annual report - salpn · ruth kunkel, lpn nominations: dissolved may, 2015 chairperson |marjory...

1SALPN 2015 ANNUAL REPORT

SECTION HEADING

2015 ANNUAL REPORT

April 8, 2016

The Honourable Dustin Duncan Minister of Health Room 204, Legislative Building 2405 Legislative Drive Regina SK S4S 0B3

Dear Honourable Minister,

The Saskatchewan Association of Licensed Practical Nurses (SALPN) is pleased to present the 2015 Annual Report in accordance with the provisions of The Licensed Practical Nurses Act, 2000 (the Act).

The report is a comprehensive analysis of the proceedings of the SALPN from January 1, 2015 to December 31, 2015 and includes a financial statement of accounts as required by the Act.

Respectfully submitted,

Kari Pruden, LPN President SALPN

2 SALPN 2015 ANNUAL REPORT

CONTENTS

CONTENTS

ABOUT SALPN 4

PRESIDENT & EXECUTIVE DIRECTOR MESSAGE 6

SASKATCHEWAN ASSOCIATION OF LICENSED PRACTICAL NURSES ORGANIZATIONAL CHART 9

COUNCIL AND STAFF 10

SALPN COMMITTEES 10

REGISTRATION 12

EDUCATION 17

PRACTICE REPORT 17

SALPN RESEARCH PROJECTS 18

BYLAW PROJECT 20

AUDIT 20

COUNSELLING AND INVESTIGATION 21

DISCIPLINE 25

EVENTS 28

FINANCIAL STATEMENTS 31


SECTION HEADING


ABOUT SALPN

ABOUT SALPN

The Saskatchewan Association of Licensed Practical Nurses (SALPN) is mandated through the Licensed Practical Nurses Act 2000, to regulate the profession of Practical Nursing in a manner that protects the public. As a self- regulated profession, we have a societal, moral, ethical and legislative obligation to protect the public in a manner consistent with the SALPN Code of Ethics and Standards of Practice. Licensed Practical Nurses (LPNs) have been practicing in the province of Saskatchewan for nearly 60 years. In that time, the Practical Nursing program has continually evolved and clinical practice has changed. This evolution within basic education, continuing education and practice environments have impacted the demand for LPNs and opened new and unique opportunities within the profession.


OUR VISION | OUR MISSION | OUR VALUES

OUR VISIONExcellence in the regulation of Licensed Practical Nurses.

OUR MISSIONEnsure public safety through licensure, enforcement of

practice standards and supporting Licensed Practical Nurses in the provision of professional, competent and ethical care.

OUR VALUESINTEGRITY

Being accountable for our actions and decisions guided by honesty, fairness and transparency.

COLLABORATION Engaging LPNs and other stakeholders to build strong professional and public relations.

QUALITY Promoting excellence through the creation and

application of policy in professional nursing regulation.

PROFESSIONALISM Nursing regulation supportive of nurses continuously

building competence, knowledge, skills and expertise to offer the highest quality care.

RESPECT Creating a culture of equity, inclusiveness and diversity within the SALPN, the membership

and external stakeholders.


PRESIDENT & EXECUTIVE DIRECTOR MESSAGE

PRESIDENT & EXECUTIVE DIRECTOR MESSAGEGREETINGS LICENSED PRACTICAL NURSES...

2015 has been a trying year for the province of Saskatchewan; low oil prices, unusual weather, and weakening economic outputs means difficult decisions for our leaders. With the economic uncertainty that looms in 2016, it is encouraging to see that LPNs are a valued member of the healthcare team and that our membership numbers continue to grow. The SALPN has increased its practising membership by 5.9% in 2015. It is wonderful to see a growing LPN profession that is able to continue to meet our provincial healthcare demands.

In December of 2015, the Ministry of Health adopted the SALPN bylaws relating to Specialized Areas of Practice in Hemodialysis, Perioperative and Orthopedic Specialty Nursing. The Advanced Foot Care Specialized Area of Practice was not approved by the Ministry as it requires further clarification. The SALPN is incorporating the additional clarification required into a competency project taking place in 2016. The SALPN would like to thank all of the LPNs who contributed feedback regarding the bylaws and to the SALPN Staff and Council for their efforts in completing this project. With the approval of our bylaws, the SALPN will be renewing its focus on the strategic plan and completing the goals and mandates established within.

In 2015, a review of the current Continuing Education Program was conducted to assess potential changes to the existing program. The SALPN membership was provided with an opportunity to submit feedback with respecto to the current program and make suggestions regarding potential changes to the program. Paired with an external agency with continuing education expertise, a revision to the program was drafted. The work continues into 2016 with an anticipated completion date of April 2016.

