2004 Distribution of Practice Contacts

Transcription

05-00601 RN ANNUAL REP 3/23/05 11:15 PM Page 1
ANNUAL
REPORT
2004
2
/
ANNUAL
REPORT
April 2005
The Honorable Tim Sale
Minister of Health
Room 302, Legislative Building
450 Broadway
Winnipeg, MB R3C 0V8
Dear Minister:
We are pleased to present our 2004
Annual Report in accordance with
the provisions of the Registered
Nurses Act. This report covers the
period from January 1, 2004 to
December 31, 2004 and includes a
statement of accounts of the College,
as required by the Act.
Respectfully submitted,
Karen Dunlop RN
President
COLLEGE OF REGISTERED NURSES OF MANITOBA
TABLE OF CONTENTS
Letter of Transmittal
2
Vision, Mission and Goals
3
CRNM Organizational Structure
3
College Staff
3
President and Executive Director’s Message
4
Board of Directors
6
Committees
7
Statutory Committees
7
CRNM Committees
7
National Committees
8
Other
8
Report of Operations of the College
9
Goal 1
9
Goal 2
13
Goal 3
13
Goal 4
14
Statistics
Registration Statistics
16
Complaints Statistics
18
Auditors’ Report
19
Financial Statements
20
Notes to the Financial Statements
22
COLLEGE OF REGISTERED NURSES OF MANITOBA ANNUAL REPORT / 3
Vision, Mission and Goals
T
HE College’s vision guides the work of the Board of Directors. It also serves as a compass for the
administration as they plan the operations of the College. Together, we work toward creating an environment where registered nurses achieve excellence in professional nursing practice and participate as full
partners in shaping health services.
THE VISION OF THE COLLEGE OF REGISTERED NURSES OF MANITOBA IS:
Registered nurses achieve excellence in professional nursing practice and participate as full partners in
shaping health services.
THE MISSION OF THE COLLEGE OF REGISTERED NURSES OF MANITOBA IS:
The public receives safe, competent nursing care.
THE FOUR OVERARCHING GOALS
OF THE COLLEGE OF REGISTERED NURSES OF MANITOBA ARE:
❚ Nursing is a self-regulated and self-supported professional body.
❚ The nursing profession influences public policy regarding health.
❚ The public is knowledgeable about registered nurses.
❚ Registered nurses are supported in achieving excellence in professional
nursing practice.
CRNM
Organizational Structure
BOARD OF DIRECTORS
EXECUTIVE DIRECTOR
DIRECTOR,
POLICY DEVELOPMENT
AND REGULATION
DIRECTOR,
COMMUNICATIONS AND
GOVERNMENT RELATIONS
Executive Support
DIRECTOR,
CORPORATE
SERVICES
Registration Services
Finance and Accounting
Nursing Practice
Information and Technology
Complaints, Investigation and Discipline
Business and Special Events
College of Registered Nurses
of Manitoba Staff List
EXECUTIVE DIRECTOR
Susan D. Neilson RN
DIRECTORS
Glenn R. Hildebrand MBA, Communications and
Government Relations
Steven Lanktree C.A., Corporate Services
Diane Wilson Maté RN, Policy Development and
Regulation
STAFF
Karen Burky, Receptionist
Marta Crawford RN, Consultant, Nursing Practice
Lisa Dixon, Administrative Coordinator, Nursing Practice
Deb Elias RN, Consultant, Nursing Practice
Danilyn Graham, Administrative Coordinator, Policy
Development and Regulation
Ron Halford, Administrator, Information Systems
Lisa Hohm, Administrative Coordinator, Policy
Development and Regulation
Susan Irwin, Administrative Coordinator,
Corporate Services
Bill Knight RN, Consultant, Nursing Practice
Sheri Kressock RN, Coordinator, Complaints
Jan Neufeld, Coordinator, Investigations
Brian Noga, Coordinator, Accounting
Leona Palmer RN, Coordinator, Registration Services
Jennifer Reykdal, Administrative Coordinator,
Rebecca Swanson, Administrative Coordinator,
Stephanie Tack, Administrative Coordinator,
Communications and Government Relations
Fred Vanmeekeren, Custodian/Security
Terry Wilson, Executive Assistant
4
/
ANNUAL
REPORT
PRESIDENT AND
EXECUTIVE DIRECTOR’S MESSAGE
A
N annual report is a time to reflect as well as an
opportunity to look ahead. This past year has
been one of laying foundations and building
connections. The foundation consists of a number of
pillars, including the Extended Practice Register, continuing competence, and enhanced communication.
Connections have been strengthened within the
organization and profession as a whole. I am pleased to
join with our Executive Director in reporting on the
year and looking to our shared future.
Karen Dunlop RN
President
Susan D. Neilson RN
Executive Director
The groundwork for the Extended Practice Register
has been laid through the combined efforts of the
Board of Directors, staff, registered nurses and our
external partners. This work culminated in 2004 in a
public commitment from the Minister of Health that
the regulation would become law in the spring of
2005. This year saw the development and approval of
Extended Practice Standards of Practice for Registered
Nurses in Manitoba, Entry Level Competencies for
Registered Nurses in Manitoba, and the development of a
blueprint for a national licensing exam and a prior
learning and practice assessment mechanism. I would
like to thank and acknowledge the hard work and
commitment of everyone who worked so diligently to
make this dream a reality. With this foundation, our
focus must turn to the integration of registered nurses
on the Extended Practice Register into our health care
system. Integration involves partnerships, with
Manitoba Health, employers, physicians, pharmacists,
allied health care professionals, the consumers of
health care service, and registered nurses.
The Continuing Competence Program was launched
for registration renewal in 2004. The program is consistent with our mandate to serve and protect the public a hallmark of a regulated profession. The commitment
to continuing competence by members, while not new,
was apparent through the member contacts with the
Board of Directors and College staff. I am very pleased
to see this commitment is firm among registered nurses. There have also been many discussions and a lot of
constructive feedback regarding the program and how
to improve it. Some changes have already been made
and others will likely occur as the program is evaluated
over time. Support for the principle of continuing
competence itself is strong and highly valued by registered nurses throughout the province.
Communication remains a key priority for the entire
organization and profession. With the support of
ongoing dialogue with our members, communication
programs are developed and existing services altered or
enhanced. This is truly an area of shared responsibility
and shared success. Through the combined efforts of
members, the staff, and the Board, we will continue to
build together.
One of the communication priorities for the Board
was to strengthen the connection between the College
and members. With the launch of the President’s Tour
in September 2004, we are well on our way to
strengthening this vital connection. Tours have
occurred in the Parkland, Norman, Westman, and the
three districts that make up Winnipeg. This important
work will continue in 2005. The tours were hosted by
Board members, facilitated by senior nurse managers,
guided by members, and included members throughout a number of different practice settings. I am grateful to everyone who shared their time, thoughts and
ideas with me. Feedback from members regarding the
President’s Tours has been overwhelmingly positive.
The value in connecting is shared by both members
and the Board. Many actions have already been taken
at a Board and organizational level as a direct result of
feedback from the tours.
There are an enormous number of exciting initiatives occurring throughout the province. We continue
to encourage nurses to consider sharing information
through the Manitoba RN Journal or making presentations at the Canadian Nurses Association Biennium in
Saskatoon in 2006. All members are encouraged to
support each other in showcasing practice initiatives
and research. We have much to be proud of!
staff. The College has embraced the strength of shared
responsibility that characterizes high functioning
boards. This has contributed to building on the mutually supportive and respectful relationship that existed
and a quality work environment, essential for nurses
in every practice setting. The Board of Directors has
exercised their vision on the solid foundation of our
mission to serve and protect the public. There remain
many challenges ahead and we are both confident
that the College is well equipped to address them.
Healthy work spaces are a part of healthy work environments. Decisions made regarding workspace in
2004 will lead to the College occupying a new leased
location in August of 2005. This new workspace will
address existing environmental concerns and help us
enhance the service we provide to members and applicants for registration. Located on a major thoroughfare, it will further enhance the visibility of our organization as we work to create a stronger voice for registered nurses. Our new space will be something we can
all be proud of.
Reflecting on this past year and in particular my first
six months in office as your President, I am reminded
of my first message in the July Manitoba RN Journal
where I outlined the themes I saw guiding my presidency. In this report card to you, I feel confident that
