Contract Nurse Training Program (RPN)
Aperçu des semaines
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Orientation Overview
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- Pre-orientation administrative documents
1.3 - This module introduces Contract Nurses to Canadian Health Care Agency. It reviews the First Nations and Inuit Health (FNIH) Scope of Practice statement, and contains administrative instructions and logistical tools for successful employment and scheduling.
This module uses didactic instruction and practice review of administrative and logistical tools, including use of the online Learning Management System (LMS), online Scheduling Software (Schedule Anywhere), Completion of time sheets, etc.Zones texte et média: 4 Fichiers: 3 Dossier: 1 URLs: 12 -
2.1 Required Pre-Reading
- ANAC: Cultural Competence and Cultural Safety in Nursing Education - A Framework for First Nations, Inuit and Metis Nursing
- SOGC: Indigenous Companion Piece
- CNO - Practice Guideline - Culturally Sensitive Care
- Trauma Informed: The Trauma Toolkit
Content in this module is derived from the Aboriginal Nurses' Association of Canada document: "Cultural Competence and Cultural Safety in Nursing Education - A Framework for First Nations, Inuit and Métis Nursing".
2.3 - In this module, Contract Nurses will work toward reconciliation through delivery of health care. They will develop a better understanding of Cultural Safety, and how it relates to the Indigenous peoples of Canada. Contract Nurses will recognize who Indigenous Peoples are and define terms that are used to refer to Indigenous Peoples in Canada. This module will also review Indigenous culture and history, and will explore ways in which Contract Nurses can deliver care, respecting traditions and culture.
Contract Nurses will develop the ability to establish a positive therapeutic relationship and open communication with Indigenous clients and their families, characterized by understanding, trust, respect, honesty and empathy.
Socio-cultural and political factors that are health-protective will be explored, as well as those factors which undermine the health of Indigenous peoples and place them at risk for increased morbidity and mortality. Discussion of how basic human rights (e.g. adequate housing, employment) are "out of reach" for many if not most Indigenous peoples.
Contract Nurses will analyze and understand the limitations of their knowledge and perspective and incorporate new ways of seeing, valuing and understanding the health and health practices of Indigenous peoples.
Zones texte et média: 5 Fichiers: 13 URLs: 40 - ANAC: Cultural Competence and Cultural Safety in Nursing Education - A Framework for First Nations, Inuit and Metis Nursing
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3.1 Required Pre-Reading:
- CHCA Workplace Harassment Policy
- CNO Practice Standard - Therapeutic Nurse-Client Relationship
- CNO Practice Guideline - Authorizing Mechanisms
- CNO Practice Guideline - Directives
- CNO Practice Standard - Decisions about Procedures
- Ornge - Medical Transport Information Manual
3.2 - Lecture Time: 1 hour
3.3 - This module introduces Contract Nurses to the workplace environment, reviews procedures for medical consultation, coordinating schedevac/ medevac patient transfers, including forms and procedures required for consultation, transfer and evacuation of patient to other agencies and hospitals, or health professionals.
Contract Nurses will also review their role as referral agent, and discuss inter-agency collaboration through various methods of communication and consultation including telemedicine.
This module further discusses the use of Service Administration Log, common types of reportable occurrences and how to effectively manage them, as well as recognition and management of workplace harassment and bullying.
Zones texte et média: 4 Fichiers: 28 URLs: 4 Test: 1 - CHCA Workplace Harassment Policy
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4.1 Required Pre-Reading:
- CNO Practice Guideline - Consent
- CNO Practice Guideline - Working with Unregulated Care Providers
- CNO Practice Standard - Documentation
- CNO Practice Standard - Confidentiality and Privacy - Personal Health Information
- FNIHB Nursing Policy II - 05: Confidentiality
- FNIHB Nursing Policy II - 08: Documentation Standards
- FNIHB Nursing Policy II - 21: Appendix A Circle of Care Disclosure
- FNIHB Nursing Policy II - 22: Appendix A Third party disclosure of information
- FNIHB Nursing Policy II - 22: Appendix B Law Enforcement Investigations
4.2 - Lecture Time: 2 hours
4.3 - This module gives Contract Nurses the opportunity to apply theoretical concepts and practice skills to understand the expectations of Contract Nurses when documenting client care. Clear, comprehensive and accurate documentation is an integral part of safe and effective nursing practice.Topics include: the principles of SOAP documentation, the Contract Nurse's accountability when documenting; and how to maintain security of confidential information. Contract Nurses will then discuss triage and telemedicine, and discuss components of a high-quality telephone triage system. They will summarize the essential aspects of good communication required for triage, and identify how language barrier, cultural norms, rules of thumb, cognitive biases and other distractors influence triage decision making.
