Newfoundland and Labrador
Nurse Practitioner Association
Annual General Meeting
September 22-23, 2011
A Special Interest Group of the
Association of Registered Nurses of Newfoundland &
Labrador
NLNPA Annual Report 2011
1
Table of Contents
President Report
3
Agenda
7
Minutes
8
Current Bylaws
12
Recommended By-Law Amendments
18
NLNPA Committee Representation
19
NLNPA Committee Reports
Treasurer Report
Auditors Report
ARNNL Report
CAAPN Report
Fundraising Committee Report
Bylaws Committee Report
Scholarship Committee Report
Nominations Committee Report
NP Council of CAAPN Report
Marketing Committee Report
Education Committee Report
Communications Report
20
20
21
24
30
30
30
31
32
34
35
NLNPA Report to ARNNL
41
NLNPA Membership Form
42
NLNPA Committee Interest Form
43
NLNPA Annual Report 2011
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NLNPA President's Report
Operating year for this report (September 2010 to August 2011)
Number of Members: 52
Executive for the operating year September 2010-August 2011:
President: Kelly Power-Kean
100 Forest Road, Room 1010
St. John’s, NL A1A 1E5
Phone: 777-8139 (w), 895-2905 (h)
Fax: 777-8913
kpowerkean@cns.nf.ca
Vice-President: Wanda Emberley-Burke wemberley@cns.nf.ca
Past President: Sueann Kean
sueann.kean@centralhealth.nl.ca
Secretary: Heather Rumsey heather.rumsey@easternhealth.ca
Treasurer: Geri Dalton geri.dalton@easternhealth.ca
Communications Director: Donna Daley npacommunications@gmail.com
Executive for the forthcoming year:
President: Kelly Power-Kean
100 Forest Road, Room 1010
St. John’s, NL A1A 1E5
Phone: 777-8139 (w), 895-2905 (h)
Fax: 777-8913
kpowerkean@cns.nf.ca
Vice-President: Wanda Emberley-Burke wemberley@cns.nf.ca
Past President: Sueann Kean
sueann.kean@centralhealth.nl.ca
Secretary: Heather Rumsey heather.rumsey@easternhealth.ca
Treasurer: to be determined at AGM
Communications Director: Donna Daley npacommunications@gmail.com
NLNPA Annual Report 2011
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NLNPA Website: http://nlnpa.ca
September 2010-August 2011 NLNPA Activities:
I would like to begin my initial report as NLNPA president by expressing gratitude to the
executive and membership who have worked hard to ensure successful NLNPA ventures and
initiatives over the past year.
Wanda Emberley-Burke in her vice president role consistently plays a major role as planner and
organizer of meetings for the NLNPA and has contributed significantly to all aspects of the
NLNPA. She is the executive member on the NLNPA Education committee, and NL
representative on the Canadian NP Council. She has been key in keeping membership abreast of
current national initiatives, including the recommendation of representation on various
committees.
Geri Dalton has performed admirably in the challenging role of Treasurer and has ensured that
NLNPA obligations have been met, finances are well managed, membership growth is
vigorously pursued and executive and members are informed of the financial health of the
organization. Geri has been the chair of the nominations committee, and executive member on
the bylaws committee.
As NLNPA Secretary, Heather Rumsey has ensured that executive meetings have operated
smoothly including the preparation of minutes. It is hoped that in the coming year the minutes of
all executive and general membership meetings will be available on the updated NLNPA
website. Heather is the Eastern Health representative on the NLNPA Marketing committee and
the NL Provincial Nursing Network.
I would also like to thank Donna Daley, who bravely accepted the executive position of NLNPA
Communications Director in March of this year. She has work diligently with our contracted
webmaster to update and move our web page forward. Donna has also been busy with various
communications activities, which have assisted our group with marketing the role of the NP in
NL.
Sueann Kean, as past-president of the NLNPA has offered to the executive her experience and
expertise related to NLNPA operations. She is currently the chair of the Bylaws committee, and
the executive member on the Conference Planning Committee. We thank her for her ongoing and
invaluable support.
National and international conferences are an important service to NLNPA members, and Bev
McIsaac, Cathy Aylward and Jane Wells deserve special mention. Both Cathy and Jane have
collaborated to prepare our AGM this year in Grand Falls-Windsor. Cathy is also the Advanced
Practice Representative on ARNNL council and has kept us regularly informed regarding council
activities as they apply to NP practice. Bev as president of CAAPN has kept NLNPA executive
and members updated regularly regarding national NP issues and has been a key player in the
NLNPA Annual Report 2011
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organization of the national CAAPN conference taking place in Saskatchewan this September.
Bev's unwavering
enthusiasm for national and international representation of NPs has guaranteed that the NLNPA
is strongly represented to CAAPN and CNA: these links provide NLNPA members with
opportunities for input on a national level. Bev is also chair of both the NLNPA Marketing and
Education Committee’s.
Executive Meetings:
The executive over the past year have met regularly. Meetings were held on October 29/10,
December 2/10, January 14/11, February 11/11, March 25/11, April 5/11 and May 13/11. A
meeting is also scheduled for September 7/11 in preparation for the September 22-23 AGM
taking place in Grand Falls Windsor. In addition to these face to face or conference call
meetings, the executive is constantly in contact with each other via email and phone regarding
issues that come forward in between meeting dates.
General Membership Meetings:
Two general membership meetings were held over the past year on January 20, 2011 and April
13, 2011. The AGM will be held in Grand Falls Windsor on September 23, 2011 at a breakfast
meeting from 7:30-9:00 am. We encourage all members and interested NPs to attend.
Highlights NLNPA Activities for 2010-2011:
The NLNPA executive and membership have been involved in a variety of activities over the
past year. It is difficult to describe all of our work; however the majority of these events have
been captured in the reports that precede this report. This list is provided as a summary of those
activities:
 Contracting a webmaster to update and manage current NLNPA webpage
 Updating NLNPA posters for public audience and NP audience
 Participation in Nurses Week with an advertisement in the Telegram (May 2011)
 Participation in NLNU sponsored MHA breakfast with focus on NP practice (8 members
attending)
 Participation in CAAPN sponsored NP Advocacy Workshop in Ottawa, with 2 NLNPA
members attending
 Participation in CAAPN sponsored NP Advocacy Workshop Part 2 in Saskatchewan,
with 1 NLNPA member attending
 Advocacy regarding ARNNL CCP issues
 Facilitating NLNU presentation regarding NP job reclassification issues
 Coordinating medtronic continuing education dinner session for NPs on insulin pump
therapy
 Advocacy regarding insurance coverage of NP prescriptions (Sunlife, Massage
Therapists)
 Participation in CAAPN 2011 conference (1 member sponsored to attend)
 Encouraged participation of all NL NPs in MHA letter writing campaign
 Participation in Provincial Nursing Network
 Participation in the Canadian Association of Advanced Practice Nurses (CAAPN)
 Participation in the National Nurse Practitioner Council
NLNPA Annual Report 2011
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Participation in formulating the ARNNL NP Verification of Competencies Process
Representative on ARNNL NP Standards Committee
Participation at special interest group meet and great at ARNNL AGM conference
Continued NP marketing initiatives
Donation of AED in association with NL Heart and Stoke Foundation (location Bishop
Falls)
Participate in ARNNLs NP Committees
Increasing NLNPA scholarship fund (two annual $500 scholarships to NLNPA members)
Reestablishing membership cards
Organizing NLNPA fleece jacket purchasing
Establishing NL NP pin which was financially supported by ARNNL
Linkages with newly appointed Vice President and Chief Nursing Officer, Eastern Health
regarding future Eastern NL NP initiatives
Although not directly related to NLNPA activities, three of our members have been recognized
either provincially or nationally this year. Karen Oldford was profiled in a recent Canadian
Nurse article. In the article Karen has described some of the rewards and challenges of NP
practice in Labrador. Geri Dalton was featured on provincial television and newspapers with the
inauguration of the New Hope Clinic in St. John’s. Her passion and dedication to her patients
was evident through her interview and patient testimonials. And finally, Goldie White was
awarded the prestigious FNIHB Award of Excellence in Nursing which celebrates the
dedication, initiative and excellence of nurses employed by First Nations communities, Health
Canada and Inuit communities who work in partnership to improve the health of Canada's
Aboriginal peoples. Congratulations to all!
We are confident that other NL NPs have been involved in similar exciting initiatives. The
NLNPA executive is hopeful that NPs will share their successes in NP practice on the newly
updated NLNPA webpage.
I would like to close this report by congratulating two NPs on their upcoming retirements. Both
Geri Dalton and Sonja Parsons are retiring from the full time NP positions. As you all know,