In the fall of 2015 work was initiated to begin the process of redeveloping an LPN competency profile in Saskatchewan. The College of Licensed Practical Nurses of Alberta completed this process in June of 2015 and have shared their document with the SALPN as a starting point for document development. The majority of the required work will occur in 2016 and will include a comprehensive review of the competencies with the Practical Nursing education program, practising LPNs from a variety of settings, as well as employers of LPNs.

The SALPN continued to improve the renewal process in 2015. Again, LPNs took advantage of the “Pre- Authorized Payment Plan,” which allows the membership to pay their licensing fees in eight easy installments throughout the year. A reduction of calls pertaining to online renewal suggests that LPNs have become more comfortable with the online renewal process.

In an effort to increase public awareness of the SALPN and its mandate, the SALPN was proud to continue the “I Provide Care” initiative into 2015. The SALPN continued the “I Provide Care” initiative through

the utilization of digital and paper billboards throughout Saskatchewan, and other mediums. New SALPN members are provided with “I Provide Care” name tags. We suggest that all LPNs continue to identify themselves by wearing their name tags while providing the public with safe, professional, and compassionate care.

The SALPN continues to engage with its stakeholder groups. The Canadian Council of Practical Nurse Regulators (CCPNR), the national organization of LPN regulatory bodies for which the SALPN is a member, remains a valuable resource for the SALPN. In 2015, the CCPNR formulated the “Inquiry and Discipline” Committee to promote national discussions pertaining to regulatory discipline procedures and policies. In addition to this, the SALPN continues to participate in the “Registration” and “Practice” Committees led by the CCPNR.


PRESIDENT & EXECUTIVE DIRECTOR MESSAGE

The SALPN continues to utilize the resources made available from the Council of Licensure, Enforcement, and Regulation (CLEAR). CLEAR is an international organization that promotes inter-professional discussions on issues facing regulators. Members of SALPN Staff and Council attended their Annual Educational Conference in September of 2015.

The National Council of State Board of Nursing (NCSBN) has also become heavily utilized by the SALPN. Serving as an international regulatory organization specific to regulatory excellence, the SALPN has found a wealth of knowledge within NCSBN to employ within our own jurisdiction. Members of the SALPN Staff and Council have participated in various events hosted by the NCSBN and have begun incorporating their educational resources into both the discipline and registration processes.

The National Nursing Assessment Service (NNAS) began providing services to Internationally Educated Nurses (IENs) in August of 2014. In 2015, the SALPN received applications from 32 IENs following their assessment at the NNAS. There are approximately 100 other potential applicants that have chosen Saskatchewan and the SALPN as their destination once their NNAS assessment is completed. When applicants apply to the SALPN, a further assessment is initiated and potential gaps in education are identified. The SALPN continues to work collaboratively with the NNAS and nursing Regulators across the country in an effort to make this a successful service for nurses educated outside of Canada.

Responsible budgeting and spending in 2015 resulted in a fiscal surplus exceeding $120,000. Surplus funds from the previous three years will be helpful in the completion of large projects planned over the next two years.

The SALPN would like to thank the SALPN Council for all of their hard work in 2015. Your elected council has worked tirelessly to uphold the mission and values of the SALPN and dedicated themselves throughout the various projects and events sponsored by the SALPN. We thank you for your leadership that you bring to the organization and the commitment you demonstrate to public safety and the LPN Profession.

It is also important to recognize the contributions of the SALPN membership. The knowledge and resourcefulness of our LPN membership, assists the SALPN in its mandate. Thank you to everyone who dedicated their efforts to the provision of safe care over this last year and thank you for demonstrating your knowledge and professionalism towards self-regulation.

We would also like to the thank the SALPN staff for their hard work and dedication. Faced with another year of challenge, the SALPN staff worked tirelessly promoting positive growth within the organization. We are proud of the team assembled and are grateful for the ongoing commitment to excellence in regulation, demonstrated by each and every staff member.

Thank you,

Kari Pruden, LPN

SALPN President

Lynsay Nair, LPN

SALPN Executive Director

SALPN 2015 ANNUAL REPORT

SECTION HEADING


SALPN ORGANIZATIONAL CHART

SALPN ORGANIZATIONAL CHART

COUNCIL

REGISTRATION DEPARTMENT

INVESTIGATION & DISCIPLINE DEPARTMENT

PROFESSIONAL NURSING PRACTICE

DEPARTMENTADMINISTRATIVE

DEPARTMENT

EXECUTIVE DIRECTOR


COUNCIL AND STAFF | SALPN COMMITTEES

COUNCIL AND STAFF

SALPN COMMITTEES

SALPN STAFF Executive Director | Lynsay Nair, LPN

Registrar | Cara Brewster, LPN

Investigator | Della Bartzen, LPN

Practice Consultant | Jennifer Kanciruk, LPN

Practice Consultant | Helen Bourget, LPN

Associate Registrar | Noelle Odegard

Regulatory Services Coordinator | Joel Gritzfeld

Administrative Assistant | Jolie Mukendi

SALPN COUNCILPresident | Pauline Mason, LPN – Until April 22, 2015

President Elect | Kari Pruden, LPN – Effective

April 22, 2015

Members-at-Large:

Zone 1 Andrea McConnell, LPN Zone 2 Karen Disiewich, LPN Zone 3 Gwen Coburn, LPN Zone 4 Tina Sentes, LPN Zone 5 Janice Wagner – Until April 22, 2015

Zone 5 Harrison Elema – Effective June 1, 2015

Public Representatives:

Don Robinson Kathy Bradford

Bob Hryniuk – Effective July 22, 2015

Sharon Clarke – Until June 18, 2015

2015 SALPN COMMITTEES

Counselling & Investigation:

Chairperson | Greg Wagner, LPN – Until Sept. 2015

Chairperson | Marjorie Molsberry, LPN – Effective Sept. 2015

Tracey Daradich, LPN – Effective Sept. 2015

Bonnie Hauser, LPN

Cindy Kress, Public Representative

Pauline Mason – Alternate – Effective Sept. 2015

Shirley Wirsche, LPN – Until Sept. 2015

Discipline:

Chairperson | Angela Zborosky – Until Sept. 2015

Chairperson | Don Robinson – Effective Sept. 2015

Kate DeVries, LPN – Effective Sept. 2015

Brenda Lalonde, LPN – Effective Sept. 2015

Barbara Lindsay, LPN

Arlene Patron, LPN

Finance Committee:

Chairperson | Pauline Mason, LPN – Until April 22, 2015

Chairperson | Kari Pruden, LPN – Effective April 22, 2015

Karen Disewich, LPN

Lynsay Nair, LPN

Janice Wagner, LPN – Effective April 22, 2015

Legislation & Bylaws: Dissolved May, 2015

Chairperson | Pauline Mason, LPN – Until April 22, 2015

Chairperson | Kari Pruden, LPN – Effective April 22, 2015

Cara Brewster, LPN

Lynsay Nair, LPN

Janice Wagner, LPN


SALPN COMMITTEES

Awards & Recognition:

Chairperson | Janice Wagner, LPN

Brent Wagner, LPN

Nadine Dubeau-Chan, LPN

Ruth Kunkel, LPN

Nominations: Dissolved May, 2015

Chairperson | Marjory Molsberry, LPN

Carol Kosedy, LPN

Bonnie Hauser, LPN

Education: Dissolved December, 2015

Chairperson | Kari Pruden, LPN

Karen Disiewich, LPN

Andrea McConnell, LPN

Val Spencer, LPN

Lynn St. Onge, LPN

Events:

Chairperson | Gwen Coburn, LPN

Tina Sentes, LPN

Kayla Nicholls, LPN

Erin Book, LPN

Helen Bourget, LPN


REGISTRATION

REGISTRATION

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500

0

2011 2012 2013 2014 2015

2,9713,098

3,2873,448

3,653

REGISTRATION REPORT | PRACTICING LPNS AT YEAR END

The SALPN Practicing Membership increased by 5.9% in 2015.

Source: Alinity Database December 31, 2015

FEMALE MEMBERS

MALE MEMBERS

3,438

215

94%OF THE MEMBERSHIP

6%OF THE MEMBERSHIP



REGISTRATION

EMPLOYMENT STATISTICS - PRIMARY WORKPLACE

LPN POSITION/ROLE

Full Time Employed LPNs: 1,780 | 49%

Part-time Employed LPNs: 960 | 26%

Casually Employed LPNs: 510 | 14%

Not stated: 403 | 11%

403510

960

1,780

In 2015, 49% of LPNs were employed full time in their primary workplace.



0 500 1,000 1,500 2,000 2,500 3,000 3,500

NOT STATED

OTHER

LPN STAFF NURSE/COMMUNITY HEALTH NURSE

LPN SPECIALIZED AREA OF PRACTICE

LPN INSTRUCTOR/EDUCATOR

LPN COORDINATOR/CARE MANAGER

262

203

50

9

3,000

129


REGISTRATION

LPNs EDUCATED IN SPECIALIZED AREAS OF PRACTICE

Perioperative Care: 151

Foot Care: 84

Advanced Orthopedics: 3

Hemodialysis: 583

58

151

84

Not all LPNs who have obtained education in a specialized area of practice are currently employed or practicing in those areas.


INTERNATIONALLY EDUCATED NURSE LICENSURE

0 10 20 30 40 50 60 70

2015

2014

2013

2012

201115

66

66

42

38

Number of IENs Licensed



REGISTRATION

Ages of Practicing Members

At the end of 2015, 73% of LPNs were under the age of 50.

