a huge responsibility. Being on the board has allowed me to learn about the crazy amount of energy and time that is invested in securing the right location for the best price. Our 2016 joint conference with WOCN is set for June 4 to 8 at the Palais des Congrès in Montreal, Quebec. Hopefully you have registered for the conference and confirmed your hotel reservations.

CAET continues to keep ostomy reimbursement as a high priority. 32

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ADP funding is a hot topic in Ontario. Residents with a permanent ostomy are benefiting from the recent increase in reimbursement. CAET continues to keep ostomy reimbursement as a high priority. A task force will be created to assist Atlantic Canada with their campaign for increased benefits. CAET is waiting for a response from the Ministry of Health and Long Term Care, in Ontario, to a letter that was sent requesting the ministry consider funding temporary stomas and increasing funding for complex stomas and people who require ancillary or additional products. I would like to wrap up by discussing “Ontario Connection”. This was officially launched in January of this year. A group of Ontario CAET ET nurses have opted to be involved in this networking opportunity. If you want to be included in this group please contact me. It offers people the opportunity to share information and ask questions of our group via e-mail. Thank you for all of your support in my position as Regional Director of Ontario. Feel free to share any comments or concerns that you may have. cd

REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM PRAIRIES / NWT / NU By: Karen Napier RN, BScN, CETN(C), Regional Director for Prairies/NWT/NU. [email protected]

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hanks to those of you who attended the mid-year Regional Members Meeting last November. There was some great discussion around pre-operative teaching for ostomy patients and a desire to standardize this information. Participants were asked to forward their practices and related documents to me so I could share them with the group at the next meeting. The group also identified a desire to share other related information and a need for discussion as a larger group. Most ETs who attended the meeting are the only ET in their area which makes it difficult for them to have open discussions about their practice. The next regional meeting will be near the end of March so please forward any agenda items to me.

program has provided a lot of learning and discussion opportunities! As part of the program one has to select a leadership challenge -- myself and Mary Mark have chosen advocating for the ET position within Alberta Health Services. Recently, in Alberta, some ET positions have been declassified so it seemed a great time for this challenge. We are hoping to analyse the current state of the ET role in Alberta and to promote the role to those planning our future healthcare.

In June 2015 I began participating in the CAET Leadership Program. The

This is also a great time to recruit new members to our association – and

March is the time of year to renew your CAET membership to please set a reminder for yourself and check in with other ET nurses to remind them. I will also be sending out a reminder to the group.

membership provides the added bonus of providing a membership rate for the CAET/WOCN Joint Conference. If you know of anyone interested, who may have questions, please share their contact information with me and I will gladly share with them the many benefits of belonging to our association. The larger our group the louder our voice – and the more we can offer to our members. cd

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REGIONAL DIRECTORS’ CORNER

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

In our region we have 7 new ET students in the CAET academy and I would like to congratulate those who have recently completed their ETNEP

016 is shaping up to be an exciting year for CAET and all ETNs. It has been a busy year with the preparations for the Montreal CAET/WOCN Joint Conference in June. And I personally have been very busy as a participant in the first cohort of the CAET Leadership Program.

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In our region we have 7 new ET students in the CAET academy and I would like to congratulate those who have recently completed their ETNEP. Remember to apply for the Financial Awards available to students in the ETNEP program (see www.caet.ca for details). Our Fall 2015 teleconference meeting was well attended and all participants’ contributions were greatly appreciated. One of the main topics we focused on was the recognition BC ETNs as a specialty group with appropriate qualifications for differential remuneration for those in union positions. This is an ongoing endeavour and a proposal is being submitted to our BC Nursing Union to request a change to 34

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the language, in the current contract, that prevents WOCN or ETNs from receiving the pay differential. We have also requested that the CAET Academy become recognized an accredited educational institution in order to further support our specialty status. If you have any information or contributions, related to this initiative, please contact me!!

March. Please encourage your colleagues to join so we that we can be sure to connect all the pieces of the ET network in our region.