Zones texte et média: 4 Fichiers: 13 URLs: 3 Tests: 2 -
5.1 Required Pre-Reading:
- FNIHB Policy and Procedures on Controlled Substances
- CNO Practice Guideline - Directives
- CNO Practice Standard - Medication
- RESOURCE: Naloxone Injection Guideline
- RESOURCE: Link - Canadian TB Standards
5.3 - Contract Nurses will examine pharmacological concepts and nursing practices required to safely care for clients in need of pharmacological treatments. General principles of pharmacology, common drug classifications, principles of medication preparation and administration including drug calculations, and related regulatory competencies are studied.This module provides Contract Nurses with the opportunity to develop calculation skills necessary for the safe administration of medications. Emphasis is on caring for clients on drug therapy, interactions of drugs, psycho/social aspects of drug use, legal control over drugs and health teaching.
Contract Nurses will also become more familiar with Drug Formularies for the different Zones, Drug Classification System for prescribing and calculating drug doses for the paediatric population as well as renal dosing.
Contract Nurses will become familiar with Direct Observed Therapy (DOT) for the treatment of Active and Latent Tuberculosis, and gain and understanding of the role and responsibilities of the Community Health Nurse in directing this program.
Zones texte et média: 4 Fichiers: 14 URLs: 2 Test: 1 -
6.1 Required Pre-Reading:
- FNIHB Ontario Region Nursing Manual:
- Policy IV-01 - Acknowledging Diagnostic Test Results
- Policy IV-02 - Laboratory Procedures - Unregulated Healthcare Workers
- Policy IV- 05 - NP- Initiated Laboratory Tests
- Policy IV- 06 - RN Initiated Laboratory Tests
- Policy IV - 07- Venipuncture
- Sioux Lookout Meno Ya Wi Health Centre - Laboratory Manual
6.2 - Class Time: 2.0 hours
6.3 - Contract Nurses have sound working knowledge of all lab requisitions and how to complete them correctly. They will determine the need for the appropriate laboratory or diagnostic tests and how to processes each test. Contract Nurses will prioritizes specimen processing to ensure accuracy and avoid multiple collections and take steps to ensure that lab and diagnostic equipment are available and operational when needed; by performing daily/ weekly/ monthly quality assurance testing.
Contract Nurses will understand how to perform venipuncture on clients across the lifespan and perform the correct specimen collection appropriate to treatment settings. They will learn to interpret diagnostic laboratory or diagnostic results and respond appropriately. Contract Nurses will identify all available point-of-care tests, understand how to provide and interpret the results, in order to guide treatment and management of the patient. They will demonstrate sound decision-making skills related to lab testing and ongoing screening and lab or diagnostic testing. Contract Nurses will come to understand scope of practice in relation to all laboratory and diagnostic testing and able to refer and consult as appropriate. They will take steps to ensure that equipment is available and operational e.g., Glucometer, HemoCue
Contract Nurses will demonstrate understanding of the following: use of the centrifuge, procedures for Point of Care testing (POCT): Erythrocyte Sedimentation Rate; Stat Haemoglobin; Urine HCG; Fecal Occult Blood Testing and Interpretation; Urinalysis, 24 hour urine collection, urine for microbiology; Haematology and Chemistry Specimen Processing.