>25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 <70

700

600

500

400

300

200

100

0

AGES OF PRACTICING MEMBERS


150

590

697

533

386316 342 309

309

57 11

PRE-AUTHORIZED PAYMENT PLAN

In 2015, 374 SALPN Members enrolled in the Pre-Authorized Payment Plan to have their 2016 licensure fees deducted in 8 equal monthly payments from March until October. Of those 374, there were 13 Members that discontinued from the program for various reasons.

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80

70

60

50

40

30

20

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0

12

5 82

32

45

90

107

9

26

11

1

Source: Alinity Database


REGISTRATION

NEW SALPN MEMBERS FOR 2015

NEW GRADUATES – TRAINED IN SASKATCHEWAN = 155

RECIPROCITY – LPNS = 139

RECIPROCITY – NEW GRADUATES FROM OUT OF PROVINCE = 42

New Graduates – Trained in Saskatchewan = 155

Reciprocity – LPNs = 139

Reciprocity – New Graduates from Out of Province = 42

By CPNRE – IENs = 38 BSN, RN or RPN Applicant = 2

PN Re-Entry Program = 1

Source: Alinity Database

LPNs may not have obtained licensure within Saskatchewan

BY CPNRE – IENS = 42

VERIFICATION OF REGISTRATION/LICENSURE REQUESTS FROM OTHER JURISDICTIONS

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60

50

40

30

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0

17

54

159

3 2 1 3 1


EDUCATION | PRACTICE REPORT

EDUCATION

2015 CANADIAN PRACTICAL NURSE REGISTRATION EXAMINATION (CPNRE) RESULTS

Number of CPNRE Candidates 2015 WRITING PASSING FAILING % PASSING

Saskatchewan Graduates 1st Exam 215 209 6 97%

Saskatchewan Graduates Repeat Exam 8 6 2 75%

Internationally Educated Nurse 1st Exam 33 27 6 82%

Internationally Educated Nurse Repeat Exam 9 6 3 67%

Total Candidates 2015 265 248 17 94%

PRACTICE REPORT The SALPN provides consultation to Licensed Practical Nurses, other nursing disciplines, educators, employers, government, stakeholders and the public. The practice department responds to inquiries regarding LPN scope of practice, continuing competence and professionalism. Increased inquiries regarding advanced foot care, medication administration, dialysis, immunizations, IV push, phlebotomy and self employment were seen in 2015.

The practice department continues to offer face to face and teleconference professional practice sessions to employers and also provides in-person presentations to practical nursing students regarding legislation, self-regulation, scope of practice, professionalism, continuing competence and the complaint process.

The SALPN regularly collaborates with other health regulators across Canada, including the Canadian Council for Practical Nurse Regulators (CCPNR). Practice Consultants from across Canada meet regularly via teleconference and face to face meetings to discuss common issues and trends in health care that may impact practical nursing both within Saskatchewan and at a national level.


SALPN RESEARCH PROJECTS

SALPN RESEARCH PROJECTS

Points West Consulting Group Inc. was commissioned by the SALPN to conduct an online survey of Saskatchewan’s registered LPNs. The 3622 LPNs for whom SALPN had active e-mail addresses received an e-mail invitation to complete the survey, with a link to a secure host website. The 2015 SALPN Membership Survey was online and available to LPNs 24 hours a day, seven days a week from October 26 through November 13, 2015.

1098 registered LPNs submitted completed surveys. This represents 29.7% of Saskatchewan’s practicing LPNs. 1098 completed survey provide the SALPN with survey results that achieve a Margin of Error of +/-2.5% to a 95% Confidence Level. Thanks to the LPNs of Saskatchewan for their strong response to this important survey.

LPN UTILIZATION/CLARITY PUBLIC VISIBILITY

• 26.3% of respondents Strongly Agreed with the statement: “Compared to five years ago, my patients/ clients in my primary workplace have an increased understanding of the role of a Licensed Practical Nurse as a member of the health care provider team”. This level of agreement was statistically unchanged from the 2014 SALPN Membership Survey, but a decrease of 12.7% from the 2012 SALPN Membership Survey.

• 35% of respondents Strongly Agreed with the statement: “Compared to five years ago, other health care professionals in my primary workplace have an increased understanding of the role of a Licensed Practical Nurse as a member of the health care provider team”. This represents a decrease of 4% from the 2014 SALPN Membership Survey and a decrease of 17% since the 2012 SALPN Membership Survey.

• Only 27.1% of respondents feels their employer always fully utilizes their professional skills and training as a Licensed Practical Nurse. This represents a decrease of 5.4% from the 2014 SALPN Membership Survey and a decrease of 15.9% from the 2012 SALPN Membership Survey.

• 34.9% of respondents say they have been impacted in their health care workplace by the recent SRNA Training Directive.