Many ETNs in the province have also communicated that they are facing challenges obtaining timely approval for ostomy supplies and are dealing with inadequate levels of coverage from our First Nations Health Authority (FNHA). A group of ETNs have been meeting with FNHA representatives in an effort to bridge the information gap and convey the importance of timely coverage for patients. This work is being led by Arden Townsend, of Ostomy Supply Center, and will be ongoing if others wish to participate.

The work of the BC Provincial Skin & Wound Committee (BCPSWC) is continuing to build resources for nursing practice and is forming networks with other provinces as well as national organizations. The inception of the Provincial Ostomy Group is well underway and is completing its first project with the provincial ostomy formulary contract. I am astounded at the hard work and dedication displayed by the practitioners in our region!

An additional item in the works is a resource book for BC ETNs that is designed to provide practice guidance and orientation to BC policies that affect our practice. This is a project in the making and volunteers, to participate and contribute content, are welcome! Our “BCET contact and resource list” will be circulated in April once completed. Thank you to Kim Mayenburg for her contributions. This is also a reminder to renew your CAET membership by the end of

For those of you considering writing or renewing your CNA certification exam next year please note registration opens in April and you will have until the Fall to prepare for the new electronic exam.

I am most thrilled by the response to the Spring CAET conference in Montreal and hope to see many of you there! We will be having a regional meeting during the conference so watch for notifications as to time and location. Lastly we would like to hold a BCET meeting this Fall in Vancouver. We have started planning but we need local support – so please contact me if you are able to assist. Wishing you all a warm and fruitful spring and summer. And see you in Montreal! cd

FEATURE ARTICLE

RECOGNIZING OSTOMY CARE HISTORY IN CANADA Authors: Kathryn Kozell RN, BScN, MScN, CETN(C), has been a member of CAET for 35 years and has served as Chair of Nominations Committee, Vice President, President (2004-2008) and Editor of the CAET Feature Section of JWOCN (2011-2015). Kathryn is an Honourary Life Member of CAET and retired from clinical practice in 2015. She can be reached with questions at [email protected]. Dianne Garde is an Enterostomal Therapist and was a founding member of the CAET in 1982, served as Vice President 1986-1988 and Professional Assistant 2000-2007. She is CAET’s Honourary Historian and an Honourary Life Member of CAET and WCET. She has been a strong supporter and member of the World Council of Enterostomal Therapists since 1977 and continues to provide consultation. Kathryn and Dianne are spear-heading the ostomy museum initiative outlined in this report.

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By: D. Garde

rom the early 1960s into the 1970s the evolution of ostomy care in Canada shadowed that of the United States. Former patients and nurses who had a stoma were the ‘qualified’ providers of patient ‘handson-care’ and emotional support. Beginning in the mid-1970s, and in to the early 1980s, the evolving ‘science behind ostomy care’ prompted the establishment of specialized ostomy education programs. Thanks to CAET’s Honourary Historian, Dianne Garde (Canada’s 3rd ever Enterostomal Therapist), we are fortunate to have considerable documentation related to the establishment of Enterostomal Therapy practice and education in Canada. Dianne also has been the keeper of hundreds of pieces of ostomy antiquity such as ostomy pouches, faceplates, irrigators, ET Journals and more. She has it all! Time is, however, literally deteriorating many of Bowman Irrigation system 1940s.

these pieces of ostomy history and, most importantly, the significance of these products in the evolution of ostomy care would be lost with them. In 2012 Kathryn Kozell and Dianne Garde (the authors) had the idea of establishing an Ostomy Museum. The goal was to preserve ostomy history through the display of ostomy artifacts that depict the evolution of ostomy devices and the associated care. The Zane Cohen Centre for Digestive Diseases (ZCCDD) at The Sinai Health System, Mount Sinai Site, in Toronto (world renowned for the study of inflammatory bowel disease and other genetically linked digestive disorders) and the Mount Sinai Hospital Foundation offered their support in establishing the display at the ZCCDD. Two major steps in the development of this display were the identification of key artifacts and the securing of finances to support the construction of the display cases. Approximately 30 items, that chronicle when and how ostomy products have evolved from the 1920s to present, have been selected for the display. This chronology will be complemented by narratives and pictures describing the medical and le LIEN

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FEATURE ARTICLE

RECOGNIZING OSTOMY CARE HISTORY IN CANADA (cont.)

