GUARANTEED PASS
Practice Assessment CNO randomly selects a pre-determined number of nurses
Selections starts after second year of registration
Once selected, there is a 10 year period before re-evaluation
Assessment includes
Review of learning plan
Multiple-choice test on selected practice documents
2012 practice standards
Documentation
Therapeutic nurse-client relationships
Peer Assessment An identified 'peer assessor' reviews learning plan
Peer assessor then writes a report for the CNO
Self Assessment Part A- Practice reflection - reflecting on your practice
- obtaining peer input to determine your strengths and areas for improvement;
- developing your learning goals
Self Assessment Part B- Developing and maintaing a learning plan to meet your learning goals
self assessment is an ongoing process. you are expected to reflect on your practice and
update your learning plan on a continual basis
Complaints to the College - reasons CNO is mandated to assess and follow-up re: all
complaints
,types of complaints:
failure to provide adequate care
unsafe medication administration
inadequate documentation
being sarcastic to, or swearing, teasing, or yelling at a client
not protecting a client's privacy
etc.
Complaints to the College- outcomes dispute resolution
- person filing complaint works with CNO + RN to establish best improvements and outcomes
- not all complaints can be dealt with in this manner
Investigation
- when person filing complaint disagrees with above process or complaint is severe
- full investigation by CNO
- if ++ severe complaint referred to Discipline Committee
Based on investigation CNO can require RN to Pay a fine
Receive an oral reprimand
Complete remediation- mandated retraining, course, educational
Have conditions imposed on license to practice
Serve a suspension
Forfeit licensure - expulsion from the College
Professional Misconduct/ Incompetence "Act or omission that is in breach of these accepted
ethical and professional standards of conduct"
, Professional misconduct occurs when a nurse - violation of ethical standards
- breach a standard of practice
- breaches the boundaries of a therapeutic relationship
- engages in physical, emotional, verbal or sexual abuse
Incompetence occurs when a nurse provides care but lacks
- knowledge
- skills
- judgement
or demonstrates a disregard for patient welfare
How do orders and delegation differ? Delegation provides the legal authority to perform a
controlled act.
An order outlines how to perform that controlled act. An order may or may not be related to a
controlled act. An order can be:
- a direct order (client specific) or
- a directive (implemented for a number of clients when specific clinical conditions and specific
circumstances are met
If a nurse receives an order for a controlled act procedure that she already has access to
through the Nursing Act 1991 (ex. administration of a substance by injection) the nurse does
not need delegation
If the nurse receives an order for a controlled act procedure for which she or he is not
authorised (ex. managing a labor or conducting the delivery of a baby) then the nurse needs