• 45% of respondents Strongly Agreed with the statement: “In my primary workplace, I personally feel valued as a professional nurse”. This level of agreement was statistically unchanged from 2014.

• 41% of respondents say they "Always wear a Name Tag in their health care workplace". This represents an increase of 10.6% from the 2014 SALPN Membership Survey.

• 33.4% of respondents say they "Always Introduce themselves to their patients, clients or their families as a Licensed Practical Nurse." This represents an increase of 2.7% from 2014.

• Only 8% of respondents say they "Always explain their Role as a Licensed Practical Nurse to their patients, clients or their families." This is statistically unchanged from the 2014 SALPN Membership Survey.

SALPN MANDATE/PERFORMANCE

• 47.3% of respondents Strongly Agreed with the statement: “The SALPN Continuing Education Portfolio enhances my ability to provide professional nursing service to my patients/clients”. This level of agreement was unchanged from the 2014 SALPN Membership Survey.


SECTION HEADING


BYLAW PROJECT | AUDIT

BYLAW PROJECTThe Saskatchewan Association of Licensed Practical Nurses (SALPN) is pleased to announce that on December 17, 2015, the Minister of Health approved the Proposed SALPN Regulatory Bylaws pertaining to the three areas of specialized practice of “Advanced Orthopedics”, “Hemodialysis” and “Perioperative” care. These bylaws were published in the Saskatchewan Gazette on Friday, January 15, 2016. The Membership can expect further information from the SALPN including the updated practice standards for the areas of specialized practice and the processes for implementation in the very near future. The SALPN will continue the work on the area of Advanced Foot Care specialty.

AUDITCONTINUING EDUCATION PORTFOLIO POINT (CEP) AUDIT

2011 2012 2013 2014 2015

6.95% Membership

Audited(206 LPNs)

3.91% Membership

Audited(121 LPNs)

5.08% Membership

Audited(167 LPNs)

9.57% Membership

Audited(330 LPNs)

7.73% Membership

Audited (282 LPNs)

Practising Members 2966 3098 3287 3448 3648(does not include 6 GLPNs)

Successfully Completed 200 117 164 322 268

Incomplete 6 4 3 8 13

PRACTICE HOURS AUDIT

2011 2012 2013 2014 2015

3.34%Membership

Audited(99 LPNs)

4.36%Membership

Audited( 135 LPNs)

3.99%Membership

Audited( 131 LPNs)

7.60%Membership

Audited(262 LPNs)

9.48% Membership

Audited(346 LPNs)

Practising Members 2966 3098 3287 3448 3648(does not include 6 GLPNs)

Successfully Completed 99 135 131 262 343

Incomplete 0 0 0 0 2

CRIMINAL RECORD CHECK AUDIT

2011 2012 2013 2014 2015

CRC Audits were not part of annual licensure

at this time

0.87%Membership

Audited(27 LPNs)

0.94%Membership

Audited(31 LPNs)

1.83%Membership

Audited(63 LPNs)

1.78% Membership

Audited(65 LPNs)

Practising Members 2966 3098 3287 34483648

(does not include 6 GLPNs)

Successfully Completed N/A 25 31 61 64

Incomplete N/A 2 0 2 1


COUNSELLING AND INVESTIGATION


Committee Chair | Marjorie Molsberry, LPN

Committee Members

Bonnie Hauser, LPN

Cindy Kress, Public Member

Marjorie Molsberry, LPN

Tracey Daradich, LPN

Darcia Schirr, LLP

Number of Meetings in 2015

The committee met on:

• January 15, 2015

• March 12, 2015

• May 21, 2015

• August 24, 2015

• November 24, 2015

Staff & Legal Support

Darcia Schirr, LLP

Della Bartzen, LPN, SALPN Investigator

Joel Gritzfeld, SALPN Regulatory Services Coordinator

The SALPN Counselling & Investigation Committee receives, investigates and resolves complaints in accordance with the process established within the Act. The SALPN is committed to resolving complaints based on the principles established in the Code of Ethics and Standards of Practice. Each complaint is investigated and reviewed thoroughly to determine an appropriate course of action. The Act sets out the approaches for addressing Professional Misconduct and Professional Incompetence as those definitions are defined in the Act.

2015 Committee Complaint Statistics

Orientation days were held on August 27 and October 1, 2015 for the purpose of training new members of the Counselling and Investigation Committee & Discipline Committee, Members of Council and staff of the SALPN.



COMPLAINT SUBMISSIONS

Colleague

Employer

Member of Public

SALPN Registrar

29%52%

13%

6%

COMPLAINT TYPE

Of the 31 complaints received, the committee determined the complaints were either an allegation of Professional Incompetence, Professional Misconduct, or both.