they have contributed tremendously to the NP movement in NL, and have truly been “trail
blazers”. On behalf of the NP executive and membership, we wish you heart felt congratulations
on your retirement and many years of retirement bliss.
Respectfully submitted;
Kelly Power-Kean
NLNPA President
August 31, 2011
NLNPA Annual Report 2011
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Agenda
NLNPA AGM
September 23/11
Grand Falls Windsor
7:30-9:00 am
1.
2.
3.
4.
5.
6.
7.
Welcome
Approval of Agenda
Approval of Minutes from September 2010 AGM
President’s Report
Treasurer Report
Auditor Report
Business Arising
a. Committees/Associations
i. CAAPN
ii. ARNNL Council
b. Internal Committees
i. Fundraising
ii. Bylaws
iii. Scholarship
iv. Nominations Committee
v. Conference Planning Committee
c. Partnership with Heart and Stroke-AED
8. New Business
a. NP Council Of Canada
b. Marketing Committee
c. Education Committee
d. Communication Director Report
e. CNS Report
f. ARNNL CCP
g. NLNPA Annual Conference
h. Presentation
i. Election of New Executive
9. Next Meeting
10. Adjournment
NLNPA Annual Report 2011
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NLNPSIG
Minutes General Meeting
September 2010
Holiday Inn- St. John’s, NL
1. Meeting called to order at 1605 by Karen Oldford.
2. The agenda was approved by Karen with two small changes. Under New Business Bylaw
changes will be A and Election of new executive will be B.
3. The minutes of the last general meeting were reviewed. They were adopted with no
amendments. These were not the minutes included in the package. These teleconference meeting
minutes will be adopted at the next meeting as at an AGM you adopt the last AGM minutes..
4. Treasurers Report:
- Reviewed by Geri. A copy was provided for review.
- The expenses on the second page reflected those that incurred since Jan 19, 2010. The bank
statement may look higher as there are 2 checks that haven’t cleared yet.
- motion to adopt by Cathy Aylward, seconded by Jackie Foote. Adopted as read.
5. Business Arising
1. Committees/Associations:
a) NP Marketing- This committee has not met in 6 months. The last big imitative
-
was the poster development. If you require some they are available from Sueann
or Bev.
Heather Rumsey discussed the fact that we should align ourselves with a not for
profit organization.
The website is now up and running.
Heather suggested that we write a thank-you to Vicki Kaminski for her address
and in that market the role.
b) CAAPN- Bev McIsaac is away. Lynn Miller brought greetings to the group.
- She talked about integration of roles and the challenges- CAAPN is a support at
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the National level.
CAAPN has been involved with the CNA conference in Nova Scotia. They
sponsored a breakfast symposium at CNA re advanced practice roles. They
NLNPA Annual Report 2011
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presented a document which highlighted the need for both advanced practice
roles.
This year they will reevaluate their mission and vision statements. They are
redoing their organizational chart. They are revising their website.
Advised the group that the CAAPN newsletter comes out 4 times per year. As
part of our CAAPN membership we have access to 2 online journals with a
third being added.
She advised that the controlled drug and substance act is still being worked on
but that it is not seen as a priority.
Physician assists are being discussed but is like comparing apples to oranges.
The next CAAPN conference is in Saskatchewan, Sept 29 and 30, 2011.
Lynn advised that she has a contact for the video that the Nova Scotia group
did- the cost was approx. 5-7 thousand.
c) NPCC- Antoinette was a member of this group but it has not been active
recently.
d) Provincial Nursing Network- this group was established by Anita Ludlow. No
recent meetings of this group.
e) ARNNL Council - Cathy Aylward is the advanced practice representative. The
-
goal is public protection and to set standards. A big function is the complaints
authorization committee- if on council you can be pulled in to be a part of this
committee. Very eye opening as complaints are increasing. Cathy explained that
this is a big part of why ARNNL fees increased- to cover the cost of legal fees.
NP’s have increased an extra $50.00 above RN’s fees.
Continued competency- do self assessment tool as plans can be audited.
Samples- NPs can’t accept or distribute samples.
No prescribing of narcotics.
They meet 4 times per year. Any concerns contact Cathy.
2. Internal Committees:
- Reports are included in the report.
- Cindy Parrill was awarded the bursary this year.
- Need a new conference planning committee- a list will be circulated tomorrow
to see who is interested in being on this committee. The group was asked to
consider where the next conference would be.
3. Pharmacy Board:
- When they update their computer programs they have been asked to include the NP
designation and not just Dr.
NLNPA Annual Report 2011
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4. NP Postings:
- This has been rectified.
5. New Business
a.) Bylaws:
- Amendments reviewed.
- Article 1- name-OK
- Article 3- a-object-language current to reflect documents
b- addition-“integration”- OK
- Article 4- membership-1.1- 3 points-OK
- Article 4- membership 1.2- 2 points- OK
-Article 5- Additions to EX.- OK
-Article 5- 4.- Holding of office-OK
- Article 5-5. -Overlap of executive-OK
- Article 5-6.- Attendance- OK
- Article 5-8. -Overlap of executive- OK
- Article 5-10.4.- Signing authority-OK
- CAAPN fees-OK
- Accountability quarterly report- OK
- Article 5-10.5- Communication Director-OK
- Article 6- 2.3- Grammar- OK
- Article 6-2.4-Scrutineers-OK
- Article 7-3- Meeting clarification-OK
- Article 7-3.2- Attendance quorum-OK
-Article 7-4-Special meeting-OK
- Article 7-4.1- Written notice-OK
-Article 7-5 Voting-OK
- Article 7-6- Format of voting- OK
- Article 7-6.1- Time sensitive issues- OK
- Article 7-6.2- Notification-OK
-Article 8-4- Addition-marketing and education-OK
- Article 8-9- to scholarship- OK
- Article 9- 1.3- Year change- OK
- Article 9- 1.4- Fees- OK
- Article 9- Signing authority- OK
- Article 10-1- Amendment of Bylaws-OK
Bylaw changes are carried with no opposition.
-
b.) Election of New Executive:
Geri Dalton reviewed nominations for president and vice president.
President- Kelly Power Kean- nominated and accepted- elected by acclamation.
Vice President- Wanda Emberley-Burke- nominated and accepted- elected by acclamation.
Treasurer- 1 year term- no nominations. Geri accepted the position for 1 year.
Secretary- Heather Rumsey nominated and accepted- acclaimed.
NLNPA Annual Report 2011
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Communications officer- no nominations- deferred for now.
Committee representatives will be sought during conference.
c.) Heart and stroke Foundation:
Partnership with them.
$4000.00 “restart the heart program”- provides AED and training in an area.
Recognition to our group including a plaque.
Agreed to do this. 1st was Cathy Aylward and 2nd by Marci Greene, No opposition. Motion
carried.
d.) Video Survey:
-
Video re promotion of NP role in NL.
Budget of $10 000- good investment.
Lynn cautioned the group to have clear property rights.
This will go to the marketing committee for investigation and follow-up.
Motion to spend up to $10 000 to develop video. 1st Jane Wells, 2nd Geri Dalton.
Video will be the property of NLNPSIG
Develop partnership with ARNNL, NLNU. Look at schools/ media production for
partnership. Motion carried.
e.) Next Meeting
To be called.
Meeting adjourned at 1730.
Respectfully submitted by Michelle Whittle
NLNPA Annual Report 2011
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NLNLA Bylaws
Article I – Name
The name of the Special Interest Group is Newfoundland and Labrador Nurse Practitioner
Association hereafter referred to as NLNPA.
Article II – Affiliation
This group is a special interest group of the Association of Registered Nurses of Newfoundland
and Labrador (ARNNL) and a provincial partner of the Canadian Association of Advanced
Practice Nurses (CAAPN).
Article III – Object
The object of the NLNPA is to support and promote the development of Nurse Practitioner (NP)
Education and Practice in the province of Newfoundland and Labrador by:
(a)
promoting the Canadian Nurses Association’s Nursing Practice Standards, ARNNL’s
Standards of Nursing Practice, Standards of Practice for Nurse Practitioners and
competencies for Primary Health Care Nurse Practitioners, and/or Nurse Practitioner
Specialists in Newfoundland and Labrador;
(b)
promoting NP nursing practice, integration, education, research, and administration;
(c)
providing consultation and support to members on professional practice issues;
(d)
partnering with consumers and other health care and related organizations;
(e)
contributing to the development of standards of practice for NPs;
(f)
promoting and facilitating access to continuing education opportunities for NPs;
(g)
collaborating with key stakeholders for health system reform aimed at enhancing services
available to citizens of the province;
(h)
adhering to the Canadian Nurses Association’s Code of Ethics for Nursing; and
(i)
lobbying for healthy public policy.
Article IV- Membership
1. There shall be three (3) categories of NLNPA members.
1.1
Full membership shall consist of licensed NPs holding a current practicing or nonpracticing membership with the ARNNL. Regular membership shall:

pay an annual fee as determined by vote of membership;
NLNPA Annual Report 2011
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have full voting privileges;
be eligible to hold office and serve on committees;
have access to consultation and support on professional practice issues;
remain in good standing as long as dues are paid; and
includes membership to CAAPN.
1.2
Associate membership includes student NPs, Clinical Nurse Specialists and
supporters of NPs. The Executive Committee will approve associate
memberships. Associate members shall:
 pay a reduced fee as determined by vote of membership;
 be non-voting members;
 not be eligible to hold office;
 be eligible to serve on committees; and
 includes membership to CAAPN.
1.3
Honorary members shall be individuals who have received unanimous
approval of the Executive Committee in recognition of outstanding
contributions in support of NP practice in NL. Honorary members shall:
 be exempt from paying annual fees;
 be non-voting members;
 not be eligible to hold office; and
 be eligible to serve on committees.
1.4
Members may resign from the NLNPA at any time. There will be no
of dues with resignation.
…refund
1.5
Members delinquent in the payment of membership fees by more than sixty
…….(60) days after the membership expiration shall be considered as resigned.
Article V – The NLNPA Executive Committee
The NLNPA Executive Committee is the governing body responsible for the activities of the
NLNPA.
1.
The Executive Committee shall be: President, Vice President, Secretary, Treasurer and
Communications Director. The Past-President acts as an advisor to the Executive
Committee.
2.
All officers shall be elected to a two-year term immediately following the election during
the Annual General Meeting (AGM).
3.
An individual may not hold more than one office at the same time.
4.
No member shall hold office for more than three terms.
NLNPA Annual Report 2011
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5.
A member shall be eligible for re-election to the Executive Committee after a lapse of
one year.
6.
All officers shall maintain active membership and are required to attend 75% of
executive and general membership meetings.
7.
An officer may resign at any time by written notice to the Executive Committee.
8.
In circumstances where the entire executive is scheduled to change over, because of
resignations, elected executive members and appointed executive members can serve an
additional one year term to allow for staggering of exit of members from the Executive
Committee.
9.
The Executive Committee may fill vacancies until the next scheduled balloting.
10.
A two-thirds vote is required at any AGM or special meeting called for the purpose to
remove any elected officer for due cause before the expiration of their term, and appoint
another member to complete the term.
11.
The duties of the Executive Committee and its members shall be as follows:
11.1
The President shall chair all meetings of the NLNPA and the Executive
Committee. The President shall act as an official spokesperson for the NLNPA, to
interpret NLNPA activities and policies to others, and facilitate the mandate of the
NLNPA. The President shall be a signing officer. The President shall prepare an
annual report to present to the membership at the AGM and submit an annual
report to the ARNNL.
11.2 The Vice President shall perform duties delegated by the president,
assume the office of the President should that office become vacant
between elections, and assume the duties of the President in the absence or
inability of the President to act.
11.3
The Secretary shall maintain minutes of record of all meetings, attend to
correspondence under the direction of the Executive, and maintain an
accurate listing of members in conjunction with the Treasurer.
11.4
The Treasurer is a signing officer. The treasurer shall keep records of all monies
received and disbursed, prepare financial statements and present such statements
and a projected budget at the AGM. The Treasurer will receive and process
membership applications and annual fees for the NLNPA and CAAPN and
maintaining an active membership list. The treasurer should provide a quarterly
report at the executive meetings.
The Communications Director shall prepare a newsletter and articles for the
media or other print or multimedia sources in collaboration with the executive and
members. The director shall also liaison with the web administrator in keeping
the website up to date.
11.5
NLNPA Annual Report 2011
14
Article VI - Nominations and Elections
1.
There shall be a Nominations Committee consisting of three members elected by the
NLNPA at each AGM, one of who shall be named the chairperson by the committee.
1.1
2.
This committee shall implement the procedure for obtaining nominations for the
elected offices, receive nominations submitted for all elected offices, and present
a ticket of nominations to the Executive Committee eight (8) weeks prior to the
AGM. If insufficient nominations are received, the committee must use reasonable
efforts to ensure a contended election for office.
The election of offices shall be held during the Annual General Meeting.
2.1
Active members with full membership shall be eligible for office, except
as precluded in Executive Committee bylaws.
2.2
The candidate receiving the greatest number of votes shall be elected.
2.3
The chairperson of the nominations committee with draw lots to break a
tie of votes.
2.4
The Executive Committee shall appoint two scrutineers to count the
ballots and report the results to the nominations committee chair. The
nominations committee chair will report the results to the general
membership.
Article VII – Meetings
1.
A provincial meeting of NLNPA shall be held every year and be designated an Annual
General Meeting (AGM).
1.1
The AGM shall be held at the call of the President.
1.2
Members shall be advised of the agenda, date, time, and place of the AGM
at least six weeks in advance.
2.
General membership meetings shall be held at least twice a year and/or at the call of the
President. The agenda, date, time and place shall be made known to members at least
two weeks in advance.
3.
Executive Committee meetings may be convened by the president or any two members of
the Executive Committee at any time but at least quarterly.
3.1
Notice of meetings shall be communicated to each Executive Committee member
not less than one week prior to the meeting date.
NLNPA Annual Report 2011
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3.2
4.
Fifty percent (50%) plus one of the executive membership shall be a quorum at
any given meeting. A quorum is required for voting.
The NLNSPIG may call a special meeting on the written request from 30% of the voting
members.
4.1
Written notice of special meetings shall be served to members at 14 days
before the date of the meeting.
4.2
A statement of the purpose for which a special meeting is called shall be
sent to the members with the notice of the meeting.
5.
Thirty percent (30%) of the membership of the NLNPA shall be a quorum at any given
meeting. A quorum is required for voting.
6.
Eligible members can vote using the following formats, showing of hand, telephone
phone, ballot or electronic.
6.1
As deemed by the executive, special voting can be conducted to address time
sensitive issues that are critical to conducting business of NLNPA.
6.2
Members will be notified regarding the special vote and the rational for the
special vote via email or telephone.
Article VIII – Committees
1.
The committees of the NLNPA shall consist of two categories: standing committees and
special committees, to be appointed by the Executive Committee as required. An
executive member shall be assigned to all committees, as requested by the president.
2.
Standing Committees of the NLNPA are:
 Bylaws
 Communication
 Marketing
 Executive
 Nominations
