MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
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2021-2022 MID- YEAR REPORT Nurses Specialized in Wound, Ostomy and Continence Canada 66 Leopolds Drive Ottawa, Ontario K1V 7E3 1-888-739-5072 office@nswoc.ca www.nswoc.ca
TABLE OF CONTENTS Our Mission, Vision, Values 1 Message from the President 2 Message from the Chief Executive Officer 4 NSWOCC: The People 7 Membership & Communication 10 NSWOCC Value Proposition 13 2021-2023 Strategic Priorities 14 Regional Director Reports 15 British Columbia & Yukon 16 Prairies and Northwest Territories 16 Ontario 17 Quebec 17 Atlantic 18 Core Program Reports 19 Professional Development 20 Research and Practice 21 Indigenous Wound, Ostomy and Continence 22 Community Engagement 23 French Community of Practice 23 Paediatric Community of Practice 24 SWAN Community of Practice 25 Wound, Ostomy and Continence Institute 26 National Conference Planning 26 Publications 27 WOC-Institute Report 30 NSWOCC Offical Interest Groups 48 INTERNATIONAL SKIN TEAR ADVISORY PANEL 49 CANADIAN PRESSURE INJURY ADVISORY PANEL 52 Thank you! 54 iii NSWOCC 2021-2022 Mid-Year Report
OUR MISSION OUR VISION Leading excellence is our Every person deserves passion. specialized wound, ostomy and Enhancing lives is our continence care. inspiration. Innovation is our commitment. OUR VALUES Nursing Specialty Excellence. Leadership. Collaborative partnerships. Compassion. 1 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report MESSAGE FROM THE PRESIDENT Nevart Hotakorzian, RN, BScN, NSWOC Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) works to bring results. We have continued to lead the way for greater recognition of Nurses Specialized in Wound, Ostomy and Continence (NSWOCs) nationally and provincially. Three important documents have been translated into French as part of our engagement to help all our members across the nation. The Preoperative Stoma Site Marking for Fecal Diversions: ileostomy and colostomy, the Clean Intermittent Urethral Catheterization in Adults – Canadian BPR and the Canadian Standards of Practice for NSWOCs. In May 2021, we added the French day to our national conference with international and local speakers. We continue to make plans to reach our French community; we will work very hard to engage all NSWOCC members. To date, the Debridement: Canadian Best Practice Recommendation for Nurses developed by NSWOCC is completed with a Quick Reference Guide. It will be published in the JWOCN and we will launch the first Advanced Debridement Program with the Wound, Ostomy and Continence Institute (WOC-Institute) on January 15, 2021. Registration is now open at wocinstitute.ca. NSWOCC believes in collaborating and respecting diversity and as part of our commitment, we have continued to support Bev Smith, our Core Program Leader and the Indigenous Wound Ostomy Continence Health Core Program. A webinar was also presented on Transgender Surgery to address cultural diversity needs thanks to Misty Stephens ,our British Columbia and Yukon Regional Director. The NSWOC Advance, our official publication, continues to produce three issues per year. NSWOCC 2021-2022 Mid-Year Report 2
It now has peer reviewed articles with English and French content written by NSWOCs. It is available electronically or in hard copy. It can be accessed online at http://nswoc.ca/ advance. It is with great pride and joy that we have succeeded to launch a Wound, Ostomy, and Continence Education Program (WOC-EP) in Argentina. The NSWOCC WOC-EP was translated into Spanish with the help of Dr Arman Lira, MD, PhD and Shareigh Reza, PhD. The first Spanish WOC-EP is being piloted in Argentina and started October 2, 2021. This initiative was needed and has been tremendously welcomed and supported by Argentina and its Health Ministry. As we continue to grow, our organization structure has changed. I want to congratulate Troy Curtis, BHum (Hons) who is now the Director of Operations. He has played an important role in communications and membership and we recognize all his hard work. Nicole Kocajda, MBA, IIWCC, ISWA has also joined us as Program Manager for the WOC- Institute. We welcome Nicole with enthusiasm and are looking forward to working with her. We continue to strive to improve provincially, nationally and internationally. We are privileged to have active members who are passionately involved. You are the future of NSWOCC and with your joint efforts, we move forward. Nevart Hotakorzian NSWOCC President 3 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report MESSAGE FROM THE CHIEF EXECUTIVE OFFICER Catherine Harley, RN, IIWCC, eMBA In the forty plus years since Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) modest entry into advancing the tri-specialty of wound, ostomy and continence specialized nursing practice, the world has faced a multitude of threats and challenges. This past year, though, has been uniquely difficult. The confluence of the COVID-19 pandemic, multiple instances of racial injustice, financial uncertainty, and record-shattering extreme climate events have exposed the deepest cracks in society’s foundations and compelled us to draw from our strength and resilience. NSWOCC didn’t just survive past crises, we emerged stronger. Over and over, together with our Members, volunteers and contractors, we demonstrated the ability to persevere, adapt and flourish. With our Members’ safety at the forefront, while we had to make the difficult decision to stay with a virtual national conference in May 2022, we know that Canada will rally again; that we have a chance do more than return to normal. We can and should pursue a better normal. We needed to examine where we might need to listen more keenly, adapt our thinking and change our actions. On October 2, 2021, the NSWOCC Board of Directors and Core program leaders met virtually in order to review where the association strategy fared vis-à-vis the 2021-2023 strategic plan, and to discuss where we need to focus and also support and implement in order to better meet the needs of our Members. We discussed how our people and processes adapted, and how our commitment to our members and patients will continue to thrive under the strain of extraordinary circumstances. An Operational Plan for the next twelve months is being developed to take us through to the end of 2022. During times of great uncertainty, we look to the mission, vision, and values of NSWOCC as our guiding principles. We remain committed to taking care of each other and leading the way for our Members and patients in order to achieve results no matter the circumstance. NSWOCC 2021-2022 Mid-Year Report 4
