Week 11: Nursing as a regulated profession (CNO)

Question 1

what is regulation?

Answer 1

establishing and enforcing the rules to govern professional practice and conduct

Question 2

what does Regulated Health Professions Act (RHPA, 1991) do?

Answer 2

Regulates professions in the public interest (safeguard) to ensure accountability for practice

Question 3

what does the Nursing Act (1991) do?

Answer 3

Delegates power and control of regulation to CNO for nursing; scope of practice; CNO mandate is to protect the public

Question 4

when self regulated, each profession has a regulatory body. For nurses, it is?

Answer 4

College of Nurses of Ontario (CNO)

Question 5

CNO determines?

Answer 5

eligibility to practice, scope of practice, standards of practice, and follows-up on issues and concerns

Question 6

(?) is the governing body for Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse Practitioners (NPs) in Ontario

Answer 6

College of Nurses of Ontario (CNO)

Question 7

CNO fulfils its roles by?

Answer 7

o Establishing requirements for entry to practice
o Articulating and promoting practice standards
o Administering its Quality Assurance Program
o Enforcing standards of practice and conduct

Question 8

CNO also supports the regulation of nursing in the public interest by?

Answer 8

o Participating in the legislative process
o Sharing statistical information about Ontario’s nurses

Question 9

CNA meaning

Answer 9

Canadian Nurses Association

Question 10

RNAO meaning

Answer 10

Registered Nurses Association of Ontario

Question 11

CNO practice standards?

Answer 11

expectations for nurses that contribute to public protection; inform nurses of their accountabilities and the public of what to expect of nurses

Question 12

CNO practice guidelines?

Answer 12

address specific practice-related issues, help nurses understand responsibilities and how to make safe and ethical decisions in their practice

Question 13

the Nursing Act regulates?

Answer 13

Registration, Scope of practice for nursing, Controlled acts, Quality assurance and Professional misconduct

Question 14

List the 5 registration categories and classes.

Answer 14

o Registered Nurses
o Registered Practical Nurses
o General Class
o Extended Class (NP)
o Temporary Class

Question 15

CNO professional standards?

Answer 15

describes in broad terms the professional expectations of nurses and applies to all nurses, in every area of practice. These are specific to: Nurses, Nurse administrators, Nurse educators and Nurse researchers

Question 16

The Nursing Act authorizes nurses to perform 5 of the “controlled acts”, they are?

Answer 16

1. performing a prescribed procedure below the dermis or mucous membrane;
2. administering a substance by injection or inhalation;
3. putting an instrument, hand or finger: beyond the external ear canal, point in the nasal passages where they normally narrow, larynx, opening of the urethra, labia majora, anal verge or into an artificial opening
4. dispensing a drug
5. treating by means of psychotherapy technique

Question 17

In Ontario, nursing is one profession with two categories which are?

Answer 17

RN and RPN

Question 18

List the CNO professional standards

Answer 18

Accountability, Continuing competence, Ethics, Knowledge, Knowledge application, Leadership and Relationships

Question 19

What are the 7 categories of skill and ability requirements for entry-level nursing practice in Ontario?

Answer 19

Cognitive, Communication, Interpersonal, Behavioural, Psychomotor, Sensory and Environmental

Question 20

cognitive requirements?

Answer 20

o Remember information from past experiences
o Demonstrate problem-solving skills
o Demonstrate concentration skills
o Use reasoning to develop professional judgment
o Exercise critical thinking skills to develop
professional judgment
o Apply arithmetic skills and abilities

Question 21

communication requirements?

Answer 21

o Speak, read, listen and write in the English and/or French language at a level that provides for safe and accurate understanding of words and meanings
o Recognize own non-verbal signals and interpret those received from others while considering individual differences in expression and associated meaning
o Elicit and respond to information from clients, colleagues and others

Question 22

interpersonal requirements?

Answer 22

o Develop professional relationships and rapport with individuals and groups
o Recognize the importance of maintaining interpersonal boundaries
o Recognize the needs of clients and colleagues

Question 23

behavioural requirements?

Answer 23

o Manage own behavior well enough to provide safe, competent and ethical
nursing care
o Engage with self and others to create a safe environment
o Respond appropriately in situations that are stressful or involve conflict
o React appropriately to giving and receiving physical touch and working in close proximity with a full range of clients
o Fulfill responsibility as part of a team
o Manage time appropriately

Question 24

psychomotor requirements?

Answer 24

Stand and maintain balance, Manual dexterity, Move within limited spaces, Push/pull, Perform repetitive movements, Perform hand-eye coordination, Bend, Reach, Lift, Walk, Climb, Carry objects

Question 25

sensory requirements?

Answer 25

sight, hearing, touch and smell

Question 26

environmental requirements?

Answer 26

Ability to function in Noxious smells, Disease agents, Distractions, Noise, Chemicals, Unpredictable behavior of others