together we are succeeding in realizing opportunity,
and improving communication through the active
participation of Board, staff and members. As we look
with anticipation to the year ahead, there are great
opportunities on the horizon. Sue and I ask for your
continued support as our profession takes full advantage of those opportunities. Together we are stronger
and can accomplish great things!
The theme of building connections has also applied
to the relationship between the Board and the College
Karen Dunlop RN
President
Susan D. Neilson RN
Executive Director
6
/
ANNUAL
REPORT
BOARD
OF DIRECTORS
2004-2005
The Board of Directors is made up from two groups members of the College of Registered Nurses of Manitoba
elected by their peers, and members of the public appointed by the board or by government. In accordance with the
Registered Nurses Act and CRNM By-laws, the board
includes the president, president-elect, ten elected member
representatives and six public representatives (three
appointed by the board and three appointed by the
Manitoba government.) Under this structure, the board is
accountable to Manitobans and registered nurses.
Back Row:
Terrance Machalek Sr., Public Representative;
Gloria Campbell RN, Parkland District;
Nancy Miller RN, Thompson District;
Kaaren Neufeld RN, Eastman District;
Judy Kaprowy RN, Central District;
Margot Gray RN, Norman District
Middle Row:
Eric Uhmann, Public Representative;
Janet Johnson, Public Representative;
Bertha Arnold, Public Representative;
Val Zurba RN, Westman District;
William Eamer CA, Public Representative;
Front row:
Donna Pacholok, Public Representative;
Susan D. Neilson RN, Executive Director;
Karen Dunlop RN, President;
Deb Stewart RN, Eastman District;
Marilynne Hogg RN, Interlake District
Absent:
Sheila Dresen RN, President-Elect;
Karen Gennick RN, Interlake District;
Cathy Rippin-Sisler RN, Central District
Thank you
The board wishes to thank
Gail Fones RN, President; Beth Brunsdon-Clark
RN, Central District; Catherine Hopfner RN,
Parkland District; Rev. John Melnyk,
Public Representative; Sandra Trubyk RN,
Interlake District; and Shellie Anderson RN,
Eastman District, who served on the board to
the end of July.
The board wishes to thank Marilyn Bowen RN,
Interlake District, who served on the board to
the end of August, and Bertha Arnold, Public
Representative, who served on the board until
the end of December.
COMMITTEES
STATUTORY
COMMITTEES
Appointments Committee —
selects representatives to serve on CRNM committees.
This committee also selects public representatives.
Janet Johnson*
Sandra Trubyk RN, Chair
Valerie Zurba RN
Diane Wilson Maté RN, CRNM Staff Liaison
Discipline Committee —
a quasi-judicial body that conducts hearings and
makes findings regarding disciplining registered
nurses. The committee has the power to make orders
and issue a range of sanctions under the Registered
Nurses Act.
Sheila Billinghurst*
Rod Bruinooge* (from December)
David Driedger RN (to July)
Barbara Featherstone RN
Steven Fletcher* (to July)
Debra Fraser Askin RN
Robert Girard* (from June)
Darlene Kittner RN (to July)
Sandra Holben RN (from June)
Marilyn Irving RN (from June)
Hilary Kaufman Lerner* (from June)
Tracey Legary RN (from June)
Zenon Lisakowski RN
Melany Lowen RN
Calum Lunn RN
Douglas MacKay*
Kimberley McCormick RN
Susan Mussell RN, Chair
Asha Pereira RN
Irwine Permut*
Cynthia Petrusiak RN (from June)
Shirley Scaletta*
Corinne Shore RN (from June)
Christine Simpson*
Kristine Svendsen RN (from June)
Lois Tessier RN (to July)
Beverley Towler RN
Deb Elias RN, CRNM Staff Liaison
Investigation Committee —
facilitates the investigation of complaints against registered nurses in accordance with the Registered
Nurses Act and College By-laws.
Fred Arrojado*
Madeleine Baril RN
Kathleen Christenson RN
Kathryn Smith RN, Chair
Janet Sprout*
Irene Zajac-Mendela RN
Sheri Kressock RN, CRNM Staff Liaison (from May)
Judy Murata RN, CRNM Staff Liaison (to March)
CRNM COMMITTEES
Awards Committee —
makes recommendation regarding professional nursing
and community caring awards.
Martin Gutnik*
Gay Hordienko RN
Beverley Laurila RN
Mark Singh RN
Shelley Tallin RN, Chair
Glenn Buchko CA, CRNM Staff Liaison (to May)
Steve Lanktree CA, CRNM Staff Liaison (from May)
Continuing Competence Committee —
makes recommendations on issues related to the development of the continuing competence program. This
committee concluded its work in November 2004.
Patricia Bergal RN
Patricia Cockburn RN
Kathryn Doerksen RN, Chair
Sharon Edmundson RN
Dr. Wendy Fallis RN
Cheryl Lange RN
Roberta Moore RN
Sandra Romano RN
Deb Elias RN, CRNM Staff Liaison
Education Program Committee —
makes recommendations regarding nursing education
programs.
Gloria Castillo*
Carol Manson McLeod RN, Chair
Ron Van Den Bussche*
Laurie Walus RN
Catherine Woloshyn RN (to May)
Corinne Yakiwchuk RN (from September)
Marta Crawford RN, CRNM Staff Liaison
Extended Practice Register Advisory Committee —
makes recommendations on issues related to the development of the extended practice register.
Cindy Allan RN
Dr. Terry Babick
Brenda Dawyduk RN, Chair
Debra Fraser Askin RN
Dr. Ruby Grymonpre
Robert Jaska
Barbara Millar
Dr. Bill Pope
Dr. Bob Sangster
Diane Wilson Maté RN, CRNM Staff Liaison
Investment Advisory Panel —
assists the Executive Director in managing the investments of the College.
Phil Cyrenne*
Barré Hall*
Cliff Fox*
Glenn M. Buchko CA, CRNM Staff Liaison (to May)
Steve Lanktree CA, CRNM Staff Liaison (from May)
Legislation Committee —
makes recommendations on proposed revisions to the
Registered Nurses Act, Registered Nurses Regulation
and College By-laws. This committee concluded its
work in December 2004.
Kenneth Hughes*
Brenda Janz RN
Donna Lees RN
Donna Meder RN
Karen Dunlop RN, Chair (to July)
Sheila Dresen RN, Chair (from August)
Nominating Committee —
in accordance with College By-laws, this committee
assists in the nomination and election process for president-elect, registered nurse board members and the
Nominating Committee.
Helga Bryant RN (from August)
Yvette Lennon RN (from August)
Gail Fones RN, Chair (from August)
Margot Christie RN (to July)
Christina Whittaker RN (to July)
Betty Frost RN, Chair (to July)
Glenn Hildebrand, CRNM Staff Liaison
Nursing Research Committee —
makes recommendation on research issues and
research priorities. This committee concluded its work
in August 2004 and has disbanded.
Elaine Beyer RN
Mary Ellis RN
Dr. Lorna Guse RN, Chair
Karen Schnell RN
Anna Maria Magnifico*
Marta Crawford RN, CRNM Staff Liaison
Registration Committee —
makes recommendation regarding registration issues.
Shawna Cupples RN
Jo-Anne Mayer RN
Maureen Morrison*
Deanne Spiegel RN
Krista Van Aert RN
Leona Palmer RN, CRNM Staff Liaison
*denotes Public Representative
8
/
ANNUAL
REPORT
NATIONAL COMMITTEES
OTHER
The College participated in a number of committees with
a national scope.
Registered Nurse Investigators —
are appointed by the board of directors to conduct investigations into complaints. When the Investigation
Committee directs that an investigation take place, an
investigator is appointed from this pool.
Canadian Registered Nurses Examination committees:
CRNE Committee — Joanne Sawatzky RN
CRNE Council — Diane Wilson Maté RN (chair)
Canadian Registered Nurse Exam Item Writers —
the following registered nurses were nominated as item
writers for the CRNE. They assist in developing questions
used in the CRNE.
Christine Ateah RN
Elaine Beyer RN
Penny Davis RN
Rachel Hébert RN
Marilynne Hogg RN
Sonia Jablonski-Praznik RN
Sandy Kluka RN
Francine Laurencelle RN
Linda Levitt RN
Elizabeth Polakoff RN
Carla Shapi RN
Shelley Tallin RN
Lois Tessier RN
Sandra Trubyk RN
Canadian Nurse Practitioner Examination (CNPE) is in
development and will be completed in 2005. Manitoba
was represented in this process by the following registered nurses:
CNPE Blueprint Committee —
Katie de Leon-Demare
CNPE Core Competency Review Committee —
Debbie Fraser Askin
Sample Item Writing —
Katie de Leon-Demare
Item Writing —
the following registered nurses were nominated as item
writers for the CNPE. They assist in developing questions
used in the CNPE.
Brenda Dawyduk RN
Katie de Leon-Demare RN
Alex Kowalski RN
Sandy May RN
National Advanced Practice Committee —
make recommendations regarding competencies, as part
of the development of a proposed national advanced
nursing practice exam.
Debra Askin RN
Jeanette Angel RN (from October)
Susan Adelman RN
Janine Ballingall Scotten RN
Patricia Bergal RN
Cheryl Bilawka RN
Jason Butchart RN
Alice Challoner RN
Debbie Clevett RN
Brenda Dawyduk RN
Judith Deatrich RN
Donna Dixon RN
Mary Driedger RN
Marie Edwards RN
Carol Enns RN
Janice Epp RN
Anne Finkel RN
Karen Finney RN
Robin Finney RN
Carla Franklin RN (from August)
Joan Harbeck RN
Louise Hobson RN
Kimberley Jabusch RN (to September)
Ruth Jantz RN (from October)
Darlene Kittner RN
Darren Klassen RN (from October)
Sheri Kressock RN (to June)
Beverley Laurila RN
Yvette Lennon RN
Holly Levac RN
Barbara Lewthwaite RN
Patricia Malanchuk RN
Elaine McCrimmon RN
Sally McCulloch RN (from October)
Kishwar Mirza RN
Janice Nesbitt RN
Katherine Nudler RN (from October)
Barbara Partridge RN