In order to strengthen collaboration with our Industry Members, we are pleased to announce the launch of the NSWOCC Industry Advisory Council (NIAC). The NSWOCC Industry Advisory Council (NIAC) was launched on June 9, 2021 and have had a total of three meetings in 2021. Representatives from nineteen companies who have technologies in wound, ostomy or continence or who distribute wound, ostomy and continence products participated. The first two co-chairs were appointed by the NSWOCC Board due to their recent completion of the Industry Skin Wellness Associate Program (ISWA) – Nicole Kocajda, Marketing Manager for Mölnlycke and Rodney Blair, National Sales Manager, Hollister Limited. The first action items for NIAC were to develop the mission, vision and competitive compliance statement and the “NIAC Terms of Reference”. During the meeting on September 8, 2021, NIAC worked on finalizing the mission, vision and competitive compliance statement as follows: Mission As a special interest group, NSWOCC Industry Advisory Council (NIAC) strives to bring Nurses Specialized in Wound, Ostomy, and Continence and companies with applicable products and services together to set a standard for positive, beneficial, and open collaboration to improve care for Canadian patients. Vision Collaborate to support improved clinical and health economic outcomes for wound, ostomy, and continence patients. Competition Compliance Statement NIAC Members will at no time engage in discussion or activities that might serve to lessen competition among its industry members, such as price adjustments, customer segmentation, or the sharing of confidential, proprietary information. NIAC Membership Industry members including manufacturers and distributors of products relating to wound, ostomy and continence NIAC Roles and Responsibilities 1. NIAC will provide informed advice to the NSWOCC Board of Directors regarding: • input into 2022 NSWOCC Annual Conference and future conferences Exhibit Hall set up • input into conference networking event 2. NIAC will represent the voice of wound, ostomy and continence industry to the 5 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report NSWOCC Board of Directors in order to support their strategic plan and decision making. 3. NIAC will receive updates from the NSWOCC Board in order to stay current and relevant in connecting clinical developments with industry trends to positively impact patient care. NIAC Governance • Co-chair model • Two co-chairs for two-year term of office starting June 9, 2021 • During second year – call for nominations to onboard “co-chairs elect” and mentorship for with current co-chairs to support a democratic process • Accountable to the NSWOCC Board of Directors • Each co-chair responsible for minutes (alternate) • Minutes to be submitted to NIAC members and NSWOCC BOD within 2 weeks post meeting • No budget required at this time • Annual Report to NSWOCC Board of Directors by March 25 of each year Meeting Frequency • June (for post-conference review) • September • November • January • March • May (on-site or virtually at the conference) • Ad hoc as required The NIAC Members have given input into an “Industry and Science“ Day at the 2022 NSWOCC National conference which will be held virtually in 2022. We look forward to working with NIAC as we work towards a strong collaboration between NSWOCC and industry Partners. Sincerely, Catherine Harley NSWOCC 2021-2022 Mid-Year Report 6
NSWOCC: THE PEOPLE Board of Directors Executive President: Nevart Hotakorzian President-Elect: Marcia Leard Secretary: Tracy Fournier Treasurer: Erin Rajathy Chief Executive Officer: Catherine Harley Regional Directors BC/Yukon: Misty Stephens Prairies/NT/NU: Jodi Quinlan Ontario: Stephanie Furtado Quebec: Valerie Chaplain Atlantic: Karla Lohnes 7 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report Core Program Leaders Research & Practice Community Engagement Paediatric Community of Nancy Parslow Erin Rajhathy Practice Dr. Kevin Woo French Community of Practice Stephanie Furtado Professional Development Valerie Chaplain Debra Johnston Swan Community of Practice Indigenous WOC Health Britney Butt Bev Smith Wound, Ostomy and Continence Institute Academic Chair: Dr. Kimberly LeBlanc Program Manager: Nicole Kocadja Program Development: Corey Heerschap & Britney Butt Program Coordinator: Suzanne Sarda IT Coordinator: Marianne Cardinal National Conference Planning: Mary Hill Publications: Lina Martins Academic Advisors Editorial Board Preceptorship Program WOC-EP Program Features Editor Lina Martins Cathy Downs Preceptor Manager Nicole Pitcher BC/Yukon Nicole Denis Susan Peckford Dr Karen Campbell Student Placement Coordinator Melanie Fauteaux Prairies/NT/NU Victoria McCallum, Svea Menard Dr. Kevin Woo Christie Cowan, Eleanore Howard Angela McGuire Teri Schroeder Ontario Louise Samuel Lina Martins Preceptor Markers Liette St Cyr, Mary Engel Quebec/Atlantic Cecilia Yeung Gail Creelman Louise Forest-Lalande Barb Plumstead Nicholas Joachimides Najwa Shbat SWAN Program Laura Robbs Vida Johnston Carly Lindsay Heather Wright Marie-Andrée Mason Indigenous Cultural Safety Heather Wright NSWOCC 2021-2022 Mid-Year Report 8
Interest Groups NSWOCC Staff Committees International Skin Tear Chief Executive Officer Nominating Committee Chair Advisory Panel (ISTAP): Catherine Harley Laureen Sommerey Dimitri Beeckman Director of Operations Bylaws Chair Canadian Pressure Injury Troy Curtis Vivian Wass Advisory Panel (CPIAP): Bookkeeper NSWOCC Industry Advisory Kimberly LeBlanc Andre Lavigne Council Co-Chairs Kevin Woo Rodney Blair Professional Accountant Co-Chair to be Bruce Deep announced Nov 10/21 Lawyer Karen Cooper ORGANIZATIONAL STRUCTURE Board of Directors Chief Executive Officer WOC Institute Chair Director of Operations Program Manager Members Professional Assistant Patients Core Programs Interest Groups Research & Practice French Community of Practice International Skin Tear Professional Development SWAN Community of Practice Advisory Panel (ISTAP) Indigenous WOC Health Paediatric Community of Practice Canadian Pressure Injury Community Engagement Membership Advisory Panel (CPIAP) Preceptor Academic Advisor Academic Advisor Academic Advisor Program SWAN Program National Publications Lead Manager Lead - Ostomy Lead - Wound Lead - Continence Redevelopment Conference Lead Planning Chair Preceptor Academic Academic Academic Cultural Safety Academic Planning NSWOC Advance Coordinators x3 Advisor (AA) 1 Advisor (AA) 1 Advisor (AA) 1 Advisor (AA) 1 Committee x10 Preceptor Marker AA 2 AA 2 AA 2 AA 2 JWOCN - - Quebec Regional Committee AA 3 AA 3 AA 3 AA 3 Preceptor Marker - Ontario AA 4 9 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report MEMBERSHIP & COMMUNICATION Troy Curtis, Director of Operations Membership Demographics - Key points • Going into mid-year, NSWOCC sits at 725 members across all regions. Ontario members make up just over 50% of our membership at 51%, representing our most populous region, while the Atlantic region makes up the smallest percentage of members at just over 7%. • 92.69% of our membership chooses English as their preferred language, while 7.31% prefer French. • The median and average age of our Total Membership Makeup by Province members is 42 years old, with members being on average 19 years away from retirement. New registrations & renewals - Key points: • Between January 1st, 2021 to September, 2021, we have had 205 new registrations. • People usually renew their memberships during the 1st Quarter (34% of membership renewals each year), and right around our National Conference (11.5% of membership renewals each year happen in May). • Inversely, the fewest renewals happen after our conference at the start of the summer, and in October-November. Membership Committee In 2022, we will be creating a membership committee made up of 3-5 members to: • Review membership benefits. • Assess the current tools we use to communicate with, and provide value to, members • Determine key member priorities & needs. • Visualize, and improve, the membership journey to encourage retention & renewals. NSWOCC 2021-2022 Mid-Year Report 10