By: D. Garde

issued to all donors. The foundation is responsible for seeking corporate donors and Kathryn and Dianne have begun the process of soliciting prospective donors from groups such as the CAET and OCS. At the time of this writing meetings were being planned with the Mount Sinai Hospital Foundation to review further fundraising strategies and timelines, discuss the final selection of the ostomy artifacts, create the storyboard for the display, select pictures, write descriptive narratives, and purchase the display cabinets. A completion date and grand opening will be announced as soon as possible.

nursing influences of the time. It is also the intention to acknowledge the Canadian Association for Enterostomal Therapy (CAET) and the Ostomy Canada Society (OCS) as major supporters and advocates for individuals who have an ostomy. An initial fundraising goal of $10,000 has been set and these funds will be directed toward the purchase of display cases, frames, and signage. The funds will be managed through the hospital foundation and tax receipts will be

We are extremely excited about creating this permanent ostomy display. Your contribution can help bring this project closer to reality as the first of its kind in Canada. For further information on the project, or making a donation, please do not hesitate to contact either Kathryn Kozell or Dianne Garde at the email addresses at the top of this report or go to page 37 for more information about this project.

Davol ileotomy appliance 1940. 36

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By: D. Garde

Davol colostomy appliance 1930.

SUPPORTING OSTOMY CARE HISTORY Each year over 12,000 people in Canada undergo ostomy surgery, and as Enterostomal Therapy Nurses we know that specialized knowledge, skill and medical designed equipment provides safe, effective and discrete care of those who live with this life-long condition. As medicine, surgery and nursing evolved so did the development of ostomy containment devices. Rags became leather pouches, and in the 20th century rubber devices, aluminum cups and canvas oil cloth pouches were held in place with metal faceplates, rings and belts. Reflected in the development of ostomy pouches is the creative innovation and attention to the care requirements, esthetic and social considerations of people who have an ostomy. Preserving these moments of history in patient and ostomy care with the establishment of the Ostomy Museum at the Zane Cohen Centre for Digestive Diseases at Mount Sinai Hospital will be a tribute to the strength and determination of people whose lives were restored through the advancement of ostomy products.

Our goal is $10,000. Your donation will assist in supporting the development of a presentation display which will preserve and showcase historical ostomy artifacts donated by Dianne Garde. All donations will receive a tax receipt.

We Invite You To Partner With Us Today!

Donations must be mailed to: Sarah Hurrle, Advancement Director 1001-522 University Avenue, Toronto, ON M5G 1W7 T- 416.586.8203

Cheques payable to: Mount Sinai Hospital Foundation Memo: Ostomy Project Zane Cohen Centre

For further information contact: Kathryn Kozell, RN, MScN, CETN(C) [email protected] Dianne Garde, ET [email protected]

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CORE PROGRAM LEADERS’ CORNER

INFORMATICS & RESEARCH By: Jean Brown, RN (Retired), B.N.Sc., ET. [email protected]

The CAET Board has agreed that it is time the ostomy booklets, currently available on the CAET website, be revised.

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n the last issue of the Link the decision aid “Is Intermittent SelfCatheterization Right for You?” was distributed to CAET members in pamphlet form. The background material, that was designed for our website, was also printed in this issue. Both of these items have been posted on the CAET website under ‘education’. The work remaining on this project now involves marketing the product and evaluating its usefulness to clinicians and patients. Cathy Harley, our Executive Director, has arranged for Susan Mills-Zorzes (Marketing Core Program Leader) and myself to provide a webinar explaining the role of ET nurses in continence practice in general as well as specific information about the decision aid on intermittent selfcatheterization. This webinar is being organized by ‘myliberty.life’ (http://MyLiberty.Life). This online distributing company specializes in incontinence products and has partnered with the Canadian Continence Foundation, and others, to promote public knowledge about where help is available and who can deliver it. This presents a great opportunity for CAET to reach potential patients and clinicians and explain who we are and what we do. The evaluation of the decision aid tool 38