Karen Polischuk RN
Michelle Priestley RN (from October)
Karen Pryce RN
Patricia Rawsthorne RN (from October)
K. Elizabeth Scaife RN (to May)
Joan Schultz RN
Daunna Sommerfield RN
Sandra Stec RN
Raeann Thibeault RN
Rose Thomas RN (from August)
Sheila Thompson RN
Valerie Turnbull RN
Marian Ulyatt RN
Debra Vanance RN (from August)
Noreen Wallwin RN
Joanne Winsor RN
Suzanne Wowchuk RN (from September)
Jan Neufeld, CRNM Staff Liaison
Scrutineers —
assist in the conducting of voting.
CRNM Election Scrutineers
Janine Ballingall Scotten RN
Kami Hamelin RN
Elizabeth Ptasznik RN
Debbie Viel RN
CRNM Annual Meeting Scrutineers
Erna Braun*
Roberta Brown*
Bill Eamer*
Susan Hall*
Janet Johnson*
Judith Kozak*
Huguette Lariviere*
Douglas MacKay*
Enid Pottinger*
Shirley Scaletta*
Esther Schroeder*
Eric Uhmann*
* denotes Public Representative
Report
on the
Operations
of the College
T
HE College’s vision statement guides the governance
and the planning and operations of the College.
Together, the Board of Directors and College administration work towards creating an environment
where registered nurses achieve excellence in professional
nursing practice and participate as full partners in shaping
health services.
the Canadian Nurses Association (CNA) to provide RN supply data.
The data is provided to communicate accurate numbers of RNs in
the province in order to project the number of RNs required to meet
the nursing services needs of Manitobans. Data indicates vacancies
have dropped somewhat in 2004, and the project (Required Supply
Model Projection Analysis) now makes projections every two years to
ensure these trends are followed closely into the future. The next
projection will be done in 2005.
WEB BASED TOOLS
The mission statement of the College guides our day-to-day
activities. In short, the College exists to ensure that
Manitobans receive safe and competent nursing care. Within
the context of our vision and mission, we present a report of
our operational activities organized by the College’s four overarching goals. They are: nursing is a self-regulated and selfsupported professional body; the nursing profession influences
public policy regarding health; the public is knowledgeable
about registered nurses; and, registered nurses are supported
in achieving excellence in professional nursing practice.
GOAL 1 —
NURSING IS A SELF-REGULATED
AND SELF-SUPPORTED
PROFESSIONAL BODY
The College continues to make enhancements to the web-based
online registration renewal system it developed and implemented in
2002. In 2004, approximately 1,050 renewal applications were
received.
As a result of feedback from employers, the web-based employer
verification service was improved in 2004. This service, developed
and introduced in 2003, gives health care employers the ability to
verify the registration status of the registered nurses they employ.
The service assists employers in meeting their statutory obligations
under the Registered Nurses Act. A total of 74 employers, employing
more than 90% of the total number of nurses on the practicing and
graduate registers, registered for the service. In 2004, the service was
utilized for more than 2,200 requests which generated more than
180,000 responses on the registration status of individual members.
A total of 85% of employers surveyed reported their satisfaction with
the online service. All respondents reported they would continue to
use the service and 95% indicated they would recommend the service to other employers.
SUPPLY OF REGISTERED NURSES
CAREER FAIR
At December 31, 2004, there were 11,518 registered nurses on the
practicing register, an increase of 255 registered nurses from the previous year. In addition, there were 106 registrants on the graduate
nurse register, an increase of 16 from 2003.
The College participated in the University of Manitoba, Faculty of
Nursing Career Fair in January 2004. This event provides nursing students with an opportunity to meet with representatives of the
Regional Health Authorities and other employers in order to learn
about the wide variety of opportunities for their Senior Practicum
and future employment in Manitoba. The College’s booth was a
popular stop for student nurses seeking information about registration and the Canadian Registered Nurse Examination and for students from other faculties who wanted information about registered
nursing.
The College’s registration database contains the provincial data
concerning the supply of registered nurses. The College has a signed
letter of agreement with Manitoba Health, the Manitoba Nursing
Research Institute (MNRI), the Winnipeg Regional Health Authority
(WRHA), the Canadian Institute for Health Information (CIHI), and
10
/
ANNUAL
REPORT
ENTRY LEVEL COMPETENCIES FOR REGISTERED NURSES
The Board of Directors approved the Entry Level Competencies for
Registered Nurses in Manitoba in November 1999. In 2004, a consultation and review process was undertaken resulting in a report recommending changes to the entry level competencies that was considered by the College’s Board of Directors in February 2005.
STANDARDS OF PRACTICE AND CODE OF ETHICS
The current CRNM Standards of Practice for Registered Nurses remain
comprehensive and readily applicable by registered nurses in all
practice settings. The Board re-approved the Standards of Practice for
Registered Nurses in Manitoba in September 2004. The indicators will
continue to be revised as necessary to remain current and applicable.
The Canadian Nurses Association Code of Ethics for Registered Nurses
was approved by the College’s Board of Directors in November 2002.
The Code of Ethics is included in the College’s new member kit and is
available for download on the website.
from a wide variety of practice settings and locations in the
province. The review included both multiple choice questions and
the new “key features” short answer questions. The purpose of the
review is to determine that examination questions reflect the CRNM
Entry Level Competencies for Registered Nurses in Manitoba, the Standards
of Practice for Registered Nurses in Manitoba and the nursing care standards in Manitoba. This important input ensures that the national
registration examination reflects the reality of professional registered
nursing practice in Manitoba. Manitoba candidates writing the June
2004 CRNE had the opportunity to voluntarily participate in testing
the new exam key feature questions. The new blueprint for the
CRNE and the key features questions will come into effect at the
June 2005 examination.
Candidates Writing Canadian Registered Nurses Exam in Manitoba
625
612
517
615
489
443
NATIONAL EXAM
322
Manitoba is actively involved in work to ensure the ongoing
integrity of the Canadian Registered Nurse Examination (CRNE). The
2004 jurisdictional review of the CRNE was lead by Dr. Joanne
Sawatzky, Manitoba’s member of the Canadian Registered Nurse
Examination Committee. Members reviewed both French and
English exam questions. The jurisdictional review involved 38 registered nurses representing direct care, administration, and education
Collaboration
Competency
Complaints / Discipline
Documentation
Ethical Concerns
Legal / Liability
Practice Hours
Safety Concerns
Standards of Practice
2004
Distribution of
Practice Contacts:
Breakdown
of Goal 1
312
251
205
222
184
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
2004 Distribution of Practice Contacts
70%
60%
68%
50%
60%
40%
55%
Best Practice
Equipment / Physical
Resources
Workload / Staffing Issues
30%
50%
20%
10%
40%
Education Programs
Role of the CRNM
15%
14%
Delegation
Dispensing
Labour Issues
Other
Practice Environments
Scope of Practice-GN/RN/EP
3%
0
30%
20%
9%
10%
8%
7%
5%
5%
Legal/
Liability
Collaboration
Documentation
4%
4%
3%
0
Competency
Standards
of Practice
Complaints
/ Discipline
Practice
hours
Ethical
Concerns
Safety
Concerns
CONTINUING COMPETENCE
The Continuing Competence Program: A Strategy for Safe,
Competent Practice and Life Long Learning, approved by the Board of
Directors in November 2003, was implemented in March 2004. All
practicing registered nurses were provided with Continuing
Competence Program materials. New registrants were provided with
Continuing Competence Program materials throughout the year
within 2-3 weeks of registering.
Educational opportunities on the Continuing Competence
Program were provided to registered nurses throughout 2004. A
Continuing Competence Program conference was held on April 30,
2004 with over 600 members in attendance. The overwhelming
interest in this conference necessitated a second conference on the
Continuing Competence Program, which was held on June 10, 2004.
In 2004, 112 presentations on the Continuing Competence Program
were conducted. Workshops and presentations were held at district
chapter meetings and in health care facilities throughout all regions
of Manitoba. Individual registered nurses also received information
through telephone and email contact. Through all of these
approaches, it is estimated that the College had contact with over
2000 members on the specific topic of continuing competence.
PROFESSIONAL DEVELOPMENT RESOURCES
Contacts (phone, email, in person) with nursing practice consultants were tabulated for 2004 and are presented in the first chart on