Membership Communication • E-newsletters and e-blasts remain our strongest and most successful communication channel to share information with our members; our open rates and click rates is nearly double the industry average. This indicates that we truly have an engaged, loyal subscriber list. • As we near 2022, we are going to be developing a new Communications Plan to accomplish the following: • Create the capacity to schedule promotions in advance • Prepare promotional graphics earlier • Engage with our online community more • Measure performance better to make more informed decisions about our communication efforts This includes plans to: • Create a content schedule of important, recurring types of promotions. • Make it a habit to monitor and review social media, email, and website analytics. • Increase capacity to share more messages & better engage our networks online to: • Acknowledge more of the good work by members & partners • Interact with partners on social media • Be more aware of industry, competitor and partner updates • Increase capacity to translate key messages into both languages. 11 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report PRESS RELEASE Nurses Specialized in Wound, Ostomy & Continence Canada (NSWOCC) 66 Leopolds Drive, Ottawa, Ontario K1V 7E3 P: 613-762-5788 E: office@nswoc.ca FOR IMMEDIATE RELEASE NSWOCC Announces the Promotion of Troy Curtis to Director of Operations Ottawa, October 1, 2021 – We are pleased to announce that Mr. Troy Curtis of Ottawa, Ontario has been promoted to the position of NSWOCC Director of Operations. Troy joined NSWOCC in July 2019 as the Manager of Membership and Communications where he provided exceptional membership support and value though supporting member benefits. He also developed and provided communications to make sure that the Membership was informed. In 2020, when NSWOCC had to pivot to a virtual national conference on short notice, Troy was instrumental in building virtual conference platform to ensure that members could access continuing education. He has also provided outstanding support for the NSWOCC webinar series, the Wound, Ostomy and Continence Institute and the International Skin Tear Advisory Panel. A 2019 Bachelor of Humanities graduate from Carleton University, Troy previously held several operational and leadership roles for not-for-profit organizations, including serving as Co-Director for Hatch Entrepreneurship Centre, Communications Assistant for Wheelchair Basketball Canada, and Office Administrator for the Orléans Chamber of Commerce (now amalgamated with the Ottawa Board of Trade). Troy developed a strong marketing and business acumen while supporting and advising two cohorts of student start-ups through an 8-week pre-incubator program as Co-Director and Marketing Lead for Hatch, and helped instruct multiple first-year Entrepreneurship classes on the Business Model Canvas. As the main point of contact for the Chamber of Commerce, Troy helped manage all member events, supported recruitment & marketing efforts, and ensured strong communication between members and the organization. We look forward to having Troy as a part of the strategic business team where he will apply his knowledge and skills set to advancing the NSWOCC and the specialized nurses that we serve. About NSWOCC Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) is a registered charity for over 600 nurses specializing in the nursing care of patients with challenges in wound, ostomy and continence. The Wound, Ostomy and Continence Institute is wholly owned and operated by the NSWOCC. NSWOCC’s official interest groups are the International Skin Tear Advisory Panel (ISTAP) and the Canadian Pressure Injury Advisory Panel (CPIAP). For more information, please contact Catherine Harley, NSWOCC Chief Executive Officer at office@ nswoc.ca or by visiting our website at www.nswoc.ca. Nurses Specialized in Wound, Ostomy & Continence Canada (NSWOCC) 66 Leopolds Drive, Ottawa, Ontario K1V 7E3 | P: 613-762-5788 | E: office@nswoc.ca | www.nswoc.ca NSWOCC 2021-2022 Mid-Year Report 12
NSWOCC VALUE PROPOSITION 13 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report 2021-2023 STRATEGIC PRIORITIES 1 7 Strengthen member value through new Increase French language material to programs and initiatives that advance members to better meet the needs. the profession of Nurses Specialized in 8 Wound, Ostomy and Continence. Lead the way for virtual Wound, Ostomy & Continence Care. 2 Establish an NSWOC voice in shaping 9 Canadian Health Policy—put wound, Advance leaders in specialized wound, ostomy & continence on the political ostomy and continence nursing. agenda—nationally and provincially. 10 Strengthen wound, ostomy and 3 Develop a National “Wellness” Program continence patient interaction through to support Nurses Specialized in Wound, a Patient Engagement Framework. Ostomy and Continence. 11 Develop a national pressure injury 4 Create a collaborative and respectful strategy to address the prevention & NSWOCC professional culture through management in Canada. establishing a policy on diversity, 12 equity and inclusion and identify Form national and international ways to support Indigenous People of partnerships to increase reach in Canada through a focus on “Truth and wound, ostomy and continence Reconciliation”. prevention and management. 5 13 Connect NSWOCs across Canada: Develop a technology infrastructure to both provincially & nationally creating a support core programs, marketing and national community of practice including communication. a Paediatric Community of Practice. 6 National & International recognition of academic excellence of the WOC Institute academic programs while meeting the need of nurses and allied healthcare professionals. NSWOCC 2021-2022 Mid-Year Report 14