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should be taking place late this spring or early in the fall. It will take the form of a short survey and we look forward to hearing from you on our experiences using this with patients. The CAET Board has agreed that it is time the ostomy booklets, currently available on the CAET website, be revised. Because the revision of the Best Practice Recommendations for Enterocutaneous Fistulae (ECF) is ongoing it was, however, decided that the ostomy booklets will be revised on completion of the ECF recommendations. This will prove helpful as the group presently working on the ECF revisions are looking at how to best display the material on the CAET website rather than relying on a printed version. This information could be helpful when it comes time to revise the ostomy booklets. This will be my last report as Informatics & Research Core Program Leader. It has been a privilege to serve on the Board, for the last eight years, but it is now time to let others share this wonderful experience. If you like to be stimulated and challenged, and are looking to grow your experience beyond your present work environment, please consider volunteering for the various projects CAET undertakes – and for the board positions that are waiting for you! cd

CORE PROGRAM LEADERS’ CORNER

MARKETING By: Susan Mills Zorzes RN, BScN, MDE, CWOCN, CETN(C)

CAET: YOU Belong!

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he membership survey is a very important method by which the CAET Board of Directors obtains feedback and direction from members. We thank everyone who participated in the 2015 survey – the perspective you provide is very valuable. All responses are combined, reviewed and carefully analyzed to help us determine: 1. If we are asking the right questions, in the right way, to get the information we need; 2. What we are doing well; and 3. What we can do, as an association, to better meet the needs of members. It is my hope that, using the 2015 survey as a baseline, we will be able to refine the questionnaire to be, in future, clearer, easier to complete, and more measureable in order to allow it to be administered at regular intervals and allow us to measure, over time, member responses to changes we have made. Summary of Results:

Demographics The response rate for the 2015 survey was 35 per cent with the highest response rate, by region, being from the Atlantic region and then followed by Quebec, Ontario, BC & Yukon, Prairies and NWT (in that order). The top three work settings represented were acute care, home care and long-term care. Half of the respondents hold an ET position and one third receive additional financial

The membership survey is a very important method by which the CAET Board of Directors obtains feedback and direction from members. compensation for the specialty. Approximately 50 per cent of respondents hold CETN(C) certification. Member Satisfaction In order to organize the responses many of the questions gave participants the option of a scale of 1 to 5 with answers ranging from ‘very satisfied’ to ‘very dissatisfied’ or ‘not familiar’. Overall results indicate that members are more satisfied than dissatisfied. Many respondents, however, shared comments that indicated specific areas of concern where they felt there was need for improvement and/or offered suggestions. Thank you to those who took the time to give this additional direction through their thoughtful comments, examples, and suggestions. Satisfaction with the work of CAET Respondents indicated highest satisfaction with the affiliation with the JWOCN (96%), The LINK and CAET Academy (each at 85%) and the National Conference (84%). Lowest satisfaction levels were expressed for the CAET website (46%), amount of education available to members (31%), the Find an ET program (29%), Core Program initiatives from the Marketing and the Professional Development & Practice areas (23%), and the

explanation of services and benefits (20%). A significant number (10%) of respondents were not familiar with various aspects of the work of CAET. Satisfaction with CAET communication tools Respondents indicated highest satisfaction with the Feature section of JWOCN (90%), The LINK (83%) and Best Practice documents (72%), and the lowest satisfaction with the website (43%). A significant number were not familiar with CAET’s social media, electronic Regional Meeting opportunities, and e-blasts. Benefits of CAET membership Respondents identified the following as the most important benefits of CAET membership: Membership directory (91%); Educational products, e.g., fact sheets, Best Practice documents (91%); JWOCN (90%); Networking opportunities (85%); Conference discount (78%); The LINK (72%); and the opportunity to participate and vote at meetings (72%). Identified as least important were uniform discounts and the opportunity to present and publish. Name Change 60 per cent of respondents were in favour of a name change, 10 per cent le LIEN