p.10. These contacts provide one source of information about the
professional development needs of registered nurses. The majority of
contacts (68%) relate to the standards of practice, ethical concerns,
legal/liability issues, competency, documentation, practice hours,
complaints and safety concerns. The breakdown of contacts related
to Goal 1 is presented in the second chart on p.10.
The category of competence includes such items as questions related to individual registered nurse competency for specific services,
managing issues related to marginal competence of individuals and
continuing competence. The increase in contacts related to competency, increasing from 8% in the first quarter to 68% in the fourth
quarter, reflects the introduction of the continuing competence
expectations for registration renewal.
member of the Canadian Nurses Protective Society (CNPS), as are
nine other nursing professional and regulatory associations across
Canada. By working together, we have collectively established a
national, non-profit organization providing assistance by registered
nurses, for registered nurses who are facing legal problems arising
out of their professional practice. As a privilege of membership with
the College, the following benefits are available at no additional cost
from CNPS:
❚ Professional liability protection;
❚ infoLAW® legal bulletins on issues of interest for registered nurses;
❚ Education sessions on legal issues by registered nurse lawyers who
are experts in the field; and,
❚ Access to the CNPS website (www.cnps.ca) featuring legal articles
and other legal information. A user name and password is required
to access some of the information. Members may obtain this information from the College.
The scope of liability protection is very comprehensive. It includes
proactive risk management strategies to protect registered nurses
from legal risks as well as caring support and financial assistance for
legal problems related to the provision of registered nurse services.
This includes support for:
❚ Civil lawsuits alleging negligence or malpractice;
❚ Criminal investigations, as well as criminal charges, if your
defence is successful;
❚ Human Rights complaints;
❚ Other alleged breaches of statutes, excluding professional discipline;
❚ Coroner’s or Medical Examiner’s inquiries; and,
❚ Appearing as a witness at other legal proceedings related to the
delivery of healthcare.
WORKSHOPS
Standards Workshops are an interactive approach for facilitating
the understanding of how the Standards of Practice for Registered
Nurses apply to and give guidance to the practice of nursing.
Registered nurses and participants from other health care disciplines
have the opportunity to explore with consultants how the standards
apply to their particular practice setting and issues. In 2004, 27
Standards Workshops were provided in a variety of settings throughout the province.
THE PROVINCIAL EDUCATION AND CONSULTATION PROGRAM
The College’s Provincial Education and Consultation Program provides RNs in all districts with an opportunity to meet with the
College’s nursing practice consultants for education sessions and
consultation regarding practice issues, and to increase member
awareness about the College and available resources. Consultants
toured each RHA in 2004. Feedback continues to be highly positive.
The purposes of the program are to:
1. Ensure practice consultation support is available province-wide.
2. Provide consultation support and education in an efficient and
coordinated way.
3. Facilitate the dissemination of current practice support documents
and resources.
4. Raise the profile of the College among members by providing a
needed service in a supportive and effective manner.
5. Interact with members throughout the province to determine
trends, common issues and successful initiatives that can be of benefit to members in other areas.
Documentation Workshops address the underlying principles of
patient care documentation with a focus on legal issues and best
practice guidelines. A large variety of documentation systems are in
use in Manitoba facilities and the emphasis on principles, legalities,
and best practice supports registered nurses in all practice settings.
There is clearly a high level of need for this resource as the consultants facilitated over 23 workshops in 2004.
CNA CERTIFICATION
In 2004, 135 registered nurses in Manitoba obtained CNA certification in the following areas of nursing: cardiovascular (3), critical care
(5), emergency (8), gastroenterology (1), gerontology (28), hospice
palliative care (50), nephrology (7), neuroscience (2), oncology (12),
perinatal (2), perioperative (14), and psychiatric/mental health (3).
Certification is valid for a 5-year period from April 2004 to April
2009. Registered nurses certified in their specialty can use the designated mark after their highest credential, for example CCN(C)
denotes certified cardiovascular nurse (Canada).
CANADIAN NURSES PROTECTIVE SOCIETY (CNPS)
NURSING EDUCATION AND ENTRY TO PRACTICE
Comprehensive liability protection is an automatic benefit for all
practicing registered nurses through the College. The College is a
CRNM has the authority to approve entry-level nursing education
12
/
ANNUAL
REPORT
programs. Programs must meet the Standards for a Nursing
Education Program in the Registered Nurses Regulation and the Entry
Level Competencies for Registered Nurses in Manitoba. In accordance
with its legislated authority to approve entry level nursing education
programs, the Board of Directors made the following decisions in
2004:
❚ Approved the Collége universitaire de Saint-Boniface Diploma
Nursing Program for a 4-year period ending June 30, 2008;
❚ Approved the Red River College Diploma Nursing Program for a
4-year period ending June 30, 2008; and,
❚ Approved the Brandon University Four-Year Baccalaureate
Nursing Program for a 4-year period ending June 30, 2008.
In November, the Board of Directors approved the following policy: “That the policy of the College of Registered Nurses of Manitoba
is that baccalaureate education in nursing is the preferred educational preparation for registered nurses in Manitoba, and that the
College’s administration will begin consultation with affected stakeholders aimed at developing an action plan for how and when this
goal will be achieved.” Work began in 2004 on a plan that will
include clear deliverables and a proposed timeline for implementation. Once the plan has been finalized, it will be shared with members.
COMPLAINTS & INVESTIGATIONS
As the professional regulatory body for registered nurses in
Manitoba, the College has a responsibility to protect the public. To
this end, the College receives and investigates complaints about registered nurses and addresses allegations of unacceptable conduct and
practices. These processes are conducted in accordance with the
Registered Nurses Act and with the principles of fairness, transparency and administrative efficiency.
Achieving an appropriate balance between the safety and interest
of the public and the roles and responsibilities of registered nurses is
a primary goal when dealing with complaints. In all cases, the safety
of the public takes precedence over the interests of the registered
nurse or the profession. In each situation, consideration is given to
resolving the complaint with educational and supportive strategies
that correct and improve the member’s nursing practice.
The Executive Director refers formal written complaints to the
Investigation Committee. The Committee is made up of two public
representatives and four registered nurses. The Registered Nurses Act
assists the committee with a broad range of decision options.
Following the review of a complaint, the committee decides among:
attempting informal resolution; directing an investigation and
appointing an investigator; or, making a decision in accordance with
Section 23(1) of the Registered Nurses Act. Section 23(1) provides for
a range of options that include: referring the matter to the
Discipline Committee for a hearing; censuring the member; entering
into an agreement or accepting an undertaking; accepting the voluntary surrender of the member’s registration; taking no further action
against the member; or taking any other action that is considered
appropriate in the circumstances provided it is not inconsistent with
or contrary to the Act.
In April 2004, the Investigation Committee, together with the
Discipline Committee, participated in a webcast workshop “How to
Write Reasons” by Richard Steinecke from the law firm Steinecke,
Maciura LeBlanc in Toronto, ON. Throughout the year, the Board of
Directors reviewed and revised the Complaints policies that support
the work of the Investigation Committee, Investigators, and the
Discipline Committee.
The Investigation Committee, Investigators, and the Discipline
Committee all received updated handbooks or orientation manuals
as policies changed or were developed. The Investigation Committee
and the Discipline Committee also received orientation and legal
support from the respective committee’s legal counsel.
In reviewing the statistical summary of complaints dealt with by