Incompetence 6 Misconduct & Incompetence 4 Professional Misconduct 21

The Counselling and Investigation Committee had 31 complaints in 2015. The complaints received are divided into the following individuals and groups:

Colleague 2 Employer 16 Member of Public 4 SALPN Registrar 9

Total 31

Incompetence

Misconduct & Incompetence

Professional Misconduct 68%

19%

13%



INFRACTION TYPE COMPLAINTS

Audit Non-compliance 7

Inappropriate Medication Practices 5

Issue of Professional Incompetence 5

Narcotic Consumption 3

Inappropriate Interpersonal Relationship Skills 2

Breach of ADR 1

Breach of Confidentiality 1

Failure to Follow Doctors Orders 1

Harassment of Co-workers 1

Inappropriate Documentation 1

Member Unfit to Practice 1

Misappropriated Drugs 1

Not Following Hospital Policies/Protocols 1

Working Without a License 1

All Complaints were divided by the type of infraction that was committed.

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20

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10

5

0 0 0 00 00 02 1 1

17

7

3

COMPLAINT BREAKDOWN BY HEALTH REGION



C & I COMMITTEE RESOLUTION DECISIONS

The committee resolved the complaints using the following means:

Offense Ticket 6 Sent to Discipline 6 Dismissed 5 Alternative Dispute Resolution 12 Remain Under Investigation 11

Nine complaints carried over from 2014

Professional Incompetence 6 Professional Misconduct 16 Both Professional Misconduct & Incompetence 2 Remain Under Investigation 11

Remain Under Investigation

Offense Ticket

Sent to Discipline

Dismissed

Alternative Dispute Resolution30%

15%

15%

12%

28%

RESOLUTION BY COMPLAINT TYPE

Professional Incompetence

Professional Misconduct

Both Professional Misconduct & Incompetence

Remain Under Investigation

31%46%

17%

6%


DISCIPLINE

DISCIPLINE

Committee Chair | Don Robinson,

Public Representative

Committee Members

Kate DeVries

Brenda Lalonde

Barb Lindsay

Arlene Patron

Number of Meetings in 2015

The committee met on:

• March 12, 2015

• May 27, 2015

• June 29, 2015

Legal Support

Angela Zbrowsky, LLP

A self-regulating profession, such as licensed practical nursing, is authorized by law to license individuals to practice as LPNs and to regulate the conduct of LPNs by establishing rules of practice, registration requirements and standards of conduct. A self-regulating profession has the responsibility to ensure public safety and to protect the standing of the profession from any harm caused by the conduct of its members. These responsibilities are met through a complaint based disciplinary process, which is set out in The Licensed Practical Nurses Act, 2000. Under that process, a complaint is referred to a hearing when informal methods of resolution are unsuccessful, or when a complaint investigation reveals a serious breach of a practice standard or ethical conduct of a LPN. Based on the evidence, the Committee determines if the investigated member is guilty of professional misconduct and/or professional incompetence. If the member is found to be guilty of professional misconduct or incompetence, the Committee decides what measures are necessary to protect the public from unsafe practice and determines the appropriate steps required to remediate and rehabilitate the individual LPN. A discipline hearing is open to the public and is conducted in a way that ensures that the member is treated fairly. Members have the right to fully participate in a discipline hearing in defense of the complaint made against them.

The Committee held three meetings in 2015 concerning two members. The SALPN Council, with help from our administrative staff, developed a new procedure manual to guide the C&I and Discipline Committee. As a result, the Discipline Committee’s Legal Counsel serves in an assistive capacity, providing legal advice in support of the Committee. The Public Representative serves as Chairperson along with four appointed LPNs to make up the remainder of the Committee. On August 27 & October 1, 2015, the SALPN Council, Discipline and C & I Committee, and staff were provided orientation and training with respect to the SALPN’s disciplinary process.

In 2015, two hearings were held:

MARCH 12, 2015 – CAROLYN BARTEL, LPN

Carolyn Bartel was found guilty of professional misconduct under section 24 of the Act in that she had stolen 25 tablets of 0.5 mg Dilaudid and 18 vials of injectable morphine 10mg/ml from the Lanigan Hospital without lawful authority and without the knowledge or consent of the Lanigan Hospital. During the investigation by the Lanigan Hospital, she advised that the narcotics had been retrieved by an employee of the local pharmacy which was false, incorrect and misleading. Also, in a letter to the Counselling and Investigation Committee dated September 1, 2014, she denied taking the narcotics which was false, incorrect and misleading.


DISCIPLINE

At the hearing, Darcia Schirr, legal counsel for the Counselling and Investigation Committee, and the Member, Ms. Bartel presented an Agreed Statement of Facts which included the Member’s admission of the allegations contained in the Formal Complaint and her acknowledgement that the conduct complained of amounts to professional misconduct. The Discipline Committee gave an oral decision concerning the penalties to be imposed for the Member’s professional misconduct.