 Scholarship
 Education
3. Special Committees are those committees established by the president, the executive
committee or by resolution from members at the Annual General Meeting.
Article IX - Finances
1. There shall be an annual fee (dues) for full and associate members.
1.1
The annual membership fee for each category of membership shall be
recommended by the Executive Committee and approved by the majority of
members at the AGM.
NLNPA Annual Report 2011
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1.2
Notification of a proposed change of fee shall be sent to the membership at least
two (2) months prior to the AGM.
1.3
The membership year shall begin January 1st and end December 31st.
1.4
Annual fees shall be payable at the AGM, and not prorated for less than a year of
membership. Fees paid at the AGM will provide membership for the following
calendar year.
2. The books shall have an audit by a non-executive person/party on a yearly basis.
3. Both the Treasurer and the President will have signing authority for all cheques and other
orders of payment in the name of NLNPA. The treasurer should be the primary issuer of all
cheques. In the absence of the treasurer, the president may sign cheques.
Article X – Amendments
1.
Amendments to these bylaws may be adopted at any AGM by a two-thirds (2/3) vote of
those members in attendance.
2.
Proposed amendments shall be submitted in writing to the Executive Committee at least
twelve (12) weeks in advance of the AGM and circulated to the members at least eight
(8) weeks prior to the vote.
3.
Accidental non-receipt of notice by any member shall not invalidate any amendment
made under this article.
Article XI – Parliamentary Authority
1.
The rules contained in the current edition of Robert’s Rules of Order Newly Revised,
shall govern NPSIG except in cases specified by these bylaws, standing rules, or special
rules of order adopted by the members.
Adopted June 2000
Revised and Adopted June 2005
Revised and Adopted September 2010
NLNPA Annual Report 2011
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Bylaw Amendment Recommendations for AGM 2011
Old Bylaw
Article III (e)
contributing to the
development of standards of
practice for NPs
New Bylaw
Ongoing contribution to the
development of standards of
practice for NPs
Article VI- 2.3
The chairperson of the
nominations committee
with draw lots to break a tie
of votes.
The chairperson of the
nominations committee will
draw lots to break a tie of
votes.
NLNPA Annual Report 2011
Rational
National NP standards have
been developed. NLNPA
will contribute as requested
in future development or
revision of the same.
Grammatical correction.
18
NLNPA Committee Representation
Marketing Committee
Chair: Bev McIsaac
Executive member: Donna Daley
Eastern: Heather Rumsey
Western: Ellisa Sinnicks-House
Central: Ada Roberts
Labrador: vacant
Education Committee
Chair: Bev McIsaac
Executive member: Wanda Emberley-Burke
Eastern: Peggy O’Brien-Connors
Alisa Fowlow
Carmel Collins
Donna Best
Western: vacant
Central: Nadine Roberts
Labrador: vacant
Scholarship Committee
Chair: Jill Bruneau
Executive member: Kelly Power-Kean
Eastern: Valda Duke
Western: vacant
Central: vacant
Labrador: vacant
Bylaws Committee
Chair: Sueann Kean
Eastern: Geri Dalton
Western: vacant
Central: vacant
Labrador: vacant
Nominations Committee
Chair: Geri Dalton
Eastern: vacant
Western: vacant
Central: vacant
Labrador: vacant
NLNPA Annual Report 2011
19
NLNPA Reports
Treasurer Report:
To be submitted at AGM as a separate document by Geri Dalton, Treasurer
NLNPA.
Auditors Report:
To be submitted at AGM as a separate document by auditors Marcy Greene and
Jill Bruneau.
NLNPA Annual Report 2011
20
ARNNL Report:
Association of Registered Nurses of Newfoundland & Labrador (ARNNL)
Annual Report to NLNPA
2010-2011
Registration
ARNNL members continue to contribute their expertise to the development of the CRNE and in
particular, in the item writing and standard setting processes.
Since 2007, NP graduates working in Primary Health Care are required to write the Canadian Nurse
Practitioner Exam (CNPE) Family & All Ages Exam to obtain licensure. There were eight candidates
who successfully completed the exam in 2010 and 9 who will be eligible to write the exam in 2011.
NPs licensed in NL – 111
Non – practicing RNs –7 (Note: two RNs are currently completing the Nurse Practitioner Validation
Process (2010) for NP licensure).
RNs currently completing CNPE – 9
Interim Licenses - 12
Nurse Practitioner Standards Committee:
In 2010-11, the NP Standards Committee reviewed and approved five Practice Protocols for NP
Specialists. ARNNL also approved six Interim Licenses for NP Specialists. This was the first time that
Article 6 Section 4 of the ARNNL Bylaws (2010) was used to allow NP-S to work under an Interim
license. This Bylaw allows NP-S to work within the scope of practice of a Nurse Practitioner, with
limitations, allowing him/her to work in the role while developing his/her Practice Protocol.
ARNNL also issued nine licenses to NPs working in Primary Health Care. Two Registered Nurses
availed of the ARNNL NP Validation Process, allowing them to be issued a practicing NP license after
fully completing the Validation Process including 600 hours of clinical practice.
The Nurse Practitioner Regulations and the Framework for NP Practice in NL has significantly expanded
the scope of practice for nurse practitioners in the province and ARNNL believes this is an important step
forward for nurse practitioners, one which will ensure NPs are able to practice to their full scope and play
a significant role in delivery of health care services to all patients in NL. The NP Standards Committee
approved three requests for drugs to be added to Schedule C of The Framework for Nurse Practitioner
Practice in Newfoundland & Labrador (2008).
Education
Planning is underway at Memorial University to move the BN-NP Primary Health Care program to the
Master in Nursing (MN) Degree and the MN-NP (Acute) to MN-NP (Adult) as recommended by the
Canadian Nurse Practitioner Initiative (2006) and ARNNL. This will bring NP education in line with
national standards. Submission of the new program for preliminary approval is expected in 2011 with the
first intake of students commencing in September 2012.
ARNNL continues to work with key stakeholders to move to 3 Streams of Practice (Adult, Pediatrics and
Family All Ages) with a national exam for all 3 streams.
NLNPA Annual Report 2011
21
Controlled Drugs and Substances Act: (national and provincial)
The New Classes of Practitioner Regulations (NCPR) are still considered to be of high priority for all
regulatory bodies, the Canadian Nurses Association and CAAPN. A recent letter from The Federal
Minister of Health, Honourable Leona Aglukkaq to the Canadian Association of Advanced Practice
Nurses (CAAPN) providing assurance to nurse practitioners in Canada, that this issue will be resolved in
the coming months.
ARNNL will continue to monitor and report on the status of this long standing concern for NPs.
Continuing Competence Program for Nurse Practitioners
The ARNNL Continuing Competence Program (CCP) was implemented in April 2010. An extensive
province wide education initiative was undertaken in 2009 and 2010 to introduce the new program. Over
3200 members have attended at least one CCP education session. ARNNL hosted 88 education sessions
in 2010-11. 96.7% of Registered Nurses indicated on their registration renewal that they completed all
components of CCP. Of the 3.3% who left the questions blank or answered no, 51% had completed the
requirements before March 31st, 2010.
In 2011-12 licensure year, Nurse Practitioner’s will be asked to identify two learning goals, one goal from
the NP Professional Standards and one from the Scope of Practice Standards. This is in keeping with
feedback received from NPs.
Provincial Issues