REGIONAL DIRECTOR REPORTS Engagement and collaboration to drive meaningful change To create improvements in wound, ostomy and continence care, NSWOCC continues to engage members to discuss issues and create solutions not only at scheduled events but also year-round through ongoing reflection and dialogue during Regional Meetings. 15 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report British Columbia & Yukon Regional Director Misty Stephens, RN, BScN, NSWOC, WOCC(C) Key Regional Highlights • Welcome to all the new Graduates from the WOC Institute. We look forward to having you as a part of the NSWOCC British Columbia & Yukon Region • We have completed the rollout of the new redesign of the connecting learners with knowledge website – this information can be found at Www.Clwk.ca • The new basic foot and nail care guidelines and procedures are now available on the connecting learners with knowledge website www. Clwk.ca • Approved off-loading devices for diabetic feet are now available through B.C. provincial funding. The documents will be shared when they become available through Pharmacare. • The revision of the CSWD e-learning module for all new NSWOC’s will be available soon at www.clwk.ca. If you have questions or need preceptorship, please contact our Provincial Skin and Wound Committee or misty. stephens@fraserhealth.ca, and I can help set you up with your preceptor in your authority or area. Prairies and Northwest Territories Regional Director Jodi Quinlan, RN BN, NSWOC, WOCC(C), IIWCC Key Regional Highlights • No Regional meetings held due to COVID-19 redeployments throughout the Province of Alberta • Ongoing e-mail communication/updates to encourage NSWOC membership, CNA certification writing and need for preceptors. • E-mails have included temperature checks to see how Members are doing • We look forward to getting through this COVId-19 pandemic period and on the other side when we will be able to meet once again • We are thinking of all our Regional Members and wishing you and your families’ safety and good health NSWOCC 2021-2022 Mid-Year Report 16
Ontario Regional Director Stephanie Furtado, RN, BScN, MClinSc-(WH), NSWOC, WOCC(C) Key Regional Highlights • We have been holding Town Hall style meetings to inform members on NSWOC programs and opportunities to volunteer. The next Town Hall meeting for Ontario Members is October 26, 2021 at 7PM ET • We have been connecting Members with NSWOC Core Program groups and committees to work on best practice recommendations and position statements • It has been a pleasure to assist NSWOC WOC- EP students with pediatric speciality placements • I have been chairing the Paediatric Core program and we have been working on developing a National Best Practice Recommendation for Paediatric Incontinent Associated Dermatitis. Please see the Core program section for further information. • Looking for a NSWOC position? Check out the job postings for Ontario at nswoc.ca Quebec Regional Director Valerie Chaplain, RN, BScN, NSWOC, WOCC(C) Key Regional Highlights • Two regional meetings are held annually. The last one was on Sept 24th, and was done virtually; 38 Members attended. • These regional meetings are led by the AIISQ Board, for which the Québec NSWOCC Regional Director is a part of. • In March 2021, each of the two organisations, AIISQ (Pascale Bellemare, Audray Lafortune and Valérie Chaplain) and NSWOCC (Cathy Harley, Erin Rahjathy and Nevart Hortakozian), prepared a 15-page document on the subject of the tri-specialty / ET Nurse specialization in Quebec. This document was sent to the OIIQ, who asked members for such documents in preparation of the États généraux held in May 2021. • Kim LeBlanc, Audray Lafortune and Luce Martineau were part of a virtual discussion panel on the expertise of nurses, they were there to make sure NSWOCs were represented as experts. 17 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report • The report from the États généraux was published early September, 2021 and it mentioned that new categories of specialized nursing clinicians should be officially created, Wound and Ostomy were listed in the priority list. • The Bureau de l’Innovation from the Ministry of Health, contacted the Québec Regional Director to get Québec NSWOC’s together to implement a telemedicine project to help justify the need for a broader availability of wound care product; eight Members volunteered for this exciting project. Atlantic Regional Director Karla Lohnes, RN, BScN, NSWOC, WOCC(C) Key Regional Highlights • The first “in- person” Atlantic Regional meeting since 2019 was held on September 25th in Halifax. • Pressure injury prevention strategies from NB, NS and PE were discussed. • Electrical Stimulation was presented as an option for advanced wound care therapy. • Discussion among colleagues provided some potential solutions for difficult to manage patient cases. • Attendees were also provided with an introduction to 3M’s new Kerra dressings. • We continue to advocate for the tri-specialty role and encourage you to reach out to office@nswoc.ca if you need any support to advocate in your area. • There are a series of NSWOCC webinars available on the nswoc.ca website for your viewing and continuing education. Please take the time to check them out. NSWOCC 2021-2022 Mid-Year Report 18
CORE PROGRAM REPORTS 19 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report Professional Development Core Program Lead Debra Johnston, RN, BScN, MN, NSWOC, WOCC(C) Canadian Urinary Diversion Position Statement • Five Urinary Diversions include: Ileal Conduit; Neobladder; Indiana Pouch; Mitrofanoff; Cutaneous Ureterostomy • Each section has been organized into these subheadings: • Definition (High level-> easy enough for the reader to understand, yet appreciated the differences among the types of diversions. Remember: Surgical technique is out of scope of this project) • Patient selection • Pre-op counseling including risks, benefits, stoma marking and complication prevention • Early post-op care; description management of complications • Long term post-op care; description and management of complications • HRQoL • Paediatric • Conclusion/ Clinical Pearls • Images and enablers • Each respective working group has completed their initial draft based on the literature review and expert opinion/ experience. • John Gregory, our medical writer, has synthesized the sections into the first initial draft and sent out for task force member review. Preliminary artwork underway. • Peer Review will start October 18th (currently have ~40-50 names of reviewers- both Canadian and international). • Will have agreement of all three partnering organizations prior to the release o this document (NSWOCC, CUA, UNC). • Goal to have ready for NSWOC review by Dec 1st, 2021; and presentation to the NSWOCC Board on Dec 14th, 2021. Publication thereafter. Journal TBD-> will need consensus of NSWOC, CUA and UNC. Canadian Standards of Practice for NSWOC • French translation has been completed and posted at nswoc.ca • Submitted for NSWOC Advance Publication in Dec 2021 • Submitted for JWOCN Feature Article in Jan/ Feb 2022 NSWOCC 2021-2022 Mid-Year Report 20