the Investigation Committee, it is noted that the majority of complaints (26) are received from Employers/Supervisors. This may be
due to the increased awareness of employers of their responsibility as
outlined in Section 65 of the Registered Nurses Act. Investigations
identified the need to continue support and education to employers
as it relates to the responsibility to report and the roles of human
resources departments and nursing management. The largest number of complaints received occurred in a hospital setting, not surprising given that the majority of registered nurses work in this practice
hospital setting. The majority of complaints considered by the
Investigation Committee were allegations related to: a failure to
intervene or take appropriate action; poor interpersonal skills/verbal
abuse/rude unprofessional language; failure to assess a client; medication administration and documentation errors. As at December
31, 2004, there were a total of eight members who had voluntarily
surrendered their registration, six members who were suspended
pending an investigation or discipline hearing, and eight members
had conditions imposed on their registration. The Investigation
Committee continued to receive monitoring reports on 54 members
who had entered into an agreement and/or undertaking with the
College either by way of the Investigation Committee, Discipline
Committee or Board of Directors. Monitoring the compliance of
members who had agreements/undertakings related to substance
abuse issues has been reviewed. The College entered into an
arrangement with Addictions Foundation Manitoba (AFM) to have
all urine screens and/or breathalyzers conducted by AFM rather than
by various monitoring physicians. This has resulted in improved
consistency in reporting results and streamlined the assessment of
costs to the member associated with the screening.
In 2004, there were a total 54 Investigators, including nine new
investigators appointed by the Board of Directors in order to expand
the pool. On average, each Investigator conducts one to two investigations per year, depending upon their availability. Investigators
enter into a Letter of Understanding with the College outlining their
roles and accountability to the College. In 2004, a total of 37 investigations were completed with the Investigator’s Reports considered
by the Investigation Committee. A total of 25 investigations will
continue into 2005. The average investigation takes approximately
three to six months. Factors that influence the duration include
availability of the investigator, witnesses, and the provision of documentation. Ongoing discussions take place in order to review and
refine our administrative process and procedures.
DISCIPLINE COMMITTEE
Of the seven new referrals to the Discipline Committee, five discipline hearings were concluded, and two hearings were convened and
are expected to conclude in 2005. In addition, three discipline hearings were carried over from 2003 — two of which were concluded in
2004 and one is expected to conclude in 2005. Discipline decisions
are published in the Manitoba RN Journal and the College website.
Publication of discipline decisions has proved to be an effective strategy to inform the public and members about the Orders of the
Discipline Committee and to educate members, student nurses and
the public about professional registered nursing practice.
APPEALS TO THE BOARD OF DIRECTORS
A total of six decisions of the Investigation Committee were
appealed to the Board of Directors in 2004. In each case, the Board
upheld the decision of the Investigation Committee.
GOAL 2 —
THE NURSING PROFESSION
INFLUENCES PUBLIC POLICY
PARTICIPATING IN PUBLIC POLICY DEVELOPMENT
The College was a co-sponsor of the fourth and final Nursing
Research Forum “Building a Research Community: At the Cross
Roads”, held in May 2004. The goal of the forums was to develop a
framework to support research into nursing sensitive outcomes,
which occurs within and across regions, involves appropriate clusters
of stakeholders, makes use of existing and new structures, and
demonstrates accountability to organizations and the public.
Participants at the forum had the opportunity to learn about the
Manitoba Model for nursing research, the pilot project on workplace
violence, and to form a cluster to develop a research project in relation to patient safety. Feedback from participants was positive in
relation to both the model and the research pilot project. Further
information was provided in the October 2004 Manitoba RN Journal.
PRIMARY HEALTH CARE
The College participated in planning the 2004 National Primary
Health Care Conference: “Moving Primary Health Care Forward,
Many Successes More to Do” held in Winnipeg in May 2004. This
conference brought together a broad spectrum of primary health
care providers, organizations/associations, educators, administrators,
government policy makers, and public representatives to advance
the Primary Health Care reform/renewal process. The conference
provided a platform for learning and sharing among key stakeholders from across the country to highlight successes and recommend
implementation strategies.
The College is a member of the Primary Care Nursing Practice
Council of the WRHA. This committee’s mandate includes setting
direction for clinical nursing practice, education and research in primary care; developing clinical standards for primary care nursing,
developing processes to monitor and evaluate care, and providing a
forum for discussion of professional nursing issues.
ments. Members have reported that they find this a valuable
resource.
GOAL 3 —
THE PUBLIC IS KNOWLEDGEABLE
ABOUT HEALTH
PROFESSIONAL ACHIEVEMENT AWARDS
The 2004 Professional Achievement Awards were presented at a
luncheon as part of the College’s Nursing Week celebrations in May.
A media release announced the winners of the awards and an article
on the award winners was published in the July issue of Manitoba RN
Journal and on the College website.
MANITOBA RN JOURNAL MAGAZINE
Four issues of the Manitoba RN Journal magazine were published in
2004. As part of its distribution of 12,000 copies, the magazine is distributed to registered nurses, Manitoba nursing schools, public
libraries, and opinion leaders in government and health care to help
facilitate public access to information about registered nurses and
the College.
CRNM WEBSITE
Registered nurses and members of the public were able to access
information about registered nurses, nursing education, nursing
practice and relevant documents from the College’s website
(www.crnm.mb.ca). This important resource ensures information is
available when and where it is needed. 2004 saw growth in traffic on
our website. The number of unique visitors and number of visits
both grew by 23% for the period comparable data exists. On average,
2,107 unique visitors came to our website monthly, making an average total of 3,478 visits and viewing an average of 254,300 pages of
information and downloading 1 gigabyte of data. Visits to our website varied significantly by time length of visit with about half of the
visits lasting less than 2 minutes, 38% lasting between 2 and 30 minutes and 12.5% lasting longer than 30 minutes. August is the month
of least traffic with 2,533 visits and October with the peak at 6,623
visits. Revisions and changes to the website occur on an ongoing
basis. The website is promoted in all print publications and in the
Manitoba RN Journal.
PUBLICATION OF DISCIPLINE DECISIONS
The College participated in a planning session on public education
and primary health care convened by Manitoba Health. The ultimate goal is to create a common understanding of the primary
health care system to assist Manitobans in more effective utilization
of health services.
Discipline decisions are published in Manitoba RN Journal, on the
website and in the annual report in keeping with the Registered
Nurses Act and board policy. The website contains information on
the complaints and discipline process to aid in educating registered
nurses and the public.
NATIONAL AND INTERNATIONAL ISSUES
RN VISIBILITY CAMPAIGN
The College provided feedback in the development publications of
the Canadian Nurses Association, International Council of Nurses
and other nursing groups. Consultants provided feedback to CNA
regarding the Everyday Ethics publication, CRNE prep guide and a
number of other papers and statements. One example is Ethics in
Practice: Ethical Distress in Health Care Environments. The publication,
available on the CNA website, differentiates between an ethical
dilemma and ethical distress, provides guidance for taking action in
situations of ethical distress, and illustrates the interrelationship
between ethical distress and quality professional practice environ-
In 2004, work began to develop an RN Visibility Campaign as a
major public relations initiative of the College. The campaign is
designed to promote the critical role registered nurses play in our
health care system, while at the same time, educating Manitobans
about public health issues that impact on their daily lives. Research