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MARKETING (cont.) were against the idea, and 30 per cent were neutral. Overall Satisfaction When asked to rate their overall satisfaction with CAET membership 30% indicated very satisfied, 60% chose satisfied, 9% indicated they were dissatisfied, and 1% noted they were very dissatisfied. 90% stated they would recommend CAET membership to others and 10% stated they would not recommend it. Survey Action Items: The next steps for CAET, based on the survey results, were to: 1. Report detailed results for each question and sub-question to the Board of Directors; and 2. Review the CAET strategic plan and annual operation plan to determine which areas of concern, as identified in the survey, are currently being addressed. Certain questions were included in the survey to help gain an understanding of member perceptions and concerns to allow for proper preparation for the development, or redevelopment, of particular projects. Several items flagged in the survey are currently being addressed. I have outlined below the update on the status of some of those projects for your information. CAET Website Status It was no surprise to learn that many members were very frustrated with the CAET website. The Board had determined, last year, that a more

Certain questions were included in the survey to help gain an understanding of member perceptions and concerns to allow for proper preparation for the development, or redevelopment, of particular projects. 40

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dynamic and user-friendly website was needed. Following a search for a web program and design group, that could meet our highly specialized needs, a company was hired to redevelop our website, the Find an ET program, and the membership database. Despite the large time commitment of CAET’s Executive Director and President, who worked with them to complete the project, the company was unable to meet the project objectives. We then began a new search and near the end of the year a second website programming and design group was hired. The website redevelopment then progressed rapidly and the new website was launched in December of 2015. Your suggestions and comments from the survey about what would be most valuable to you on the website have been heard and are being incorporated. Please check the website frequently and always feel free to give feedback through the contact page, or to Catherine Harley or myself, as new content continues to be added. Name Change For a number of years many ET nurses have expressed concern that our title does not adequately describe and explain who we are, and what we do, to our patients, other health care professionals, and employers/ government. A number of respondents agreed with the statement that a name change is necessary and suggested WOCN as a possible title. WOCN, however, is trademarked as the name of the Wound, Ostomy and Continence Nurses Society in the US and so cannot legally be used by anyone else - individuals or associations. Catherine Harley, our Executive Director, is currently a student in the CAET Leadership Program – and as part of her leadership challenge she is leading an exploratory Name Change Decision project. Stay tuned for more opportunities to give feedback as this project progresses.

CORE PROGRAM LEADERS’ CORNER

MARKETING (cont.) Our strength and impact as an association, on behalf of our members, is directly connected to the contribution of our members!

Membership Benefits In this past year I stepped in to the role of Core Program lead for Marketing – a position that had previously been vacant. The survey indicated to me that a number of members and students are not aware of CAET’s products and initiatives. Some benefits are highly valued while others are less appreciated (and some are unknown to members) so the survey provided me, as the Core Program Leader, with key direction for the redevelopment of the Membership Welcome Package. This new package will be provided to all new and renewing members to help increase awareness around the benefits of membership and ensure all members have the opportunity to maximize the benefit of being a CAET member. Other Areas of Concern The Board of Directors has directed all other concerns, that were not already being addressed, to the most appropriate board and core program members and asked them to develop action plans that address key priorities using available resources. Questions and concerns relating to the CAET Academy were directed to Virginia McNaughton, the Academy Director, and those concerning The Link were provided to Catherine Harley, Executive Director, to share with Clockwork Communications (publisher of The Link). Member Commitment: In order to ensure we build a strong association, that represents and supports Canadian ET Nurses and nursing, CAET needs you to: • Stay informed; • Read, and respond to, information and requests from CAET, your Regional Director and Core Program Leaders, The Link, the website, and CAET social media; • Participate in meetings and webinars as often as possible; and

