Nurse Practitioners in Northeast Winnipeg Success is intentional

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 • 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 1. Role clarity required for all staff 2. Discussion with physician colleagues : rostering, roles 3. Collaborative practice model based on trust & respect 4. Supportive Learning – procedures 5. Clinical Rounds/ Winnipeg Integrated Services Rounds/ Presentation to Northeast Leadership group that includes Concordia Hospital Managers

Nurse Practitioners Northeast Nurse Practitioner Committee • Identifying and creatively managing issues related to the introduction of a new role Objectives: • • • 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 1. Sample Topics 1. 2. 3. 4. 5. 6. 7. 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 • • 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