was conducted in 2004 preparatory to the campaign with handwashing selected as the topic of the first focus of the initiative. Initial
drafts of the creative material were developed and are being refined
for the campaign launch in 2005.
14
/
ANNUAL
REPORT
NATIONAL NURSING WEEK
The College participated in National Nursing Week activities by:
❚ Providing promotional material to registered nurses on request;
❚ Hosting a reception at the Manitoba legislature, in cooperation
with the College of Licensed Practical Nurses of Manitoba and the
College of Registered Psychiatric Nurses of Manitoba, and the nursing education programs at Assiniboine College, Red River College,
Brandon University and the University of Manitoba, attended by
representatives of all three political parties;
❚ Participating in the proclamation signing by the Minister of
Health designating Nursing Week in Manitoba;
❚ Providing background material and arranged interviews with the
Winnipeg Free Press for a newspaper feature on nursing;
❚ Issuing a news release on National Nursing Week to provincial
media; and,
❚ Highlighting National Nursing Week in the July 2004 issue of the
Manitoba RN Journal.
PUBLICATIONS
Contact with members and monitoring national and international
trends provides a basis for developing resources for members. In
2004, the following resources were developed and made available to
registered nurses to address practice issues:
❚ Do I Have a Duty to Report?
❚ Practice Setting Consultation Program
❚ Duty to Care
❚ The Canadian Registered Nurse Examination FAQ (Frequently
Asked Questions)
❚ Calculating Practice Hours for Registration Renewal
“Ask the Practice Consultant” articles published in the Manitoba RN
Journal:
January 2004
❚ Continuing Competence:
Improvements in Final Program
April 2004
Frequently Asked Questions
❚ Your Guide to Professional Practice Services
at the College
July 2004
A Strategy for Safe, Competent Practice
and Lifelong Learning
❚ Do I Have a Duty to Report?
October 2004
❚ Hospital Review Program: A Success Story
❚ Continuing Nursing Education
❚ Placebo
❚ Continuing Competence Program
and Registration Renewal
GOAL 4 —
REGISTERED NURSES ARE SUPPORTED IN
ACHIEVING EXCELLENCE IN PROFESSIONAL
NURSING PRACTICE
PRACTICE CONSULTATION AND EDUCATION SERVICES
An essential activity to achieve the Goals established by the Board
is the practice consultation support provided by the College. Practice
consultation support is provided to individuals and groups, registered nurses, employers and the public. Nursing practice consultants
are available to address issues and concerns in a timely manner.
Consultation is provincial in scope and focused efforts are made to
meet with members, employers and the public in their home communities.
Contact with the College provides members with resources to
address practice issues. Member contacts (mail, email, phone, and inperson) for 2004 reveal that, during this period there were over 3,000
contacts with members and over 250 workshops presented throughout the province.
THE PRACTICE SETTING CONSULTATION PROGRAM
The Practice Setting Consultation Program, developed by the
College of Nurses of Ontario, assists registered nurses and their
employers in creating and maintaining workplaces that support professional nursing practice. This program is now available through the
College and we offer the program and its tools to registered nurses
and employers in Manitoba.
The program includes the administration of a scientifically-tested
survey that assists registered nurses and their employers to measure
the degree to which quality practice setting attributes are present
and supportive of professional practice. A workbook with step-bystep planning, a survey results report and ongoing consultation with
a program expert assist each organization to effectively implement
and manage the program. The College offers ongoing support and
education to all participating sites at each step of the program.
Consultation includes onsite and telephone support services including: orientation to the program and tools, customized data analysis,
and action planning workshops.
The program is built on the evidence-based Quality Practice
Settings Attributes Model. It identifies seven key quality attributes
which help competent registered nurses meet standards of practice
and promote a quality experience for the client. The attributes are:
care delivery processes, communication systems, facilities and equipment, leadership, organizational supports, professional development
systems, and response systems to external demands.
On-site presentations which outline the program have been made
to management and staff at four Manitoba facilities. A fifth facility
has expressed interest and arrangements are being made to provide
the On-site presentation. A marketing plan for the program was
developed in 2004.
MANITOBA HOSPITAL REVIEW PROGRAM
The College participates in this program, originally implemented
by the College of Physicians and Surgeons of Manitoba, that has
evolved to include the College of Registered Nurses of Manitoba and
the Manitoba Pharmaceutical Association. The intent of the program
is to review all acute care rural facilities on a five to seven year cycle
for the purpose of quality improvement and education. The findings and recommendations that come out of the review are provided
to the facility and the Regional Health Authority. A follow-up report
card of action taken by the facility to address the recommendations
is requested within six to 12 months. Participation by the College
has added valuable insight and recommendations to the provision of
health care and to multidisciplinary staffing relationships in the
facilities reviewed. It has also permitted a review of hospital processes that enable a registered nurse to practice in accordance with the
Standards of Practice for Registered Nurses and to determine the presence of attributes of a quality practice environment. A total of fifteen facilities were reviewed in 2004.
ANNUAL GENERAL MEETING
Two issues forums at the 2004 Annual General Meeting in
Thompson were broadcast via video link to Brandon, St. Boniface
General Hospital and Health Sciences Centre. Kaaren Neufeld RN
presented “Duty to Care” and challenged participants to consider
what actions they might take if faced with the ethical and practice
issues which arose from Ontario’s experience with the SARS outbreak. Bill Knight RN presented “Building Quality Practice
Environments” to update participants about the College’s Practice
Setting Consultation Program.
EDUCATION DAY
Education Day 2004 took place in Thompson on May 27. The
College provided information about the Continuing Competence
Program development and implementation. Elaine Borg RN,
Professional Liability Officer from the Canadian Nurse Protective
Society (CNPS), provided participants with information about legal
liability issues in nursing and the services of CNPS.
ADVANCED PRACTICE COMPETENCY
The Extended Practice Register Advisory Committee continued its
work in 2004 and in April, the Board approved in principle the
revised Extended Practice Regulation. The revisions included the
drugs that may be prescribed and the screening and diagnostic tests
that may be ordered by an RN(EP). In December, the Committee
finalized the list of screening and diagnostic tests and ensured that
the list was congruent with the Manitoba Health Physicians Manual.
Work continued on the development of the Canadian Nurse
Practitioner Examination (CNPE) and it is anticipated that the exam
will be completed in 2005. Manitoba was represented on the examination blueprint committee by Katie de Leon-Demare RN and on the
core competency review committee by Debbie Fraser Askin RN.
A national examination committee was convened to provide oversight of the CNPE by approving test materials at critical points in the
test development cycle and setting the pass mark for the exam.
Lynn McClure RN is Manitoba’s representative on the committee. A
CNPE Council was established to advise CNA on matters related to
this exam; Diane Wilson Maté RN is the College’s representative on
the Council.
In 2004 there were four (4) graduates from the Nurse Practitioner
Major of the Master of Nursing Program at the University of
Manitoba.
The College of Registered Nurses of Manitoba participated in the
Canadian Nurse Practitioner Initiative (CNPI). The CNPI was established in February 2004 when the CNA proposal “Helping to Sustain
Canada’s Primary Health System: Nurse Practitioners in Primary
Health Care” was funded by Health Canada’s Primary Health Care
Transition Fund. The purpose of the CNPI is to develop and implement an action plan to achieve the objectives of the proposal.
The CNPI will work to develop the foundation for a shared understanding across Canada of the nurse practitioner role in primary
health care. To achieve this, strategic activities are being undertaken
in five areas: educational preparation of the nurse practitioner; nurse
practitioner practice; government legislation and professional selfregulation; health human resource planning; and, change management, social marketing and strategic communication.
LEADERSHIP
The Canadian Nurses Association’s Preceptorship and Mentoring