Research and Practice Core Program Co-Chairs Dr Kevin Woo, PhD, RN, FAPWCA, NSWOC, WOCC(C) Nancy Parslow, MClSc(WH), RN, NSWOC, WOCC(C) Debridement: Canadian Best Practice Recommendations for Nurses Status of activities Quick Reference Guide (QRG) completed and posted on the NSWOCC site Publications: JWOCN Nov/Dec 2021: Debridement Canadian Best Practice Recommendations for Nurses Developed by Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) NSWOCC Feature Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) Announce Their Latest Guidelines: “Debridement: Canadian Best Practice Recommendations for Nurses Presentations NSWOCC Conference May 2021 • Oral presentation: “Debridement: Canadian Best Practice Recommendations for Nurses” • International Panel Discussion: “Debridement: Who should be doing it?” Wounds Canada Conference October 2021 • Poster Presentation submitted • Oral Presentation to be presented Acknowledgements • Thank you to Dr. Kevin Woo for his support in the literature search process for the Canadian Urinary Diversions Position Statement Project and for the Paediatric IAD Best Practice Recommendations Project. • Thank you to Nancy Parslow for leading the Debridement: Canadian Best Practice Recommendations for Nurses abstract submission to Wounds Canada and the publication to JWOCN. • Thank you to Mary Hill, Nancy Parslow, Erin Rajhathy & Kevin Woo for their development of the Debridement: Canadian Best Practice Recommendations for Nurses Quick Reference Guide. 21 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report Indigenous Wound, Ostomy and Continence Core Program Leader Bev Smith, BScN, RN, NSWOC Supporting Truth and Reconciliation Key Highlights • We have had seven meetings since January 2021. • We have been working with the University of Toronto’s KITE Research Center on creating culturally appropriate footwear for Indigenous peoples with diabetes. • We are working to have disposable negative pressure wound therapy covered by NIHB. • Our group is working on a webinar to increase the knowledge of wound, ostomy and continence health in Indigenous people for January 2022 and presentation for the NSWOCC conference in May 2022. • There is a plan to set up a website for our Core Program to provide a variety of resources related to Indigenous Wound, Ostomy and Continence health. • Our Core Program awarded a full scholarship to an Indigenous Nurse who completed the Wound Ostomy and Continence Institute WOC-EP Program. This scholarship was generously funded by 7Generations Medical. Michelle Buffalo, RN, BScN, NSWOC, WOCC (C) of Alberta was the recipient. Congratulations to Michelle who is a strong advocate for Indigenous wound, ostomy and continence health. Committee Members: • Anna Tumchewics • Jeremy Caul • Nicole Corbiere • Audray Lafortune • Karen Bruton • Rachel Radyk • Bev Smith • Kaylee Ann Irving • Robin Cano • Brenda Moodie • Maria Jones • Seona Furlong • Cathy Harley • Marian Abdelsayed • Christina Seguin • Marilee Nowgesic • Cynthia Magiskan • Meaghan Wilton • Denise Lalonde-Niccoli • Melanie Jeffrey • Denise Taylor • Melissa Berube • Dr Rachel Asinwasis • Michelle Buffalo • Heather Wright • Morgan Austin NSWOCC 2021-2022 Mid-Year Report 22
Community Engagement Core Program Leader Erin Rajhathy RN, BScN, MClSc-WH, NSWOC, WOCC(C) Advocating for Improved Wound, Ostomy and Continence Care Key Highlights • Completed writing a two-page letter which will be submitted to the Ontario Ministry of Health advocating for better ostomy reimbursement through the Assistive Devices Program (ADP) • In conjunction with the VP of Western Region Health, was successful in advocting for a full-time NSWOC position in Yarmouth • Attended the Ostomy Canada and NSWOCC joint Advocacy Meetings monthly and the Ontario ADP Reimbursement meeting French Community of Practice Core Program Leader Valerie Chaplain, RN, BSc, NSWOC, WOCC(C) Strengthening the French Language in Wound, Ostomy and Continence Key Highlights • The Fall will be dedicated to ensuring all all the NSWOC Advance publication guidelines are available in French . • One French manuscript was submitted to be published in the NSWOC Advance. • We are working on the French translation of the NSWOCC and WOC Institute websites. • The Canadian Standards of Practice for NSWOC are available in the French language on the nswoc.ca website under education. 23 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report Paediatric Community of Practice Core Program Leader Stephanie Furtado, BScN, RN, NSWOC, WOCC(C) Key Points • In Jan 2021, we connected with NSWOC’s across Canada who are working in or have an interest in infants and children with wound, ostomy, and continence needs, and the Paediatric Community of Practice was officially launched • In our initial meetings we set terms of reference, and priorities for projects that we would like to work on to improve care for our youngest patients. • As our first priority, we have started to create Canadian Best Practice Recommendations for Paediatric Incontinent Associated Dermatitis. We have completed a scoping review of the literature and are beginning to set out the draft best practice recommendations. Our completion target date is for presentation at the May 2022 conference. Committee Members • Nicholas Joachimides • Ashley Hudson • Paulo DaRosa • Bridget Pinaud • Shelley Masyoluk • Christina Yadav • Tina Rutledge • Cathy Harley • Tracy Dowds • Emily Woodgate • Louise Forest-Lalande • Gail Creelman • Veronika Anissimova • John Gregory • Caroline Daoust • Kevin Woo • Chantal LeDuc • Carolyn Morin • Audrey-Anne Lalande • Jordan Goertz • Marcia Leard NSWOCC 2021-2022 Mid-Year Report 24
SWAN Community of Practice Core Program Leaders Britney Butt, RN, BScN, MCLinSC-WH, NSWOC, WOCC(C) Kim LeBlanc PhD, RN, NSWOC, WOCC (C), FCAN The SWAN is a 5-month, competency based, paced online program which cumulates with a self-directed, mentored, clinical preceptorship which prepares practical nurses (LPN/RPN’s) for the role of a nurse with enhanced skills in the areas of wound, ostomy, and continence. In 2021, the SWAN program received accreditation from the Canadian Nurses Association. The goal of the SWAN community of practice is to provide SWANs a platform for mentorship and networking. The SWAN community of practice allows SWANs the ability to participate in discussions with NSWOCs and appreciate the important role all allied healthcare team members can bring to an interdisciplinary Wound, Ostomy and Continence -care team. In June 2021, the SWAN community of practice met to discuss the role of the SWAN and to conduct a SWOT analysis to better understand how the NSWOCC and SWAN graduates can promote the needs for SWANs on wound, ostomy, and continence care teams. From the SWAN analysis several themes emerged: Strengths Weaknesses • Advanced knowledge • New role • Competency based education • Lack of awareness among employers, other • Advanced assessment skills healthcare professionals and patients • Enhanced critical