• Encourage all Canadian ET Nurses to be members. Volunteer Canadian healthcare continues to be an environment for great change – and as ET Nurses we need strong representation so that we can effectively influence the decision makers and strengthen the importance of our role with those creating the change. In order to ensure we are being pro-active with decision makers we need to ensure that we are constantly on top of current statistics and research that shows the real benefit of ET nurses when we lobby governments and employers. This is a major area where we need member participation to develop these products. As members have clearly stated, through their survey responses, there is still much to be done to support the ET role, promote its benefits, and position ET Nurses to be recognized for their value in the ever-changing healthcare system. CAET is, however, a non-profit and primarily volunteer-driven association. It is, as a result, only as strong as those who are willing to be members and who are willing to provide their volunteer time to assist with the numerous projects that CAET drives. Our strength and impact as an association, on behalf of our members, is directly connected to the contribution of our members! If you can contribute even a few hours to a project your participation can make a difference! Please volunteer by contacting Catherine Harley at [email protected]. She will investigate with you the areas that most interest you and the time you have available to direct you to a project that best fits. As we continue to address member comments and concerns please stay tuned for future updates… and thank you for participating! cd le LIEN

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

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all has been a busy time for the Political Action Core Program group. Currently we have several projects underway. I encourage anyone with an interest in any of the project listed below to contact either Catherine Harley or myself to see how you can get involved! Financial Impact of Living with an Ostomy - Cross-Sectional Study: Funding for ostomy supplies is inconsistent across Canada with significant regional differences in funding and reimbursement programs. It is well documented in the literature that complications associated with ostomies are frequently related to supply issues.1 Inadequate individual financial support translates into greater ostomy complications due to improper equipment, decreased quality of life, and an increased financial burden on the healthcare system.2 The CAET in conjunction with Ostomy Society Canada (OCS) are seeking 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.

The study will use a cross-sectional selfadministered survey that will be delivered through a web link emailed to members of OCS. Invitations to participate in the survey will also be sent to potential participants via medical device companies’ customer service mailing lists (Coloplast Canada, Hollister Inc., and Convatec). Ethical approval has been granted from the University of Queen’s Ethical Review Board (Kingston Ontario). 42

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By better understanding 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. The study will be an important first step in understanding how Canadians are financially impacted by living with an Ostomy. Expanded Ostomy Reimbursement Lobbying: Building on the successful lobbying to increase ostomy supply reimbursement in Ontario the CAET will now look to replicate this success in other provinces. Through collaboration with provincial ETN groups and OCS groups in various provinces CAET will be writing to, and lobbying, the provincial ministers of health to better address the needs of those living with an ostomy in their provinces. The campaign will begin with the Atlantic provinces and eventually cover all provinces (with the exception of British Columbia and Manitoba as those provinces already enjoy 100% funding). Raising Awareness: The CAET, in conjunction with the Canadian Continence Foundation, is working on a campaign to raise the awareness of continence related issues in the Canadian population. Stay tuned for more details and attend the joint CAETWOCN Conference in June 2016 to see how this campaign will unfold. We promise not to disappoint! LHINs Changes in Ontario: On December 17, 2015 Dr. Eric Hoskins, the Ontario Minister of Health and Long-term Care, announced that the Local Health Integration Networks

(LHINs) will now 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 additional lobbying efforts began early this year. I ask all of you living in Ontario to stand up and be heard and get involved in hospital, community and long-term care committees. I wish you all the very best throughout 2016 and look forward to seeing everyone at the joint conference in June 2016. See you in Montreal! References: 1. Andersen, B., van Keizerswaard, P., Castro, M., English, E., & Carter, D. (2011). Introduction to the dialogue study: Methods and baseline demographic findings. Gastrointestinal Nursing, 9(2), 4. 2. Padilla, L. (2013). Transitioning with an Ostomy: The experience of patients with cancer following hospital discharge. (Unpublished Masters of Science in Nursing and Primary Care Nurse Practitioner Certificate). University of Ottawa, Ottawa, On, Canada. cd

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

Joint CAET/WOCN Conference – June 4th to 8th in Montreal, QC Get Ready for the Most Innovative Wound, Ostomy & Continence Conference of 2016!

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he joint CAET/WOCN Conference “Crossing Borders, Breaking Boundaries” will take place at the Palais des Congrès Convention Center in beautiful Montreal, Quebec, June 4-8, 2016. You will not want to miss it! The signature conferences of the CAET and WOCN will be joined as one to create an incredible wound, ostomy, and continence education event and the preeminent gathering place for wound, ostomy and continence nurse leaders. CAET and WOCN are bringing together hundreds of the best and brightest minds in wound, ostomy and continence care to help us all learn, share and evolve. LEARN

Whether you are an exhibitor, delegate or sponsor the conference will offer a wide variety of opportunities to learn. The conference features a multitude of unparalleled keynotes, over 60 fascinating educational sessions, and an expansive and award-winning exhibit floor packed with the very latest wound, ostomy and continence innovations.