The penalties proposed in this case included:

• Ms. Bartel must complete an addictions assessment with Addiction Services and will authorize the release of the results to the Registrar of the SALPN.

• In the event that the addictions assessment recommends addictions counselling, Carolyn Bartel shall obtain addictions counselling and follow any and all recommendations made by the addictions counsellor.

• In the event that addiction issues are identified, Carolyn Bartel will submit to random drug testing at the request of the Counselling and Investigation Committee at any time, for a period of 24 months from the date of the Order.

• For a period of one year following the date of the Order, Carolyn Bartel shall obtain mental health counselling from a mental health counsellor approved by the Counselling and Investigation Committee.

• The payment of costs of $5,000 by November 1, 2016, failing which the Member’s license would be suspended until payment is made.

JUNE 29, 2015 - KEVIN HENRY, LPN

Kevin Henry was found guilty of professional misconduct under section 24 of the Act in that he had failed to renew his license for the 2014 and 2015 registration years and worked as an LPN without a license. Counsel pointed out that section 9 of the Regulatory Bylaws prescribes SALPN’s licensing requirements. Specifically, section 9(1) indicates that every license to practice expires on December 31 of the year in which it is issued. Section 9(2) indicates that every LPN must obtain a license in each year in order to practice and must do so by submitting the prescribed application form and fee(s) on or before December 1 in each year.

The penalties proposed in this case included:

• A suspension of the Member’s license for a period of 60 days;

• Attendance at a meeting with the Registrar to discuss the consequences of his conduct and the importance of registration;

• A requirement to complete the CCPNR on-line Code of Ethics course; and

• The payment of a fine of $400 and costs of $7,000 by August 1, 2016, failing which the Member’s license would be suspended until payment is made.

It was also ordered that the Saskatoon Health Region be advised of the Discipline Committee’s Order and that SALPN publish this decision on its website and in its newsletter with the Member identified by name.


SECTION HEADING


EVENTS

EVENTSSALPN EDUCATION CONFERENCE & ANNUAL GENERAL MEETING

April 21 & 22, 2015 – “Setting Our Sight on the Future” DoubleTree by Hilton, Regina, SK

The SALPN was pleased to have Regina’s own, Darci Lang as the Opening Keynote speaker for the 2015 Education Conference. Darci’s belief is that if we ‘focus on the 90%’ we can change the way we approach life and how we deal with daily challenges. Her presentation encouraged attendees to change focus in order to engage in positive and productive interactions with others.

The Education Conference Closing Keynote speaker was Barb Bancroft. Barb’s hilarious overview of the last 30 years of nursing and medicine had attendees entertained throughout. Her presentation emphasized the importance of keeping up with the changing world of science and technology, the collaborative team and maintaining one’s own health while balancing others’ lives as well.

Other speakers included the Canadian Diabetes Association, the 2014 Leadership Challenge Winners, and Lynsay Nair, SALPN Executive Director and Pauline Mason, SALPN President who presented the SALPN Member & Public Survey results.


EVENTS

SALPN AWARDS BANQUET

The Awards Banquet was a night to honour LPNs and nurse leaders from across Saskatchewan. Award recipients included:

Chapter Award: Weyburn Chapter

Mentorship Award: Carol Kolisnek, Sheila Smith

Honourary Membership Award: Lori Keller, Kim Buscis

Lifetime Achievement Award: Joyce Bassingthwaite, Sandee Michalchuk, Nola Nicholson

LPN of Distinction Award: Janice Wagner

Following the award dinner and presentation, the dueling pianos of Jan Randall and Matt Day took the stage for an exciting evening of laughter, song and dance party.

SALPN PROFESSIONAL DEVELOPMENT DAY

October 20, 2015 – “It’s all about synergies: Key learnings and strategies for enhancing Licensed Practical Nurse role clarity and nursing team collaboration”

Hilton Garden Inn, Saskatoon, SK

Sara Linkshear and Janet Rush led the day’s professional development session with conversations around scope of practice development, role confusion and resulting impacts on nursing team collaboration. They shared their results and key learnings from a recent role clarity project conducted in Ontario in an effort to develop synergy among high functioning nursing teams.

SALPN 2015 ANNUAL REPORT

SECTION HEADING


FINANCIAL STATEMENTS

SASKATCHEWAN ASSOCIATION OF LICENSED PRACTICALNURSES

Financial Statements

Year Ended December 31, 2015




MANAGEMENT'S RESPONSIBILITY FOR FINANCIAL REPORTING

The financial statements of Saskatchewan Association of Licensed Practical Nurses have been preparedin accordance with Canadian accounting standards for not-for-profit organizations. When alternativeaccounting methods exist, management has chosen those it deems most appropriate in thecircumstances. These statements include certain amounts based on management's estimates andjudgments. Management has determined such amounts based on a reasonable basis in order to ensurethat the financial statements are presented fairly in all material respects.