thinking skills • The need for SWANs to constantly explain • Mentorship opportunities their role and what they can bring to the team Top Priorities The results of the SWOT analysis have been • Widespread promotion of the included into the WOC-Institute’s strategic plan. SWANs advanced knowledge The WOC-Institute will work with the SWAN and skills to employers, other community of practice and the NSWOCC to healthcare professionals and promote the SWAN role and to ensure ongoing patients mentorship. The ultimate goal is to increase • Promotion of the program enrollment and thus SWAN graduates to sufficient attributes numbers to sustain certification. • Ongoing mentoring opportunities 25 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report Wound, Ostomy and Continence Institute National Conference Planning: “Optimizing Continuing Education” Core Program Leader Mary Hill, RN, BScN, MN, NSWOC, WOCC(C) Key Highlights: Update on May 26-28, 2022 Virtual Conference • Due to the unpredictable environment because of COVID-19 Wave 4, NSWOCC will be hosting the 41st Annual conference virtually for the 3rd year. A survey was sent in early Sept 2021 to members for feedback on a face-to-face conference. Several factors including travel, non-standardized process for vaccination passports across the country, challenges with health care institutions with staffing and travelling across Canada in the pandemic has members hesitant to attend a face-to-face conference. Industry feedback was attained as well. NSWOCC Board voted to preserve the National Conference and have it virtual again to provide a safe educational environment for all attendees. • The NCPC is working at providing members and health care professionals with a fresh and innovative conference virtually in 2022. • Our goal is to get back face to face by May 2023. Committee Members • Mary Hill - Program Lead and Chair • Lina Martins ONT (Education • Cathy Harley- Corporate Program/ Committee) Finance • Folashade Alalade ONT (Educational • Kim LeBlanc- Education Program Committee) • Troy Curtis - Virtual Booths/ All IT • Kim Mayenberg BC Poster/Oral Abstract Support • Eileen Emmott AB (Local Rep and • Monica Frecea ONT(Syllabus and Printed Industry Liaison) Materials) • Samantha Timleck BC (SWAN • Julie Tjan Thomas ONT (Syllabus and Representative) Printed Materials) • Kim Meeker ONT (Education Committee) • Louise Samuel Quebec (Poster/Oral abstracts) NSWOCC 2021-2022 Mid-Year Report 26
Wound, Ostomy and Continence Institute Publications: “Providing Opportunities to Publish” Core Program Leader Lina Martins, RN, BScN, MScN, WOCC(C) Editor-in-Chief, NSWOC Advance NSWOCC Canadian Features Editor, JWOCN NSWOC Advance Key Highlights • Ongoing review of submissions and publications of peer-reviewed manuscripts • Standing reports/updates from the NSWOCC President, NSWOCC CEO, WOC Institute Chair, NSWOC Advance Editor-in-Chief • Ongoing Industry support with communication of company messages, products and services • Board approved 3-year contract renewal with publisher – Clockwork Communications • Investigating options for streamlining online submissions and review process • In response to member requests and the vision of advancing our publication rigor, we have: • Updated our manuscript submission guidelines and accompanying consents • Established a peer review panel/process which we are continuing to develop • As of the December 2021 issue, increased our number of peer-reviewed manuscripts in our NSWOC Advance publication from 2 to 3 peer manuscripts • A listing of our 2021 peer reviewed submissions include: • Radical prostatectomy for prostate cancer: Nursing interventions for post-operative sexual dysfunction (March 2021) • Developing diabetic foot resources: An educational resource for clinicians (March 2021) • Addressing sexual health pre- and post-cancer treatment: Suggestions for NSWOCs (September 2021) • Research and continuing education: Reflections on an NSWOCs experience (September 2021) 27 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report • Functional constipation in children: Assessment (December 2021) • Review of the Canadian Standards of Practice for Nurses Specialized in Wound, Ostomy and Continence 3rd Edition (December 2021) • Nursing care of the person with a continent ileostomy (Kock pouch) (December 2021) • Transitioned our Regional Directors’ Reports and Core Program Leaders’ Reports to a focused Newsletter format, to keep our membership abreast of projects and news in these important portfolios that make up our Association • Plans to introduce a “case study/solutions on the spot” section, in 2022 • Discussed the introduction of a yearly Manuscript Award (pending Board approval) • Ongoing website updates • Ongoing member of NSWOCC Conference Planning Committee and Education Subcommittee, having completed responsibilities for our 2021 virtual conference as well as moving into the planning phase for our 2022 virtual conference JWOCN Key Highlights • Met our contractual commitment of 3 Canadian Feature Section submissions per year. A listing of our 2021 submissions include: • The Canadian Nurses Specialized in Wound, Ostomy and Continence Canada are “Plugged in and Charged Up”- and want YOU to be a part of it! (Mar/Apr issue) • Innovative New Programming to Expand the Reach of Wound, Ostomy and Continence Education (Sept/Oct issue) • Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) Announce Their Latest Guidelines: “Debridement: Canadian Best Practice Recommendations for Nurses” (Nov/Dec issue) • “Canadian Standards of Practice for Nurses Specialized in Wound, Ostomy and Continence: A 2021 Update” (has been submitted, pending approval for Jan/Feb 2022 issue) • Continue to support and promote NSWOC manuscript submissions. The most recent Executive Summary manuscript submission entitled “Debridement – Canadian Best Practice Recommendations for Nurses” Developed by Nurses Specialized in Wound, Ostomy and Continence Canada, has been accepted for publication in the Nov/Dec. 2021 issue • Participated in mid-year editorial board virtual meeting; a follow-up virtual meeting took place with JWOCN, WOCN Society and NSWOCC to review updated guidelines for submission of Feature Section content and association content NSWOCC 2021-2022 Mid-Year Report 28