A full Conference Program appears on pages 24 & 25 of this Link. Visit www.wocnconference.com for more information and to register today!!

The conference offers exhibitors the chance to be one of the 70 organizations on our award-winning exhibit floor and have the opportunity to learn what the top decision-makers in healthcare are looking for. SHARE As a delegate you can share what you're doing with the best and brightest minds

– CEOs, administrators and clinicians alike – at the most anticipated networking event in wound, ostomy and continence care. Exhibitors have the opportunity to share their latest innovations with an overwhelming number of the most prominent wound, ostomy and continence nurse leaders, from across North America, with the authority to purchase. If you're a sponsor or advertiser share your corporate vision with the most sought-after audience in wound, ostomy and continence care. These leaders make this an event that simply can't be missed. EVOLVE

Delegates – attend as many of our keynotes and educational sessions as you possibly can in order to evolve your understanding of the latest issues and to enable you to help drive your organization forward. Exhibitors – evolve your strategy and tactics by putting your corporate offerings to the test in front of the most discerning audience in the wound, ostomy, and continence care industries. Crossing borders and breaking boundaries between the CAET and WOCN will bring together new faces and the opportunity to learn and share ideas and discuss similar issues that our specialty faces across North America. It’s a unique opportunity to dissolve our borders and expand our boundaries of knowledge, learning and networking. cd le LIEN

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INDUSTRY NEWS

Uresta® bladder support is the first self-managed pessary on the market that offers women a non-surgical solution to stop light bladder leakage caused by Stress Urinary Incontinence (SUI). Uresta® is innovative, simple and effective for women of all different shapes and sizes who suffer from SUI either a little or a lot. For some, the condition is just an embarrassing little leak that happens from time to time or only when they do certain activities. For others, it’s something that impacts their choices of activities, their wardrobe and self-confidence every day. Uresta® is easy to use as its tapered fit allows easy introduction into the vagina, its bell-shape supports the urethra muscle and actually stops the leaks from happening. The simple handle allows for easy insertion and removal as well. When removed at the end of the day or after an activity you merely wash the uresta® with soap and water, place it in its carrying case to dry, reinsert the following day or prior to the desired activity. This grade ll medical device made of medical-grade plastic called thermoplastic elastomer, which is non-latex, nonsilicone product. Licensed by Health Canada, it is comfortable, safe and easy-to-use, allowing the 1 in 3 women over the age of 30 who suffer from SUI to be confident and enjoy life without worrying about leaks. Because it doesn’t stay in, it will not cause skin breakdown, which is a common concern with standard pessaries, bulky pads or adult diapers. Uresta® can be used for a year before a replacement is required. Women can purchase uresta® online, at local pharmacies and some physiotherapy clinics. It is covered by most Canadian health insurance providers, with a prescription, but it is an over the counter product. The uresta® comes in 5 sizes and the initial starter kit includes 3 sizes to ensure a comfortable fit. Eighty percent of women find their right fit within the Starter Kit which retails for $259. In terms of costs, a regular or medium sufferer spends an average of $500 a year on pads. With the Uresta® Starter Kit at $259, it is a significant savings already and when coupled with the potential of 80% health insurance recovery, it nets an annual cost of less than $60. Go online and take our short quiz at www.uresta.com to determine if this incredible solution is right for you. In a recent testimonial a general practitioner comments on her personal experience: “I can now regularly participate in aerobics class with no problems. I recommend it to a lot of my patients and have heard only good things about it from them when they try it.” From a consumer: “I am a young mother whom had stopped running because of SUI. Uresta® allowed me to start again and I feel great.”