ARNNL worked with Labrador Grenfell Regional Health Authority (LG Health) to
address the issue of advertising nurse practitioner positions Job postings) as Regional
Nurse/Nurse Practitioner. Future advertising of these positions will clearly differentiate
the role of the NP from that of the Regional Nurse based on the legislated scope of
practice of the roles.

Massage Therapy – ARNNL working with the Newfoundland and Labrador Massage
Therapists' Association (NLMTA) addressed an issue related to denial of referrals from
NPs. This is issue is deemed to be associated with the Insurance Companies and not with
NLMTA. ARNNL continues to address this with the Insurers.

Medavie/Blue Cross – ARNNL working with CNA and CAAPN continues to work to
address Medavie/Blue Cross’s policy related to allowing NPs to prescribe and order as
per their legislated framework. The major issue is policy makers working in various
jurisdictions in Canada not having a clear understanding of the legislated scope of
practice of Nurse Practitioners. This issue is hoped to be resolved in the very near future
as work continues on this issue.
ARNNL Committees
ARNNL has established several committees that are working with NPs, including:
 NP Marketing Committee
 NP Continuing Education Committee
NLNPA Annual Report 2011
22

NP Streams of Practice
ARNNL continues to dialogue and partner with the NLNPA on an ongoing basis to address all relevant
NP issues.
Respectfully submitted by:
Beverley McIsaac RN, MN (ANP), ARNNL
Nursing Consultant Regulatory Services/ Advanced Practice
NLNPA Annual Report 2011
23
CAAPN Report:
Canadian Association of Advanced Practice Nurses (CAAPN)
HISTORICAL PERSPECTIVE
CAAPN was initially formed in 1989 as the Canadian Clinical Nurse Specialist Interest Group
(CCNSIG) and became a CNA associate group in 1991, with a mandate to provide a national
voice for Clinical Nurse Specialists (CNS). This mandate has since been expanded to provide a
voice for Registered Nurses practicing from a base of Advanced Nursing Practice (ANP) in
Canada, and represents advanced practice nurses in a variety of roles including CNSs and Nurse
Practitioners (NP). These nurses practice in a variety of settings and specialties across the
continuum of care. To reflect expanded mandate, the name was changed in 1998 to the Canadian
Association of Advanced Practice Nurses (CAAPN).
CAAPN believes that a master’s degree in nursing is the core foundation for advanced nursing
practice.
GENERAL STRUCTURE
The Executive of CAAPN is made up of the following positions: president, president-elect, pastpresident, secretary, treasurer/membership coordinator and communications director.
Individuals are elected into these positions by the national membership at CAAPN’s Biennial
General Meeting.
The 2009-2011 CAAPN Executive members are as follows:
 Past President – Cynthia Struthers (Ontario)
 President – Beverley McIsaac (Newfoundland & Labrador)
 President-elect – Kimberley Lamarche (Nova Scotia)
 Treasurer/Membership Coordinator –vacant
 Secretary – Lynn Miller (Nova Scotia)
 Communications Director – vacant
Mission - CAAPN is the national voice advocating for excellence in advanced nursing practice
Vision - CAAPN is recognized as the national leader for all domains in Advanced Practice
Nursing: clinical practice, education, research, policy and administration.
Values




Respect: CAAPN's actions are guided by the belief that all members are valued and
respected
Supportive: CAAPN is supportive of its members and fosters collaboration and
relationship building within a framework of respect and understanding
Shared Voice: CAAPN speaks with one shared voice on advanced practice nursing issues
Inclusive: CAAPN is open to all advanced practice nurses in Canada and values diverse
perspectives
NLNPA Annual Report 2011
24

Transparency: CAAPN values the importance of maintaining trust by being accountable
and transparent in its conduct
OBJECTIVES – 2009-2011 based on Strategic Plan
1. Carry out our advocacy agenda
a) To strengthen the voice and visibility of CAAPN
b) Clearly articulate the contribution of APNs to Canadian health care systems
c) Improve APN education – Standards for CNS, consistency in educational
programs
d) Support PhD programs for APNs
e) Support APN Research
2. Create a sustainable organization
a) To develop infrastructure to support CAAPN
b) Engage members in CAAPN
MEMBERSHIP:
As of August 2011, CAAPN has 547 members with eight provincial partners including:
British Columbia NP Association (BCNPA), Nurse Practitioner Association of Alberta
(NPAA), Newfoundland and Labrador NP Association (NLNPA), Nurse Practitioner
Association Nova Scotia (NPANS), Nurse Practitioners of New Brunswick (NPNB),
Manitoba (NPAM), and Saskatchewan with two groups (NPOS and SANP), each with
automatic CAAPN membership for a reduced rate through their respective provincial APN
groups. Our members function in CNS, NP or CNS/NP roles and practice across a range of
clinical areas which span all areas of the continuum of care. The common and integral bond
that links members is advanced nursing practice.
CAAPN has three types of membership:
 Regular Member - full voting/membership privileges, including eligibility to stand for
Executive Office
 Associate Member - does not hold voting privileges; is not eligible to hold an Executive
Officer position (including students)
 Honorary Member - full voting privileges but not eligible to hold an Executive Officer
position
NLNPA Annual Report 2011
25
CAAPN Membership by Province
Province
Clinical Nurse Specialist (CNS)
Alberta (NPAA)
British Columbia (BCNPA)
Manitoba (NPAM)
New Brunswick (NBNPA)
Newfoundland & Labrador
(NLNPA)
Nova Scotia (NPANS)
Ontario
Prince Edward Island
Quebec
Saskatchewan (NPOS)
Saskatchewan (SANP)
NT/NWT
Other
Total
2011
6
85
155
7
74
51
59
5
0
0
2
54
1
50
547
members
CURRENT CAAPN ACTIVITIES
The most significant task undertaken by the CAAPN Executive over the last two years has been
the building of the organization’s infrastructure and communication system. This has included:
1. CAAPN Biennial National Conference – Saskatoon, Saskatchewan 2011
2. Hiring of a part time Administrative Assistant
3. Political Advocacy Workshop - CAAPN partnered with the NP Council, CNA and
Pfizer Canada to successfully plan and implement a political advocacy workshop in
Ottawa for nurse practitioners. Financial support from Pfizer Canada was
instrumental in offsetting the costs of this activity. The two-day interactive
workshop was designed to influence public policy to mediate positive change in
relation to the issues and barriers facing the NPs of this country. Michael Villeneuve
from CNA facilitated the workshop; and, the objective of the workshop was to
provide NPs with an opportunity to advance their skills and understanding of the
processes involved in developing and influencing public policy.
Each CAAPN provincial group had at least one representative attend. In addition,
CAAPN supported one Clinical Nurse Specialist to attend the workshop. The conceptual
design of the workshop was based on adult learning theory and the goal of the modular
format was to enhance the capacity of advanced practice nurses to influence decisions at
various levels that affect the quality of patient care.
Two specific objectives of the Advocacy Workshop were:
 Building on knowledge and enthusiasm to encourage activity in the policy arena
NLNPA Annual Report 2011
26

Discuss and learn about the policy making process, the key phases in leading
change, and tools and strategies for influencing policy.
To that end, APNs from all across the country shared their perspectives on issues and
barriers impacting APN practice.
Three common themes emerged:
 Canadians deserve the best possible health care; however, not everyone is
aware of all of their care provider options;
 There still exists a lack of clarity about what NPs do, their cost effectiveness,
and the positive outcome they generate;
 The health care system is facing challenges that requires a team approach;
however, there is a lack of knowledge at institutional and government levels
regarding the added value and leadership ability of NPs in a team environment, and
as part of decision-making processes
4. Increased communication and linkage with provincial ANP groups and key
provincial ANP contacts with at least two teleconference meetings annually;
5. Increased communication with key national ANP groups including CNA, Provincial
associations/regulatory, APN Chair’s office and Health Canada;
6. Improved process for maintaining a current and accurate membership list, including
an electronic distribution list and on-line renewal, to facilitate member
communication;
7. CAAPN continues to advocate for amendments to the Controlled Drug and
Substance Act (CDSA). During the past two years, CAAPN has attended meetings
with Health Canada, written letters to the Minister of Health and Health Canada
urging both parties to act on the implementation of regulations that would allow
additional health care professionals to prescribe controlled drugs and substances and
outlining CAAPN’s concern about the inadequate care received by patients because
Nurse Practitioners are unable to prescribe controlled drugs and substances. In
addition, the duplication in service and cost to the system, when NPs have to refer
patients to other providers to obtain treatments requiring a controlled drug. CAAPN
working with all key stakeholders will continue to advocate for legislative changes to
support advanced nursing practice.
8. Collaborative Integration Plan for the Role of the Nurse Practitioner in Canada 20112015 - This past year CNA established working groups to create an integration plan
for the nurse practitioners in Canada. The Canadian Nurse Practitioner Initiative
(CNPI) strategic areas of legislation, regulation, education, health human resources
and communication are the basis for the Collaborative Integration Plan for the Role
of Nurse Practitioners in Canada. Some of the actions from CNPI were kept,
revised; others are new based on the stakeholder feedback. CAAPN continues to
work with CNA to develop this document
9. Regular meetings and involvement with CNA on issues relevant to advanced
Nursing practice
o CAAPN participated in the revision of the Canadian Nurse Practitioner Core
NLNPA Annual Report 2011
27
Competency Framework (2010)
o Participating in the McMaster Health Forum to engage in dialogue on:
1. Addressing the Integration of Nurse Practitioners in Primary Health Care
Settings in Canada
2. Addressing the Integration of Clinical Nurse Specialists and Nurse
Practitioners in Acute Care Health Care Settings in Canada.
10. CAAPN participated in the First Annual Canadian Partnership for Progress in Health
Human Resources (CPPHHR) Conference, Royal College
11. Assisting CNA with ongoing work to profile NP and CNS roles in Canada with a
vision to promoting awareness and understanding of the CNS in a manner similar to
that used to by CNPI to promote the NP role (Webinars with focus on advanced
nursing practice).
12. Assisting CNA with development of Fact Sheets for NPs – Emergency Room and
LTC NPs
13. Invited by Infoway Canada to participate in the e-Prescribing Reference
Specification review and validation by the Clinician Reference Group
14. Request from national journals highlighting advanced nursing practice (Canada
Health Network, Today’s’ Parent, Chatelaine, Canadian Living).
As the volume of national ANP initiatives increases, so too does the demand placed on
CAAPN. As the national voice for advanced nursing practice, CAAPN is being pulled in
many exciting directions. In addition to the above activities, CAAPN have also been
involved in the following:

Regular production and electronic distribution of the CAAPN newsletter to membership

Linkages with membership –remarks to provincial meeting and responding to individual
requests

Surveys – CAAPN provided responses to a CNA and other stakeholders’ (Infoway,
Health Canada, Researchers, APN Chair, etc.) request for feedback regarding
implementation and sustainability of APN roles.

Request for letters of support: Medavie /Blue Cross to amend current policy to allow NP
to prescribe according to legislated scope of practice
Working with Provincial NP Associations to resolve issues related to federal forms: EI
Medical forms; Disability Tax Credit Forms, etc.

Future work for CAAPN:
1. The need for support for the large volume of national ANP activity remains paramount. CAAPN’s
current infrastructure, based on a volunteer executive, places significant limitations on our ability to
participate actively or provide prompt and articulate responses to the many requests we receive. The
volume of CAAPN members does not support the demanded activities. Membership engagement will
be a priority in the coming years.
2. Revise and create CAAPN infrastructure to respond to the growing membership, both as provincial
NLNPA Annual Report 2011
28
partners and individual members. Creation of councils and committees with appropriate terms of
reference will greatly improve the ability of CAAPN to lead in the APN world and respond to
external stakeholders. In addition, paid staff will need to be discussed as CAAPN moves forward.
3. Ongoing legislative, regulatory and policy amendments to support CNS and NP practice – CDSA,
Food and Drug Act (Sampling), Title Protection/Credentialing for CNS).
4. Lobbying for sustained ANP positions in Canada’s health care system.
5. Continued need to advocate for and support graduate level education as entry to practice for advanced
nursing practice.
6. Promoting a consistent approach to education and credentialing for CNS and NPs.
7. Work with CNA and APN chair on establishing consistent language and frameworks for Advanced
Nursing Practice in Canada.
Respectfully submitted by,
Beverley McIsaac RN, NP MN
President, Canadian Association of Advanced Practice Nurses
NLNPA Annual Report 2011
29
Fundraising Committee Report:
Oral report to be provided at AGM.
Bylaws Committee Report:


Two recommendations were made for amendments to the present Bylaws. These
recommendations were forwarded to all NLNPA members 12 weeks prior to the
September 23, 2011 NLNPA AGM. These items will be voted on at the AGM.
Request for resolutions were sent to the general membership prior to the 2011
NLNPA AGM.
NLNPA Scholarship and Education Committee Report:
NLNPA Scholarship and Education Committee met several times over the past year 2010-2011.
One face-to-face meeting was held in March, 2011, to review the eligibility criteria for NLNPA
Scholarship awards. Ongoing communication occurred via email during the month of April,
2011. One teleconference meeting was held for selection of successful applicants in June, 2011.
NLNPA Scholarship and Education Committee successfully approached the NLNPA with a
request to increase the available funding for bursaries. Effective 2011, current funds available are
two $500.00 bursaries.
NLNPA Scholarship and Education Committee sent notification about funding available from
the NLNPA bursaries to all nurse practitioners registered with the ARNNL in April, 2011. Nurse
practitioners must be NLNPA members in order to be eligible to receive one of two $500.00
awards.
The committee received a total of five applications from nurse practitioners across the province
requesting funding for various educational programs. In June, 2011, letters were sent by mail and
email notifying both successful and unsuccessful applicants.
There were two successful candidates. One $500.00 award was granted to Charlene Downey to
complete a hematology/oncology course through Harvard University. The other $500.00 award
went to Marie Clarke to complete certification as a menopause counselor.
Respectfully submitted,
Jill Bruneau
August 1, 2011
Nominations Committee Report:




Notification of upcoming nominations were sent out to all NPs prior to the 2011 AGM.
Current vacancy includes position of treasurer.
One nomination had been received for treasurer prior to the AGM.
An election will take place at the AGM on September 23, 2011.
NLNPA Annual Report 2011
30
Nurse Practitioner Council of CAAPN Report:
The Nurse Practitioner Council (NPC) is an expert, representative voice for Canadian nurse
practitioners. Its mandate is to promote sustainable, integrated comprehensive NP practice.
Enhance NP professional development. Support ongoing development of advanced practice
nursing and promotes the health of Canadians by advocating for human health issues. The NPC
shall act in ways that are congruent with the By-Laws, regulations, Goals and Objectives of
CAPPN. (Terms of reference NPC 2010)
Every teleconference meeting consists of highlights or “Round Table Discussions” around the
country from each NP council representative. A brief example of these are as follows:
 I reported on the MHA breakfast with NPs with presentations from several local NP’s.

Several provinces reported that there are no jobs for NPs, while others such as NS and
BC are investigating fee for service payment schema for NPs.