WOUND, OSTOMY AND CONTINENCE INSTITUTE WOC Institute Chair Kimberly LeBlanc, PhD, RN, NSWOC, WOCC(C), FCAN 29 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report WOC-Institute Programs at a Glance Program Wound, Ostomy and Continence Skin Wellness Associate Industry Skin Wellness Descriptions Education Program (WOC-EP) Nurse Program (SWAN) Associate Program (ISWA) Entry BN, BScN, or equivalent Diploma RN, LPN/RPN Proof of Industry Employment Requirements Offered in English and French Online application, applicants are accepted Application Online application, applicants are Online application, applicants are 2 times per year (Fall and Winter) for the accepted 2 times per year (Fall and accepted 2 times per year (Fall Process English cohorts and 1 time per year (Fall) for Winter) and Winter) the French cohort 12 months Paced online, includes 225 hours 5 months Paced online, includes 4 months paced online, includes a of clinical preceptorship with an experienced 75 hours of self-directed clinical Program Format NSWOC mentor. Final exam is the CAN preceptorship under the mentorship of cumulative assignment under the mentorship of an NSWOC WOCC(C) certification exam an experienced NSWOC Competency Yes Yes No Based Standards of Yes Yes No Practice Ongoing Mentorship Yes Yes Yes Opportunities Certification Yes Certificate of completion Certificate of completion upon completion Designation NSWOC, WOCC (C) SWAN ISWA Graduates demonstrate advanced Graduates have the enhanced Graduates practice as Advanced Practice clinical knowledge, above the ability to provide optimal support Nurses, Clinical Nurses Specialist or Nurse foundational level. Practice at the full for nurses caring for those with leaders. Practice at the full scope in the scope of the practical nurse or diploma Graduate WOC issues. Industry partners areas of wound, ostomy and continence nurse in the areas of wound, ostomy and will have the advanced ability knowledge level nursing. Collaborate with other healthcare continence nursing. Are collaborative to work collaboratively with professionals, direct patient care, manage partners with NSWOCs, and other healthcare professionals and complex patients, are educators, patient healthcare professionals, manage to be ambassadors for ethical advocates, researchers and policy drivers stable and non-complex patients, are partnerships educators and patient advocates $5250 (+ NSWOCC membership and $3000 (+ NSWOCC membership and Tuition textbooks) textbooks) $3000 (+ NSWOCC membership) NSWOCC 2021-2022 Mid-Year Report 30
Paramedic Wound Foundations in Skin Advanced Wound WOC Skills Labs Associate Program (PWA) Health Programs Debridement Graduates of the WOC-EP, recognized ETN/WOCN program, Graduated from a recognized Any healthcare professional or Any healthcare professional or SWAN program, or another paramedic program industry partner industry partner advanced clinical program (e.g. IIWCC, MClSc-WH etc) Online application. Applications Online application. Applications Coming soon, first cohort January Coming soon, first cohort January are accepted throughout the year are accepted throughout the year 2022. Online application, applicants 2022. Online application, applicants and the program has a rolling start and the program has a rolling start are accepted 2 times per year (Fall are accepted 2 times per year (Fall (students can start the program (students can start the program and Winter) and Winter) anytime during the year) anytime during the year) Self-directed online, with Self-directed online, with mentorship from an NSWOC, mentorship from an NSWOC, 6 weeks paced online with Self-directed online, with students have 6 weeks to complete students have 6 weeks to complete mentorship from an NSWOC with mentorship from an NSWOC the program but can apply for an the program but can apply for an advanced debridement skills extension if required extension if required Yes Yes Yes Yes Yes Yes Yes Yes Yearly refresher courses are Yearly refresher courses are Yearly refresher courses are recommended either online or recommended either online or recommended either online or Advanced debridement workshops in person. NSWOCC conference in person. NSWOCC conference in person. NSWOCC conference will be offered annually during the attendance encouraged. Ongoing attendance encouraged. Ongoing attendance encouraged. Ongoing NSWOCC conference mentorship available through mentorship available through mentorship available through membership with the NSWOCC membership with the NSWOCC membership with the NSWOCC Certificate of completion Certificate of completion Certificate of completion Certificate of completion PWA No No No Graduates will obtain foundational Graduates will have increased Graduates of the PWA program knowledge in the areas of wound, theoretical knowledge pertaining to will have enhanced knowledge and ostomy or continence depending wound debridement. Students are Graduates will have increased skill related to wound care. The on the course(s) taken. Graduates encouraged seek out mentorship knowledge and skill pertaining to program is designed to provide will have an enhanced ability to opportunities and to perform a specific WOC skill (e.g. Hernia community care paramedics the collaborate with NSWOCs, SWANs debridement within their own belt measurements, ABPIs, NPWT ability to provide optimal wound and other healthcare professionals knowledge, skill and judgement as application etc) care in collaboration with the and will have increased knowledge well as provincial legislation and interprofessional team to advocate for patients with WOC place of employment policies related issues $50 - $100 per skills lab depending $600 (+ textbook) $600 (+ textbook) $800 (+ textbook) on the individual lab 31 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report Wound, Ostomy and Continence Education Program The WOC-Institute’s online WOC educational program (WOC-EP) is delivered by a team of highly knowledgeable and dedicated nurse leaders who are Canadian Association of Nurses (CNA) certified Nurses Specialized in Wound, Ostomy and Continence (NSWOC). The WOC-EP has the endorsement and full support of the NSWOCC and has accreditation by both the CNA and the World Council of Enterostomal Therapists (WCET). The WOC-EP is a state of the art, competency based, and standards driven, paced, 12- month, online program which prepares university prepared nurses (BN/BScN’s) for the role of a Nurse Specialized in Wound, Ostomy and Continence (NSWOC). The program consists of three (3) courses, Ostomy, Continence and Wound. Each course consists of 160 hours of education, 75 hours of which are spent in the clinical setting, for a total of 480 hours in total of WOC education, with 225 hours spent in the clinical setting. The final exam for the program is the Canadian Nurses Associate (CNA) certification exam, which, upon achievement, enables the NSWOC to use the credential WOCC(C). This rigorous exam ensures that our graduates possess the knowledge and critical thinking skills to work as certified NSWOCs. The online program is designed to address the education challenges Canadians face secondary to our extensive landscape and numerous remote communities. Through the competency-based preceptorship component of the program, the WOC-EP strives to mentor and grow tomorrow’s nurse leaders. NSWOCs graduates are among the nursing elite. They demonstrate an advanced level of critical thinking, clinical skill and leadership qualities. The advantage of NSWOCs’ tri-specialization is especially clear when patients have needs that require more than one area of specialty. Employing NSWOCs is an effective strategy for controlling costs through high-quality, evidence-based care that leads to better outcomes for patients. NSWOCs bring about these benefits as deliverers of care but also as sources of specialized knowledge for interdisciplinary health care teams, best practice and protocol development, research, and other avenues. The NSWOC graduate leads Wound, Ostomy and Continence teams, including Skin Wellness Associate Nurses (SWANs) and Foundations in Skin Health graduates and has the knowledge, skills, and judgement to manage complex patient issues in the areas of Wounds, Ostomy and Continence. • Our September 2021 Ostomy cohort consist of 46 students, and we have plans to admit another 45 into the January 2022 program intake. The French WOC-EP enrollment is at 15 NSWOCC 2021-2022 Mid-Year Report 32
