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Nurse Practitioners in Northeast Winnipeg:
Success is intentional, not an accident
Debra Vanance
Community Area Director
Access River East & Transcona
Untold Stories from the Canadian
Nurse Practitioner Initiative or Truths
Told Over Wine
• Nightmare in New Brunswick
• Car Care in Ontario
• National Variation
CONSIDERATIONS
• General Public
• Patients
• Colleagues
• Nurse Practitioners
General Public
• Use existing print media
• Capitalize on opportunities
• Access Transcona opening
• Access Transcona open house
Primary Care Patients
• Pamphlets
• Informed about 2 available providers
• Nurse Practitioners and Physicians
• Clinic staff aware of prescribing restrictions
Colleagues
• Role clarity required for all staff
• Discussion with physician colleagues : rostering,
roles
• Collaborative practice model based on trust & respect
• Supportive Learning – procedures
• Clinical Rounds/ Winnipeg Integrated Services
Rounds/ Presentation to Northeast Leadership group
that includes Concordia Hospital Managers
Nurse Practitioners
Northeast Nurse Practitioner Committee
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Identifying and creatively managing issues related to the
introduction of a new role
Objectives:
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A forum to discuss / share knowledge and expertise in respective clinical areas
An opportunity to collaborate, disseminate and participate in nursing research
A forum to promote evidence-based nursing practice
A forum to facilitate problem solving of various issues (clinical, non-clinical)
A mechanism to discuss and make recommendations regarding issues related
to the Nurse Practitioner (NP) roles
• An environment to facilitate support of group members.
• Membership:
• Access Centre nurse practitioners, clinical manager & community
director
Northeast Nurse
Practitioner Committee
• Sample Topics
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Manitoba Health Billing
WRHA Drug Formulary Issues
Performance: outputs, peer review
Referral non acceptance locally : MATC, HEPP, Specialists
Referral non acceptance: National Organizations
Updates from Regional Advanced Practice Committee
New NP orientation
The Intentional
Unfolding of the Future
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Evolution of NPs role across sectors as primary care practitioners
Review of NP Billing Information & Report system
Ensure maximal utilization of skills and knowledge
Any sole practitioners are linked with other NPs and/or physician
practices
• Ongoing review of barriers/issues and regional, college and government
support to break them down
• Effective utilization of the non clinical time support regional/local
initiatives
• Support for new Nurse Practitioners pre registration and through early
years
• Continued PR
Success is intentional,
not an accident
Thanks to the Northeast primary care team who
helped with this presentation and worked
together to make our implementation successful
Questions