University of Alberta’s Primary Care NP program has been temporarily suspended due to
no positions available for new graduates.
CNA representatives are interested in providing a Primary Care Toolkit for NPs. This tool kit
would provide assistance to NPs in their Primary health Care role and also allow stakeholders to
understand the role of the NP as well.
A survey is being developed and CAAPN/ CNA will organize a teleconference and focus groups
for this project.
Ongoing issues:
Legislative requirements with regards to the Controlled Substances Act (CDSA) and NP’s
prescribing controlled drugs and substances discussion, along with the Food and drug Act (FDA
Canada) and distribution of drug samples, as well as the SOGC compassionate birth control
Program have been ongoing. Bev McIsaac, ARNNL Provincial Advanced Practice Consultant
and executive member of CAPPN, has kept everyone informed with her detailed
communications on these issues.
A two day conference on Influencing Public Policy: A Workshop for Canada’s Nurse
Practitioners took place in Ottawa on May 8-9, 2011. Donna Daley and Cathy Alyward attended
on behalf of NLNPA.
The CAAPN Conference this year will be held in Saskatchewan on Sept 29th and 30th, 2011. Geri
Dalton will be attending on behalf of the NLNPA executive.
Respectfully submitted;
Wanda Emberley-Burke
VP NLNPA
NLNPA Annual Report 2011
31
Marketing Committee Report:
Committee Members:
Bev McIsaac (Chair)
Karyn Murphy
Jennifer O’Neill
Glenda Stagg
Heather Rumsey
Ellisa Siniicks House
Ada Benoit
Donna Daley
In the Spring, 2011 a marketing strategy was developed with short and long term strategies that
captures the NLNPA overall strategic direction for marketing the NP role. In a communication
plan form, the focus relates to the role and contributions of Nurse practitioners within the health
care system in NL. The target audience focuses on both formal and informal stakeholders.
Communication strategies include strengthening the NLNPA website to include interactive
features. To date, the website design has been completed; and, relevant information and
resources are being uploaded on a continuous basis. A member’s-only site should be accessible
at the end of August 2011.
A mini communication plan for the NLNPA conference was developed to include key messages
and goals for the conference in Grand Falls-Windsor, being held on September 22 and 23. This
was submitted in July 2011. Also, NLNPA has arranged its own media coverage in addition to
the local coverage for this year’s conference.
The announcement of NLNPA’s donation of an Automatic External Defibrillator (AED) to the
arena in Bishop’s Falls will be made at the NLNPA conference. NLNPA media coverage will
capture the presentation of the cheque. And, the Canadian Heart and Stroke Foundation has
arranged media coverage for the cheque presentation; and, at the Bishop’s Falls Arena at the time
of the AED installation. NLNPA plans media coverage as well for the installation event. This
initiative showcases the NLNPA partnership with Heart and Stroke Foundation; and, NLNPA’s
commitment to the community.
The NLNPA Banners and Posters were updated to reflect the new logo.
A NP Ad was developed and submitted to The Telegram for Nurses Week. It appeared in the
newspaper on May 7. Plans for additional opportunities for Nurses Week 2012 include ads in
more provincially covered newspapers, radio ads, etc.
The NLNPA is in the process of developing a tagline that will accompany all correspondence
relating to the NP role in Newfoundland & Labrador.
NLNPA Annual Report 2011
32
A Briefing Note was developed to capture the attention of formal and non-formal stakeholders in
NL. It is specific to improving access to care for patients with the integration of more NP roles
across the province. A copy of the Briefing Note was given to the Minister of Health &
Community Services on his visit to the Northern Peninsula in July, 2011.
An unscheduled meeting with Premier Dunderdale in Corner Brook in August provided an
opportunity to discuss the importance, significance and benefits of the NP role in NL. A copy of
the Briefing Note is being forwarded to the Premier’s office, at her request. There are plans to
include a comprehensive report on NP practice with the Briefing Note.
Plans for an NLNPA e-news bulletin are underway. This will facilitate regular communication
among NPs in NL; and, will likely route via the website.
Plans are underway for more promotional materials such as NP FAQ sheets, NP video, NP
brochure, etc.
Other ongoing Communication activities include:
 monitoring media for community, provincial, and national health issues/stories
highlighting the NP role; and, develop and maintain a database of material to include in
the e-newsletter
 designate regional spokespersons/champions who can be called on for media interviews,
writing articles for NLNPA website, ARNNL’s ACCESS, NLNU’s In Touch, etc.
Respectfully submitted
Donna Daley, NP
NLNPA Annual Report 2011
33
NP Continuing Education Committee Report:
The NP Continuing Education Committee was renewed this past year on the request of the
NLNPA executive and has met twice in 2011. As a request from the NLNPA general
membership, ARNNL was asked to work with the NLNPA executive to look at availability of
continuing educational opportunities for NPs.
The members of the group are:
Bev McIsaac (Chair)
Donna Best
Wanda Emberley-Burke
Alisa Fowlow
Carmel Collins
Nadine Roberts
Peggy O’Brien Connors
The goals of the group are as follows:
1. Addressing the issue of sustained funding for NPs continuing education
2. Accessing continuing education opportunities for NPs
3. Availability of continuing education for NPs
In reviewing the previous education initiatives of this committee, it was identified that there are
monies available to assist NPs with further education related to amendments in Regulations or
legislation. For example, focus on the CDSA and NPs completing a Narcotics and Controlled
substance course.
Committee members reviewed specific educational opportunities currently available, online, for
NPs. The NLNPA website will house these sites under the broad categories of education,
practice and research.
A Survey will be developed and sent to all members in the fall, after the AGM, to ascertain NP
continuing education needs.
Respectfully submitted
Wanda Emberley-Burke
NLNPA Annual Report 2011
34
NLNPA Communications Report:
A. Website
January, 2011

A service provider was recruited to update and maintain the NLNPA Website; a contract
was signed by the NLNPA and Simon Babineau outlining the terms of the agreement
which included services being provided and compensation costs for same; the services set
out in the contract are as follows:
o Redesign of website involved update to logo only so that it reflects the change in
the name
o Development of a “members only” section to the site
o Redesign and development time was allocated at 16 hours
o Maintenance time was allocated at 3 hours/month
March, 2011

Contact was made between the Donna and Simon to co-ordinate efforts to get the changes
and updates started

Final details for the contract were sorted out and terms finalized
April, 2011

A draft of the “members only” site was developed and presented at the executive meeting

Discussions took place to determine which of the information being uploaded to the site
was most relevant for general access and which information should be most relevant to
“members only”
May, 2011

Technical difficulties were encountered with the site, given the host server was at
ARNNL

Discussions took place to determine if the service provider could take over as host,
allowing for quicker web design and uploading of information; and, promote easier
maintenance of the site

Extra costs for these services were minimal and it was agreed to move forward with these
changes

Any consequences that might result from the dissolution of the current service provider
were discussed, and satisfactorily addressed by both parties.
NLNPA Annual Report 2011
35

Discussions took place relating to the impact of the dissolution of the agreement with the
service provider

Logo and name change updated on website
June, 2011

Second draft of NLNPA Website submitted to Executive and service provider for perusal

Links to membership form uploaded to website

Information dates and venue uploaded to site for the NLNPA Conference in GFW, with
notice more to follow

Notice on home page uploaded indicating website is currently being updated

Timeline for website to be up and running on or about June 30, 2011
B. Communications
March, 2011

Donna Daley joined the NLNPA Executive board as the Communications Director

Communication was established with the new service provider for the NLNPA website
and efforts have been ongoing to get the updated site up and running to include a
“members only” section
April, 2011

CAAPN Political Advocacy Workshop announced for May 8-10 in Ottawa
o Communications Director to represent the CAAPN provincial group at this
workshop
o Comprehensive report of attendance at workshop to be completed and submitted
in time for AGM
May, 2011

Attended Ottawa NP Political Advocacy Workshop May 8-10 (see full report for details)

In partnership with ARNNL, a Newspaper ad (with pictures), specific to NP practice, was
developed and submitted for Nursing week; it was printed in the May 8th issue
Other promotional activities to include update of posters with new logo; and, a new
brochure on the role of the NP is in development

NLNPA Annual Report 2011
36

Can utilize concept from NPAO’s most recent poster; verbal consent has been obtained;
Discussions with Executive to heighten NP visibility in the province; this would include
adding formal media coverage via journalist student to do photo shoots and videotaping
of NP conference
o Would enhance media attention
o Would also contribute to the development of a NLNPA portfolio, in combination
with informal member photos throughout the conference
June, 2011

Participated in NP marketing committee meetings; several projects pending via a
communication plan for the next year

Increased media attention to be arranged specific to NLNPA involvement with the AED
announcement and presentation to the Heart & Stroke Foundation
o NLNPA will have own media coverage, along with Heart & Stroke’s Media
coverage
o Heart & Stroke media release to be reviewed prior to release;
o Contact info for NLNPA communications director to be included in all media
releases

I have been advised there is interest by the Grand Falls Advertiser to do a piece on the
role of the Nurse Practitioner
o Media contact has been made with Media Relations at Central Health; and they
are open to the idea
o The contact NP recommended by CH is away until mid-June
o Once done, the article is slotted for print sometime in
o I am not formerly involved in this media piece

Through a happenstance meeting in the cafeteria of BBHC, I made contact with the MHA
for our area, Wallace Young, JR. I utilized a key message I had ready relating to the
benefit and cost effectiveness of the NP role in NL. After a great discussion, Mr. Young
informed me the Minister of Health, Mr. Jerome Kennedy, is planning a visit to our area.
We discussed the possibility of setting up the Minister’s itinerary to include a visit to one
of our satellite clinics along the Northern Peninsula while I am working
o My usual clinic day for each clinic was provided to Mr. Young in hopes of getting
an opportunity to meet with Minister Kennedy during his visit
o A Briefing Note is being developed for review by Mr. Young and the Minister
o Contact with Mr. Young is scheduled before the end of June to follow up on our
discussion; and, to determine if the Minister’s schedule has been finalized for a
visit to this area