Project focuses on supporting these two nursing leadership roles. The
initiative is designed to provide resources for clinical role modeling
and to enhance the quality of workplaces for registered nurses. The
College participated in a two day workshop to define mentoring
competencies and preceptorship competencies. The publication is
available on the CNA website.
The Ad hoc Committee on Building Leadership Capacity in
Registered Nurses was created to develop strategies to further the
goal of building nursing leadership capacity in Manitoba.
Representation has been invited from a number of nursing groups
and domains. Once constituted, the committee will propose strategies to: facilitate the development of leadership skills; attract and
retain registered nurses in senior leadership positions; and, define
the future needs for nursing leadership in Manitoba.
16
/
ANNUAL
REPORT
Registration Statistics
Total Registrations
Type
1993
Practicing
11,125
Non-practicing
196
Graduate Nurse
Total
11,321
Total Practicing Only 11,125
1994
11,026
191
11,217
11,026
1995
11,096
165
11,261
11,096
1996
10,963
185
1997
10,936
173
11,148
10,963
11,109
10,936
1998
10,813
166
10,979
10,813
1999
10,792
163
10,955
10,792
2000
10,820
186
11,006
10,820
2001
10,763
207
64
11,034
10,827
2002
10,945
396
127
11,468
11,072
Age of Members (Practicing & Graduate Nurses)
2000
Age
< 26
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
56 - 60
61 - 65
66 +
unknown
Total
Number
184
828
1,324
1,742
1,819
2,070
1,549
914
297
66
27
10,820
% of Total
1.7%
7.7%
12.2%
16.1%
16.8%
19.1%
14.3%
8.4%
2.7%
0.6%
0.2%
100.0%
2001
Number
178
787
1,238
1,675
1,781
2,110
1,618
952
386
80
22
10,827
2002
% of Total
1.6%
7.3%
11.4%
15.5%
16.4%
19.5%
14.9%
8.8%
3.6%
0.7%
0.2%
100.0%
Number
222
806
1,220
1,616
1,797
2,098
1,712
1,040
451
101
9
11,072
2003
% of Total
2.0%
7.3%
11.0%
14.6%
16.2%
18.9%
15.5%
9.4%
4.1%
0.9%
0.1%
100.0%
Number
138
778
1,124
1,470
1,862
1,945
1,941
1,301
598
189
7
11,353
2004
% of Total
1.2%
6.9%
9.9%
12.9%
16.4%
17.1%
17.1%
11.5%
5.3%
1.7%
0.1%
100.0%
Number
317
894
1,178
1,510
1,891
1,955
1,929
1,247
545
151
7
11,624
% of Total
2.7%
7.7%
10.1%
13.0%
16.3%
16.8%
16.6%
10.7%
4.7%
1.3%
0.1%
100.0%
Gender of Members (Practicing and Graduate Nurses)
Gender
Male
Female
Unknown
Total
Number
522
10,288
10
10,820
2000
% of Total
4.8%
95.1%
0.1%
100.0%
2001
Number % of Total
541
5.0%
10,283
95.0%
3
0.0%
10,827
100.0%
2002
Number % of Total
563
5.1%
10,509
94.9%
0
0.0%
11,072
100.0%
2003
Number % of Total
617
5.4%
10,736
94.6%
0
0.0%
11,353
100.0%
2003 Stated Working Preferences (self reported)
Number of hours you prefer to work
About the same
More hours
Less hour
No response
Total
Full Time
3789
377
580
342
5088
%
74%
7%
11%
7%
100%
Part Time
3622
859
240
206
4927
%
74%
17%
5%
4%
100%
Casual
455
191
58
40
744
%
61%
26%
8%
5%
100%
%
79%
4%
15%
3%
100%
Part Time
3597
943
224
69
4833
%
74%
20%
5%
1%
100%
Casual
543
179
55
26
803
%
68%
22%
7%
3%
100%
2004 Stated Working Preferences (self reported)
Number of hours you prefer to work
About the same
More hours
Less hours
No response
Total
Full Time
4138
195
779
148
5260
2004
Number % of Total
661
5.7%
10,963
94.3%
0
0.0%
11,624
100.0%
2003
11,263
309
90
11,662
11,353
2004
11,518
257
106
11,881
11,624
Hours Reported By Practicing Part Time Members (self reported)
2003
Equivalent
to Full Time
(FT = 1.0 or
1,875 hours)
No EFT Indicated
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
Total
Members
Reporting Equivalent
This EFT
Hours
381
57
206
131
521
1152
762
867
743
101
6
4927
Average
hours % of Part
Worked time RN
Per working
Member this EFT
188
375
563
750
938
1125
1313
1500
1688
1875
1066
824
714
797
853
1036
1135
1250
1382
1516
1541
2004
Average
Hours % of part
Members
Worked time RN
Reporting Equivalent
Per working
This EFT
Hours Member this EFT
Equivalent
to Full Time
(FT = 1.0 or
1,875 hours)
7.7%
1.2%
4.2%
2.7%
10.6%
23.4%
15.5%
17.6%
15.1%
2.0%
0.1%
100.0%
No EFT Indicated
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
Total
285
35
175
121
560
1102
795
876
788
93
3
4833
188
375
563
750
938
1125
1313
1500
1688
1875
1129
611
720
823
892
1077
1170
1310
1428
1549
1822
5.9%
0.7%
3.6%
2.5%
11.6%
22.8%
16.4%
18.1%
16.3%
1.9%
0.1%
100.0%
Exam Pass Rates
2003
Candidates writing CRNE 1st writing Pass rate
Manitoba Educated
419
97%
Foreign Educated
109
61%
2004
Repeat Pass rate
17
88%
69
67%
Candidates writing CRNE 1st writing Pass rate
Manitoba Educated
413
98%
Foreign Educated
115
56%
Repeat Pass rate
10
80%
77
60%
Entry to Practice Education Level (Practicing and Graduate Nurses)
Diploma
Baccalaureate
Total
2000
84.2%
15.8%
100.0%
2001
82.8%
17.2%
100.0%
2002
81.0%
19.0%
100.0%
2003
78.6%
21.4%
100.0%
2003
2004
6
5
2
17
0
18
0
9
1
3
3
7
7
0
78
3
5
0
8
1
28
50
7
2
0
12
2
14
3
135
2004
76.5%
23.5%
100.0%
CNA Certification & Recertification
Cardiovascular
Critical Care
Critical Care - Pediatrics
Emergency
Gastroenterology
Gerontology
Hospice Palliative Care
Nephrology
Neuroscience
Occupational Health
Oncology
Perinatal
Perioperative
Psychiatric Mental Health
Total
Number of new registrants by location of initial education
Manitoba
Other Canadian
United States
Other Offshore Location
Total
1993
489
73
5
20
587
1994
468
71
0
9
548
1995
455
84
5
15
559
1996
267
81
0
6
354
1997
275
113
3
13
404
1998
215
105
3
6
329
1999
184
136
4
10
334
2000
145
139
6
21
311
2001
177
79
6
107
369
2002
336
93
6
145
580
2003
369
128
7
63
567
2004
412
84
6
99
601
18
/
ANNUAL
REPORT
Complaints Statistics
Number of Complaints Received by Year
1999
26
2000
42
2001
38
2002
65
2003
60
2004
40
2002
15
37
4
1
8
0
65
% of total
23%
57%
6%
2%
12%
0%
100%
2003
36
18
3
3
0
0
60
% of total
60%
30%
5%
5%
0%
0%
100%
2004
8
26
3
2
0
1
40
% of total
20%
65%
8%
5%
0%
3%
100%
2002
% of total
2003
% of total
2004
% of total
29
19
9
3
2
1
1
1
0
0
65
45%
29%
14%
5%
3%
2%
2%
2%
0%
0%
100%
44
7
1
0
0
0
2
2
4
0
60
73%
12%
2%
0%
0%
0%
3%
3%
7%
0%
100%
22
8
4
0
0
2
2
0
1
1
39
56%
21%
10%
0%
0%
5%
5%
0%
3%
3%
100%
New Complaints by Source
Public/client/family
Employer/supervisor
Registered nurse peer
Other healthcare provider
Other agency/jurisdiction
Executive Director referral
Total
New Complaints by Practice Setting
Hospital
Nursing home/long term care
Nursing station
Mental healthcare setting
Business/occupational health
Rehab/convalescent centre
Correctional facility
Home care nursing
Community health centre
Cancer treatment facility
Total
Top Five Issues in New Complaints (by Nature of Complaint)
2003
❍
❍
❍
❍
❍
❍
Failure to intervene/take appropriate action
Poor interpersonal skills/verbal abuse/rude unprofessional language
Failure to assess client
Substandard documentation
Medication administration or documentation error*
Substance abuse*
2004
❍
❍
❍
❍
❍
Failure to intervene/take appropriate action
Medication administration or documentation error*
Failure to assess client*
Poor interpersonal skills/verbal abuse/rude unprofessional language
Substandard documentation
* tie
Status of New Complaints Received as at Dec 31
No further action
Informal resolution
Member surrendered registration
Entered into an agreement
Investigation continuing
Outstanding
Referred to Discipline Committee
Total
2003
2004
24
5
2
6
18
5
0
60
6
3
0
6
24
0
1
40
AUDITORS’ REPORT
Grant Thornton LLP
Chartered Accountants
Management Consultants
To the Board of Directors of the
College of Registered Nurses of Manitoba
We have audited the statement of financial position of the College of Registered Nurses of Manitoba as at
December 31, 2004 and the statements of operations, changes in net assets and cash flows for the year then
ended. These financial statements are the responsibility of the College’s management. Our responsibility is to
express an opinion on these financial statements based on our audit.
We conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards
require that we plan and perform an audit to obtain reasonable assurance whether the financial statements are
free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and
disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation.
In our opinion, these financial statements present fairly, in all material respects, the financial position of the
College as at December 31, 2004 and the results of its operations and changes in its net assets and its cash flows
for the year then ended in accordance with Canadian generally accepted accounting principles.
Our examination did not include the budget figures and we do not express any opinion concerning them.
Winnipeg, Canada
February 2, 2005
Grant Thornton LLP
Chartered Accountants
20
/
ANNUAL
REPORT
FINANCIAL STATEMENTS
Year Ended December 31
Statement of Operations
Revenue
Registration
Examination
Net investment income (Note 5)
Miscellaneous
2004
Budget
2004
Actual
2003
Actual
$ 2,661,838
133,350
145,180
-
$ 2,834,667
133,105
175,544
31,242
$ 2,681,003
141,895
173,889
8,557
2,940,368
3,174,558
3,005,344
318,422
1,674,272
389,408
415,202
310,838
1,819,705
388,923
365,371
263,255
1,617,355
347,638
323,610
342,847
328,859
322,718
3,140,151
3,213,696
2,874,576
(199,783)
(39,138)
130,768
-
(50,242)
(60,924)
(199,783)
(89,380)
69,844
-
-
(83,921)
$ (199,783)
$ (89,380)
$ (14,077)
Expenditures
Board of Directors