students. With the growth of the WOC-EP came the need for more faculty. • Gail Creelman retired and Najwa Shabat and Svea Menard joined our WOC-Institute family • Christie Cowan and Angela McGuire joint the clinical placement team Program Goals The goals of the program are to assist the learner to build: • New knowledge, skills and attitudes and integrate them with prior knowledge, skills and attitudes to prepare the learner to become a competent NSWOC • Familiarity with the literature in the field of Specialized Wound, Ostomy and Continence Nursing • The skills to critically analyze practice in the field, differentiate it from best practice and disseminate standards of NSWOC practice • Problem solving skills through case-based learning and participation in a strong learning community Program Objectives The WOC-EP will: 1. Graduate NWOCs who can critically appraise and incorporate research and best-practice guidelines into evidence-based clinical practice 2. Support graduates to complete the CNA certification exam 3. Provide ongoing mentorship opportunities for graduates 4. Participate in discussions with NSWOCs and appreciate the important role all allied healthcare team members can bring to an interdisciplinary Wound, Ostomy and Continence -care team 5. Assist learners in preparing to take leadership roles related to Wound, Ostomy and Continence -care teams 6. Facilitate the transfer of knowledge and skills to clinical practice through clinical placements with experienced NSWOC mentors and the application of the NSWOC core competencies and standards of practice 7. Foster professional growth and leadership 8. Articulate and exercise the professional responsibilities associated with the NSWOC role 9. Establish an environment to allow learners to acquire the skills necessary to meet the needs of the person with an ostomy, continent diversion, acute or chronic wound, percutaneous tube and incontinence. Learner Objectives At the end of this program the learner (WOC-EP student) will be able to: 1. Critically appraise and incorporate research and best-practice guidelines into evidence- based clinical practice 2. Develop and practice knowledge, skills, and behaviors needed to support and foster best 33 NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year 22 Report practices in Wound, Ostomy and Continence care based on the Nurse Specialized in Wound, Ostomy and Continence (NSWOC) core competencies and standards of practice 3. Participate in discussions with NSWOCs and appreciate the important role all allied healthcare team members can bring to an interdisciplinary Wound, Ostomy and Continence -care team 4. Be prepared to take a leadership role on Wound, Ostomy and Continence -care teams 5. Facilitate the transfer of knowledge and skills to clinical practice through clinical placements with experienced NSWOC mentors and the application of the NSWOC core competencies and standards of practice 6. Improve communication skills (verbal and written) 7. Foster professional growth and leadership 8. Articulate and exercise the professional responsibilities associated with the NSWOC role 9. Meet the psychosocial needs of the person with a Wound, Ostomy and Continence 10. Manage care for the person with a Wound, Ostomy and Continence related issue 11. Possess the skills necessary to meet the biopsychosocial needs of the person with an ostomy, continent diversion, acute or chronic wound, percutaneous tube and incontinence. NSWOCC 2021-2022 Mid-Year Report 34
Skin Wellness Associate Nurse Program The SWAN is a 5-month, competency-based, paced online program which cumulates with a self-directed, mentored, clinical preceptorship which prepares practical nurses (LPN/RPN’s) for the role of a nurse with enhanced skills in the areas of wound, ostomy and continence. The online program is designed to address the education challenges Canadians face secondary to our extensive landscape and numerous remote communities. The program consists of three (3) modules, Ostomy, Continence and Wound. Each module consists of 60 hours of education, 30 hours of which are spent in the clinical setting, for a total of 210 hours total of WOC education. The self-directed clinical preceptorships are the heart of the program’s success. Learners are afforded the opportunity to apply new skills and knowledge in real time with mentorship. Graduates are connected with mentors and a peer support network in order to foster continuing education and professional growth. A key advantage of the SWAN approach is that students can complete the theory portion of the program in their own time and according to their own schedules as long as they adhere to assignment due dates, quiz dates and contribution to discussion forum guidelines. Recorded lessons, written content, webinars and collaborative online learning software make it easy for anyone with an internet connection to access everything they need. An often-negative attribute of online learning is the real or perceived lack of student – teacher interaction and feedback from teachers. In order to overcome these issues, the SWAN Academic Advisors (teachers) hold regular “touch base” virtual calls with students prior to assignments and quizzes and on an as needed basis. Students are provided rubrics for each assignment and extensive feedback. During clinical placements, the SWAN Academic Advisors ensure that students meet the core competencies and mentor students in the transfer of knowledge into clinical care. Defining a SWAN • A Skin Wellness Associate Nurse (SWAN) is a registered/licensed practical nurse or a registered nurse at the diploma level, with enhanced specialized knowledge and clinical skills in wound, ostomy and continence care. • Recognized by the Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC), SWANs provide optimal wound, ostomy and continence care in consultation with NSWOCs, Clinical Nurse Specialists (Wound, Ostomy or Continence) or Physicians. The goal of the SWAN Program is to educate and prepare skilled wound, ostomy and 35 NSWOCC 2021-2022 Mid-Year Report
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