Contact efforts (via email) were made to MUN’s school of medicine to propose a
presentation to the medical students on the role of the Nurse Practitioner
o No reply to date
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
A mini communication plan specific to NP Conference is in development
o To include key messages relating to the NP role
o To highlight key messaging relating to the conference
 Key note speaker and theme
 Key agenda items
o To include media release information relating to the AED
A Workshop & Strategy Meeting for Canada’s Nurse Practitioners
Sunday, May – Tuesday, May 10, 2011
CNA House – Ottawa
CAAPN partnered with CNA and successfully planned and implemented a political advocacy
workshop in Ottawa for nurse practitioners across the country. Financial support from Pfizer
Canada was instrumental in offsetting some of the costs of this endeavor. The two-day
interactive workshop was designed to influence public policy to mediate positive change in
relation to the issues and barriers facing the NPs of this country. Michael Villeneuve from CNA
facilitated the workshop; and, the objective of the workshop was to provide NPs with an
opportunity to advance their skills and understanding of the processes involved in developing
and influencing public policy.
Each CAAPN provincial group sponsored one or more members to attend; and, a total of twentytwo NPs from most provinces had representatives at the table. Timing of the workshop was
scheduled to take place in conjunction with Nurses Week.
The conceptual design of the workshop was based on adult learning theory; and, the goal of the
modular format was to enhance the capacity of nurse practitioners to influence decisions at
various levels that affect the quality of patient care.
Two specific objectives included:
 Building on knowledge and enthusiasm to encourage activity in the policy arena
 Discuss and learn about the policy making process; the key phases in leading change;
and, tools and strategies for influencing policy.
To that end, NPs from all across the country shared their perspectives on issues and barriers
impacting NP practice. Three common themes emerged as set out below:
 Canadians deserve the best possible health care; however, not everyone is aware of all of
their care provider options
 There still exists a lack of clarity about what NPs do, their cost effectiveness, and the
positive outcome they generate
 The health care system is facing challenges that require a team approach at the clinical
and policy levels; however, there exists a lack of knowledge regarding the added value
and leadership ability of NPs in a team environment, including the decision-making
processes at these levels.
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Several workshop modules were reviewed and discussed throughout the two days. I have
extrapolated some of the learning into a small synopsis that can be utilized to prepare for any
opportunity to promote the NP role to any/or all stakeholders in the health care system.
In utilizing a leading change framework, the first element is to be strategic. Start with choosing
the project and the timing of it; develop a vision; be able to communicate the vision to
stakeholders, being clear about the need for change, and the desired outcome.
Then to manage change, activities, tools and strategies include the development of resolutions
and positions statements, personal meetings and lobbying, working with the media, and briefing
notes.
A well-written briefing note will reflect the many elements of the policy cycle, as follows:
 Include a statement of the original problem/chosen need
 Utilize research and information already developed
 Capture the current state of events,
 Set out who is involved
 Identify special considerations
 Include any legislation already in place
 Specifically state what the decision is you are seeking
When writing a briefing note, assume the reader knows little about the issue; and, be very clear
about what you are asking for. Do it all in two pages. Done effectively, the briefing note is
designed to engage people who are part of decision-making and policy development.
Engaging people also involves identifying and cultivating allies, and developing effective
messages. An effective message is short, simple, clear and compelling. It is based on evidence
and reinforced by statistics. The importance of having a key message ready is to be prepared for
a target audience; and, the opportunity may present when you least expect it.
Through the efforts of CAAPN, National NP Council, CNA, and Pfizer Pharmaceuticals, an
opportunity was made available for Canadian nurse practitioners to learn the tools and strategies
needed to promote positive change for the NP role in this country. Specifically, this learning
should enable NPs to bring to the forefront the role of the NP, the service that is provided by
NPs, and the positive outcomes NPs achieve in each of their roles.
Continued efforts will be made at national and provincial levels to increase awareness and
promote greater visibility of nurse practitioners within the health care system. To that end, a
second meeting for the national team is planned for the end of June; and, the NLNPA will be
making concerted efforts to meet the challenges facing the NP role here at home. We are not
alone. The barriers are the same; and, together we can make change happen.
It is also important to report a second area of discussion at the Ottawa workshop. It relates to
CNA’s Government Relations Update on the NP CDSA strategic plan and their efforts to date.
The briefing note, written by CNA’s CEO, was provided to each participant, and a statement of
NLNPA Annual Report 2011
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the problem was set out as follows: “the federal barrier under the Controlled Drug & Substance
Act currently limits the prescribing authority of NPs from providing a full range of care to their
patients”. A power point presentation by CNA provided an outline of this project from start to
present day status. After countless efforts, the CNA continues to advocate in the political arena
in this regard; and, a proposal to Treasury Board is expected in the coming months; publications
in Canada Gazette are proposed for Fall 2011; and, enabling regulations from Health Canada
under CDSA through New Classes of Practitioners Regulations (NCPR) is hoped to be in place
by 2012. Provincial/Territorial nursing associations/colleges will prepare for new regulations.
CNA reiterates the importance of NPs continuing to be involved in advocating for the NCPR.
A third and final event in the workshop included an opportunity for the group to meet with
Maureen Klenk, A/Chair Nurse Practitioner Council, to discuss future directions for NPs in this
country. This took place at a dinner meeting on Monday night, May 9th and lots of talk
generated ideas and activities for future projects and actions.
Respectfully submitted;
Donna Daley
NLNPA Annual Report 2011
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NLNPA 2011 Annual Report to ARNNL
Annual Report Submissions January 2011:
SIG/Chapter Title: Newfoundland and Labrador Nurse Practitioner Association
President: Kelly Power-Kean
Executive Members: Wanda Emberley-Burke (VP), Geri Dalton (Treasurer), Heather
Rumsey (Secretary), Donna Daley (Communications Director), Sueann Kean (Past
President)
Number of Members: 46
Objectives of the group:
The objective of the Newfoundland and Labrador Nurse Practitioner Association
(NLNPA) is to support and promote the development of nurse practitioner education and
practice in the Province of Newfoundland and Labrador.
Highlights of the Year (Key Objectives/Accomplishments/Goals):

Participation in Provincial Nursing Network

Participation in the Canadian Association of Advanced Practice Nurses
(CAAPN)

Participation in the National Nurse Practitioner Council

Participation in formulating the ARNNL NP Verification of Competencies
Process

Updated NLNPA website

NLNPA Annual Conference September 2010, St. John’s

Representative on ARNNL NP Standards Committee

Participation in NLNU MHA breakfast with focus on NP Practice

Advertisement in the Telegram during Nurses Week (May 2011)
Looking Ahead:
 Official launch of NLNPA revised website
 NLNPA Annual Conference September 2011 September 15-16, Grand FallsWindsor
 Continue to market the role of NPs
 Donation of AED in association with NL Heart and Stoke Foundation
 Participation in national advocacy workshop in Ottawa
 Participate in ARNNL’s NP Committees
NLNPA Annual Report 2011
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Membership Form
NL Nurse Practitioner Association (NLNPA)
[
Name: _______________________________________________________________
Address: ___________________________________ Postal Code: _______________
Telephone: ____________________________(h) ____________________________ (w)
Email: _______________________________(h) ____________________________ (w)
Employer:____________________________________________________________
Year of Graduation from NP Program: ___________ School: __________________
Are you currently working as a NP? Yes □ No □
NP- PHC □
NP-S □ Other: _____
Where are you working?___________________
Please indicate your preferred mode of communication:
Email □
Phone
□
Regular mail
□
Please specify home or work:_____________
Please indicate appropriate membership:
*Full Membership $80.00: □
**Associate Membership $60.00: □
*Full membership: $40.00 (NLNPA) + $40.00 (CAAPN)
**Associate membership (applicable to NP students and NP supporters): $20.00 (NLNPA) + $40.00
(CAAPN)
____________________________
Signature
NLNPA Annual Report 2011
___________________________
Date
42
2011 Committee Membership Interest Form
NL Nurse Practitioner Association
Name: _______________________________________________________________
Address: ___________________________________ Postal Code: _______________
Telephone: ____________________________(h) ____________________________ (w)
Email: _______________________________(h) ____________________________ (w)
Employer:____________________________________________________________
Are you currently working as a NP? Yes □ No □
NP- PHC □
NP-S □
Other: _____
Where are you working?___________________
Please indicate your committee participation interest:
□ Marketing Committee
□ Education Committee
□ Scholarship Committee
□ Nominations Committee
□ Bylaws Committee
□ Fundraising Committee
□ Conference Planning Committee
□ Other committee opportunities as required by NLNPA
NLNPA Annual Report 2011
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