Week 3

Question 1

What are the two types of bills?

Answer 1

Public: deal with matters of national interest
Private: grant special powers/ benefits/ exceptions to persons such as corporations

Question 2

What is a legislature?

Answer 2

A deliberative assembly that has the authority to make laws for a political entity such as a country, a province, or a city.

Legislation is passed through a fairly complex process, and the complexity often depends on the level of the legislature.
- Canada has both provincial and federal parliament

Question 3

What is the nursing legislation in Canada

Answer 3

Each province/territory has its own legislature (parliament).

The scope of nursing practice in a province/territory is determined by the legislature in that individual province/territory.

The scope of nursing practice can change at the will of the government in power.

Question 4

What is the nursing act?

Answer 4

Lays out how nursing as a profession is regulated in Ontario.

Protects title: Nurse
- must pass nursing school, the NCLEX and register with the CNO

Gives CNO its mandate, provides entry to practice competencies, defines the controlled acts, quality assurance and looks after the profession misconduct
- Gives RNs and RPNs who meet certain conditions the authority to initiate specific controlled acts.

Question 5

What is the Regulated Health Professions Act (RHPA)

Answer 5

26 health professions, including nursing - has its own regulatory body

Regulatory bodies have public representation and controlled by the ministry of health

The RHPA outlines 14 Controlled Acts.
- Controlled acts are action considered harmful if done by unqualified people

Question 6

How many controlled acts are there?

Answer 6

14

Question 7

How many controlled acts can nurses do?

Answer 7

RNs and RPNs are authorized to perform 5 of these controlled acts.

Question 8

Which controlled acts are RNs and RPNs allowed to do?

Answer 8

1. Perform a procedure on tissue below the dermis, below the surface of a mucous membrane
2. Administering a substance by injection or inhalation
3. Putting an instrument, hand, or finger:
   - Beyond external ear canal
   - Beyond the point in the nasal passages where they normally narrow
   - Beyond the larynx
   - Beyond the opening of urethra
   - Beyond the labia majora
   - Beyond the anal verge
   - Into an artificial opening into the body
4. Dispensing a drug
5. Treating, by means of psychotherapy technique, delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, emotional regulation, perception or memory that may be seriously impair the individual’s judgement, insight, behaviour, communication or social function

Question 9

What is the CNA?

Answer 9

Canadian Nursing Association
National and global voice of RNs, NPs, LPNs/RPNs, retired nurses across 13 provinces and territories

Purpose: Professional / educational/ political.

Offers specialty certification

Question 10

What is Canadian Association of Schools of Nursing (CASN)?

Answer 10

Purpose: Professional / educational.
Membership: Voluntary.

National voice for nursing education, research, and scholarship
Establishes and promotes national standards for nursing education.
Canadian Nursing Students’ Association (CNSA) affiliated with CASN.
Fosters excellence in the academic nursing educators role and provides recognition and merit for nursing specialist, expertise, competencies etc in canada

Certifications: CCNE (certified nurse educator), simulation educators

Question 11

What is Canadian Nurses Protective Society (CNPS)?

Answer 11

• Non profit organization created by nurses for nurses –> offers legal advice, risk management services, legal assistance and professional liability protection related to nursing practice in canada

Purpose: Legal Assistance

Question 12

What is Canadian Nursing Students Association (CNSA)?

Answer 12

National voice of canadian nursing students with the goal increasing legal, ethical, and educational aspects of nursing

Dedicated to the positive promotion of nurses and the nursing profession

Question 13

Who sets the scope of practice for nurses in Ontario?

Answer 13

The nursing act and CNO

Question 14

What is the purpose of the CNO?

Answer 14

Regulatory body; protects the public by making sure that nurses registered in Ontario have met, and continue to meet, the requirements of the profession.

Question 15

Is membership to the CNO voluntary?

Answer 15

No. It is involuntary
Mandatory for nursing registration in Ontario

Question 16

Who is the CNO?

Answer 16

Regulatory body for nursing in Ontario

Question 17

How does CNO fulfill its mandate?

Answer 17

• Establishing requirements for entry to practice and maintenance of license
• Articulating and promoting practice standards -> all nurses are accountable for their practice
• Administering quality Assurance program -> every nurse is expected to participate
• Enforcing standards of practice and conduct

Question 18

What are the professional standards under CNO?

Answer 18

1) Accountability
2) Continuing competence
3) Ethics
4) Knowledge
5) Knowledge application

Question 19

What is the purpose of the RNAO?

Answer 19

Ontario’s professional voice of RNs/NPs/nursing students

Professional / political /educational
- advocate for health public policy
- promote excellence in nursing
- provides Best practice guidelines to keep up to date with evidence informed practice
- Also provide legal assistance in partnership with Canadian Nurses Protective Society (CNPS).

Question 20

Is RNAO membership mandatory?

Answer 20

No, but it is free for new grads

Question 21

What is the purpose of ONA?

Answer 21

Trade Union / educational.
- Collective Bargaining is a major function
- Participate in discussions with employers to negotiate and fight for fair wages, working conditions etc.

Question 22

Is ONA membership mandatory

Answer 22

Mandatory where the ONA collective agreement is in force