Goal 1 — Nursing is a self-regulated and self-supported professional body
Goal 2 — The nursing profession influences public policy regarding health
Goal 3 — The public is knowledgeable about Registered Nurses
Goal 4 — Registered Nurses are supported in achieving excellence in
professional nursing practice
(Deficiency) excess of revenue over expenditures on operations
before depreciation
Depreciation
(Deficiency) excess of revenue over expenditures
Loss on disposal of land and building
Deficiency of revenue over expenditures
Statement of Changes in Net Assets
Invested
In Capital
Assets
Unrestricted
2004
Total
2003
Total
Balance, beginning of year
Deficiency of revenues over expenditures
Net investment in capital assets (Note 9)
$ 147,897
(50,242)
30,287
$ 3,170,268
(39,138)
(30,287)
$ 3,318,165
(89,380)
-
$3,332,242
(14,077)
-
Balance, end of year
$ 127,942
$ 3,100,843
$ 3,228,785
$ 3,318,165
Statement of Financial Position
ASSETS
Current
Cash and cash equivalents
Receivables
Prepaids
Deferred charges
Inventory
Investments (Note 3)
Capital assets (Note 4)
2004
2003
$ 202,550
3,478
137,461
2,328
6,257
$ 95,979
474,080
115,823
4,484
352,074
690,366
5,843,539
127,942
5,444,400
147,897
$ 6,323,555
$ 6,282,663
$ 325,567
2,631,431
137,772
$ 212,658
2,608,988
142,852
3,094,770
2,964,498
127,942
3,100,843
147,897
3,170,268
3,228,785
3,318,165
$ 6,323,555
$ 6,282,663
LIABILITIES AND NET ASSETS
Liabilities
Current
Payables and accruals
Deferred revenue
Goods and services tax payable
Net Assets
Net assets invested in capital assets
Unrestricted net assets
Commitments and contingent liabilities (Notes 6 and 7)
On behalf of the Board
President
Executive Director
Statement of Cash Flows
2004
2003
$ (89,380)
50,242
575,135
$ (14,077)
60,924
83,921
(268,016)
Increase (decrease) in cash and cash equivalents
Cash from operating activities
Deficiency of revenue over expenditures
Depreciation
Loss on disposal of capital assets
Change in non-cash operating working capital (Note 8)
Net cash generated (used) through operating activities
Financing and investing activities
Net increase in investments
Proceeds from the disposition of capital assets
Purchase of capital assets
535,997
(137,248)
(399,139)
(30,287)
(319,553)
475,521
(71,237)
Net cash (used) generated through financing and investing activities
(429,426)
84,731
106,571
(52,517)
95,979
148,496
$ 202,550
$ 95,979
Net increase (decrease) in cash and cash equivalents
Beginning of year
End of year
22
/
ANNUAL
REPORT
NOTES TO THE FINANCIAL STATEMENTS
1. NATURE OF OPERATIONS
The College of Registered Nurses of Manitoba is incorporated under the laws of the Province of Manitoba and is tax exempt as a Not-for-Profit Organization. The College is the professional regulatory body for Registered Nurses in Manitoba. The College ensures safe nursing care for the public by establishing and monitoring standards of nursing education
and nursing practice and investigating complaints concerning the conduct and practice of Registered Nurses.
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Cash and cash equivalents include cash on hand, balances with banks and short-term deposits with original maturities of three months or less.
Inventory
Inventory is made up of promotional items held for resale and is valued at the lower of cost and net realizable value.
Investments
Investments are recorded at the lower of cost and quoted market values. If the market value of investments becomes lower than cost and this decline is considered to be other
than temporary, the investments are written down to market value.
Capital assets
Capital assets are recorded in the capital asset accounts at cost. Full year depreciation is taken in the year of addition. Depreciation is recorded at the following annual rates:
Equipment
20% - 33%, declining balance
Computer software
33%, straight-line
Leasehold Improvements
20%, declining balance
Revenue recognition
The College follows the deferral method of accounting for registration and examination revenues. Registration and examination revenues are recorded as revenue in the period to
which it relates. Investment income is recognized as revenue when earned.
Allocation of governance, executive office and corporate service costs
Governance, executive office and corporate service costs have been allocated in accordance with the Board’s established goals.
Use of estimates
In preparing the College’s financial statements, management is required to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and reported amounts of revenue and expenses during the period. Actual results could differ from
these estimates.
3. Investments
Investments are recorded at cost. The market value of the investments at December 31, 2004 was $6,057,362 (2003: $5,507,039).
4. Capital assets
Equipment
Computer software
Leasehold improvements
2004
2003
Cost
Accumulated
Depreciation
Net
Book Value
Net
Book Value
$ 764,941
22,456
13,640
$ 653,113
19,982
-
$ 111,828
2,474
13,640
$ 141,648
6,249
-
$ 801,037
$ 673,095
$ 127,942
$ 147,897
2004
2003
$ 180,082
25,442
(29,980)
$ 152,615
41,430
(20,156)
$ 175,544
$ 173,889
Depreciation has not been taken on leasehold improvements as the College does not take possession of the premises until July 2005.
5. Net investment income
Net investment income for the year is comprised of the following:
Interest, dividends and capital gains dividends
Gain on sale of investments
Management and safekeeping fees
6. Commitments
As a member of Canadian Nurses Protective Society (CNPS), the College is required to pay annual fees to CNPS. These fees are payable January 1. The College is committed to
pay fees to CNPS of approximately $130,812 in 2005.
As a member of the Canadian Nurses Association (CNA), the College is required to pay annual fees to the CNA. These fees are payable in January. The College is committed to
pay fees to the CNA of approximately $486,936 in 2005.
The College is committed to pay an annual royalty fee of 9% of gross sales to The College of Nurses of Ontario from the distribution of the Practice Setting Consultation
Program, over the 10 year term of a Licence and Data Processing Agreement entered into in 2002.
The College has entered into agreements to lease its premises and equipment for various periods until 2015. The annual rent of premises consists of minimum rent plus realty
taxes, insurance and utilities. Minimum rent payable for premises and equipment in aggregate, and for each of the next five years is as follows:
2005
2006
2007
2008
2009
2010 - 2014
Premises
Equipment
Total
$ 138,419
224,250
224,250
224,250
224,250
1,328,322
$ 12,397
12,397
12,397
12,397
-
$ 150,816
236,647
236,647
236,647
224,250
1,328,322
$ 2,363,741
$ 49,588
$ 2,413,329
Prior to taking possession of its new premises on or about August 1, 2005, the College anticipates incurring costs for leasehold improvements and furniture and fixtures of up
to $920,000 (net of a tenant improvement allowance of $337,500).
7. Contingent liability
The College is a member of the CNPS, which provides liability protection to its members. If the Board of Directors of CNPS considers there is a need for additional monies to
maintain the protective fund at an appropriate level, the College will be required to contribute its proportionate share of any additional assessment. No provision for an additional assessment has been included in these financial statements.
8. Change in non-cash operating working capital
2004
2003
$ 470,602
(21,638)
(2,328)
(1,773)
112,909
22,443
(5,080)
$ (451,843)
19,338
(4,484)
43,375
111,492
14,106
$ 575,135
$ (268,016)
2004
2003
Capital assets purchased during the year
Less: Net book value of assets disposed of during the year
$ 30,287
-
$ 71,237
(559,442)
Net capital assets purchased (disposed)
$ 30,287
$ (488,205)
Receivables
Prepaids
Deferred charges
Inventory
Payables and accruals
Deferred revenue
Goods and services tax payable
9. Net investment in capital assets
10. Financial instruments
The College’s financial instruments consist of cash and cash equivalents, receivables, prepaids, investments, payables and accruals, deferred revenue, and goods and services
tax payable. It is management’s opinion that the College is not exposed to significant credit or interest rate risk. The fair value of these financial instruments approximate
their carrying values unless otherwise noted.
11. Comparative figures
Certain of the 2003 comparative figures have been reclassified to conform with the financial statement presentation adopted for 2004.
24
/
ANNUAL
REPORTCOLLEGE
OF REGISTERED NURSES OF MANITOBA
647 Broadway
Winnipeg, MB R3C 0X2
Ph: (204) 774-3477
Toll free in Manitoba: (800) 665-2027
Fax: (204) 775-6052
Web: www.crnm.mb.ca
Email: [email protected]

2004 Distribution of Practice Contacts

Transcription

Similar documents

kincardine, on - Newspaper Toolbox

`Why I came here? It`s the Pounds...` `Dark, gloomy cold, brrr...... this

RNs are too! - Tact Medical Staffing

3134 West Highway 34 Post Office Box 4903 Grand Island, NE 68802

Travel Nursing 101: Get the Facts

BeHome Partners Brochure

Mary Ellen Smith Glasgow, PhD, RN, ACNS-BC

Gamma Alpha Chapter News

medical management of cbrne events

newsletter—may 2016 - The Palms Aged Care