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ET COMMUNITY NEWS

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

GAWG Phase Two – Choosing a New Governance Structure ith the approval of the Ostomy Canada Society National Council, in September of 2015, the Governance Advisory Working Group (GAWG) has begun Phase Two of its deliberations. The mandate for GAWG, Phase Two, is to research the different types of governance structures that have been chosen by other Canadian charities. The working group will be looking at three distinct options of governance: 1. A Federation; 2. A single national board with accountable regional/provincial/ branch boards; or 3. A single national Board of Directors

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Current Governance Structure: Ostomy Canada Society is, at present, a federation of chapters and satellites governed by a National Council. The National Council, however, chooses to defer to the national Board of Directors and act more in the manner of a head office. The Outreach Groups, such as Parents of Children with an Ostomy and Spouses and Significant Others (SASO), as well as social media groups remain outside the governance structure. With the formation of “coffee groups” outside of Ostomy Canada, and the difficulty among some member chapters with following their affiliation agreements, it has become necessary for the Society to look at renewing its governance structure. Of the forty-two member chapters, twelve, from different regions across Canada, are represented in

GAWG Phase Two. This is an increase of four that were represented in Phase One. The use of technology to reach out to the chapters, through the GOTOMEETING platform, is proving to be a useful and worthwhile tool in building connections with the member chapters. An Alternative to Disbanding: Ostomy Canada Society has instituted the Peer Support Group, for the member chapters that are having difficulty maintaining their membership, as a viable alternative to leaving the Society and forming a “coffee group”. It is quite simple to become a Peer Support Group as it only requires a majority of chapter members to agree to disaffiliate. The new group is also expected to provide the name of one representative, with contact information, to the National Office. As of writing this report two chapters had decided to become Peer Support Groups and five others had requested more information. Once the initial growing pains have been overcome there may be more chapters will be interested in changing their status to a Peer Support Group. Advocacy and Support: Under the leadership of the Jim Fitzgerald, the Advocacy Administrator, Ostomy Canada Society is continuing to support the on-line survey to ascertain the costs incurred, in the different regions of the country, whenever a person with an ostomy buys ostomy

The use of technology to reach out to the chapters, through the GOTOMEETING platform, is proving to be a useful and worthwhile tool in building connections with the member chapters. supplies. A new Ad Hoc Committee has also been formed to advocate for the ET nurses in Alberta who are experiencing issues with continued recognition, by the local health authorities, of their professional qualifications. It is hoped that this support from Ostomy Canada will be helpful to ET Nurses as they work to bring this problem to a satisfactory solution. cd New Address for Ostomy Canada Society As of October 31, 2015 the National Office of Ostomy Canada Society has moved from Toronto to Mississauga. The new contact information is: Ostomy Canada Society, 5800, Ambler Drive, Suite 210, Mississauga, ON L4W 4J4 Tel: 905.212.7111 / 1.888.969.9698 email: [email protected] Fax: 905.212.9002 le LIEN

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ET COMMUNITY NEWS

WORLD COUNCIL OF ENTEROSTOMAL THERAPISTS (WCET) Submitted By: Karen Bruton, RN, BScN, CETN(C), MCISc(WH), WCET International Delegate. [email protected]

As you read this I am preparing to attend the 21st WCET Biennial Congress in Cape Town, South Africa!! The congress theme is “Embrace the Circle of Life” and will take place from March 13-17. This is my 3rd WCET Congress and what great times I have experienced! This my last time representing Canada as a WCET International Delegate. This has been a wonderful experience and now I need to pass it onto someone new in Canada.

Are YOU the lucky person who will be the next WCET International Delegate for Canada? The role of the WCET International Delegate includes: • Representing their country’s members as the national WCET spokesperson; • Disseminating information within their country. WCET International Delegates can keep their members abreast of what is happening in their country and around the world by sharing messages and updates with the WCET member database; • Voting on behalf of their country’s members at the WCET General Meeting; • Submitting a Country Report at the biennial WCET Congress outlining the activities of the WCET members as well as other Enterostomal Therapy Nursing activities in their country. The Country Report also serves to promote communication and the sharing of ideas which ultimately advances and strengthens Enterostomal Therapy Nursing globally.

If you’re interested in this exciting role please contact me, at the above email address, for more information.

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