Zones texte et média: 4 Fichiers: 14 URLs: 6 Dossier: 1 Test: 1 -
7.1 - Pre-Reading:
- 2021 Ontario Immunization Schedule
- Canadian Immunization Guide
- Medical Directive - Immunizations
- Medical Directive - TST
- Immunization Protocol 2018
7.2 - Class Time: 1.5 hours7.3 - Contract Nurses will review the key parts of a community immunization program and aspects of management, and can evaluate surveillance measures in the event of an outbreak and minimize risk of outbreak. They will go over the application of current immunization schedules to ensure patient immunization status is up to date.
In this module, Contract Nurses will develop a working knowledge of all Biologicals and Vaccine Preventable diseases, and will understand the difference between expected reactions and unexpected reaction. They will learn to provide health teaching to clients and their caregivers. Contract Nurses will have a solid understanding of cold chain and how to operate required storage and monitoring equipment.
Upon successful completion of the quiz, Contract Nurses will receive a certificate.
Zones texte et média: 4 Fichiers: 18 URLs: 5 Dossier: 1 Test: 1 -
8.1 - Required Pre-Reading:
- FNIHB Clinical Practice Guidelines - Paediatric Guidelines - Chapter 18-1 to 18-25 - Communicable Diseases
- FNIHB Clinical Practice Guidelines Adult Guidelines - Chapter 11 - Communicable Diseases
- Canadian Guidelines on Sexually Transmitted Infections
8.3 - Contract Nurses will discuss a variety of communicable diseases and infections that affect both the adult and paediatric populations, including tuberculosis. They will learn to perform comprehensive assessments using an organized approach to assess chief complaint, history of present illness, sexual history as required and perform a relevant physical exam to screen for communicable diseases or sexually transmitted infections.
Contract Nurses will understand and determine the need for the appropriate diagnostic tests (blood work, or urine/ swab for culture) required to test for communicable diseases and sexually transmitted infections, and learn how to discuss assessment and laboratory findings with the client, recognizing the need and performing contact tracing if necessary.
Zones texte et média: 4 Fichiers: 12 URLs: 8 Dossiers: 4 Test: 1 - FNIHB Clinical Practice Guidelines - Paediatric Guidelines - Chapter 18-1 to 18-25 - Communicable Diseases
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9.2 - Class Time: 1.5 hours9.3 - Contract Nurses will be able to complete focused assessments, recognize deviations from normal, analyze findings and develop differential diagnoses that can help identify urgent and emergency problems in the otherwise well neonate, infant and child. they will perform screening assessments for well baby and well child visits, and understand and determine the need for further consultation, screening and diagnostic tests.
Contract Nurses will be able to discuss health assessment findings with clients and will be able to make appropriate prevention recommendations. They will also understand family structures, determine how to conduct a family assessment and assessment and assist families in accessing resources to meet health needs of their child.
Zones texte et média: 4 Fichiers: 7 URLs: 4 Dossiers: 3 Test: 1 -
13.1 - Required Pre-Reading:
- RESOURCE: Hypertension Canada 2017 Guidelines
- RESOURCE: Kidney Wise Clinical Toolkit
- RESOURCE: Canadian Journal of Diabetes - 2013 Clinical Practice Guidelines (p. S296)
- RESOURCE: Eating Well with Canada's Food Guide - First Nations, Inuit and Métis
- RESOURCE: Dietary Guidelines for the Brazilian Population
- VIDEO: 23 1/2 Hours: What is the single best thing we can do for our health? (9m18s)
13.3 - Contract Nurses will learn to recognize the deviations/ variations from normal findings, as they relate to the current clinical practice guidelines. They will help identify potential chronic health problems, and better understand how to routinely manage them . They will understand and determine the need for the appropriate diagnostic testing, including laboratory and imaging used for screening and prevention, and discuss health assessment findings with clients.
Contract Nurses will garner an understanding of common haematologic, endocrine and metabolic conditions such as; Diabetes (Type 1); Diabetes; Anemia (Microcytic, Normocytic, Macrocytic), Chronic Obstructive Pulmonary Disease, Chronic Kidney Disease and Hypertension. They will discuss and demonstrate the diabetic foot assessment (monofilament), as well as the use of screening and monitoring tools.
Zones texte et média: 6 Fichiers: 10 URLs: 6