The integrity and reliability of Saskatchewan Association of Licensed Practical Nurses 's reporting systemsare achieved through the use of formal policies and procedures, the careful selection of employees and anappropriate division of responsibilities. These systems are designed to provide reasonable assurance thatthe financial information is reliable and accurate.

The Council is responsible for ensuring that management fulfills its responsibility for financial reportingand is ultimately responsible for reviewing and approving the financial statements. The Council carries outthis responsibility by meeting periodically with management and the auditors to review significantaccounting, reporting and internal control matters. The Council also considers the appointment or re-appointment of the external auditors.

The financial statements have been audited on behalf of the members by MWC Chartered ProfessionalAccountants LLP, in accordance with Canadian generally accepted auditing standards.

Executive Director President

Regina, SK



INDEPENDENT AUDITOR'S REPORT

To the Members of Saskatchewan Association of Licensed Practical Nurses

We have audited the accompanying financial statements of Saskatchewan Association of LicensedPractical Nurses, which comprise the statement of financial position as at December 31, 2015 and thestatements of operations, changes in net assets and cash flow for the year then ended, and a summary ofsignificant accounting policies and other explanatory information.

Management's Responsibility for the Financial Statements

Management is responsible for the preparation and fair presentation of these financial statements inaccordance with Canadian accounting standards for not-for-profit organizations, and for such internalcontrol as management determines is necessary to enable the preparation of financial statements that arefree from material misstatement, whether due to fraud or error.

Auditor's Responsibility

Our responsibility is to express an opinion on these financial statements based on our audit. Weconducted our audit in accordance with Canadian generally accepted auditing standards. Those standardsrequire that we comply with ethical requirements and plan and perform the audit to obtain reasonableassurance about whether the financial statements are free from material misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures inthe financial statements. The procedures selected depend on the auditor's judgment, including theassessment of the risks of material misstatement of the financial statements, whether due to fraud orerror. In making those risk assessments, the auditor considers internal control relevant to the entity'spreparation and fair presentation of the financial statements in order to design audit procedures that areappropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness ofthe entity's internal control. An audit also includes evaluating the appropriateness of accounting policiesused and the reasonableness of accounting estimates made by management, as well as evaluating theoverall presentation of the financial statements.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis forour audit opinion.

(continues)

2



Independent Auditor's Report to the Members of Saskatchewan Association of Licensed Practical Nurses(continued)

Opinion

In our opinion, the financial statements present fairly, in all material respects, the financial position ofSaskatchewan Association of Licensed Practical Nurses as at December 31, 2015 and the results of itsoperations and its cash flow for the year then ended in accordance with Canadian accounting standardsfor not-for-profit organizations.

Chartered Professional Accountants

Regina, Saskatchewan



SASKATCHEWAN ASSOCIATION OF LICENSEDPRACTICAL NURSES

MWC Chartered Professional Accountants LLP 4

Statement of Financial Position

December 31, 2015

2015 2014

ASSETSCURRENT

Cash $ 838,332 $ 681,795Investments (Note 3) 1,487,648 1,456,605Prepaid expenses 21,595 46,235

2,347,575 2,184,635

CAPITAL ASSETS (Note 4) 101,914 129,331

INTANGIBLE ASSETS (Note 5) 12,357 20,949

RESTRICTED CASH (Note 6) 274,000 266,000

$ 2,735,846 $ 2,600,915

LIABILITIES AND NET ASSETSCURRENT

Accounts payable $ 57,460 $ 68,277Wages payable 19,074 5,687Employee deductions payable 12,299 12,846Deferred income (Note 7) 1,384,310 1,406,176

1,473,143 1,492,986

NET ASSETSGeneral fund 988,703 841,929Restricted fund 274,000 266,000

1,262,703 1,107,929

$ 2,735,846 $ 2,600,915

LEASE COMMITMENTS (Note 10)

ON BEHALF OF THE BOARD

Director

Director

See notes to financial statements





Statement of Operations

For the Year Ended December 31, 2015

2015 2014

REVENUESPracticing membership fees $ 1,454,200 $ 1,385,800Canadian practical nurse registration exam 109,900 94,000Application, verification, late fees 64,380 89,355SALPN AGM registrations 40,135 48,350Ministry of Health grant 22,566 46,374Workshops 16,025 1,995Miscellaneous 2,012 1,764Non-practicing certificate fees 7,900 9,750Admin fees 2,578 2,666Membership fines 2,200 7,400Sale of merchandise 741 1,579

1,722,637 1,689,033

EXPENSESSalaries and Benefits (Schedule 1) 711,201 680,421Professional (Schedule 2) 506,393 444,028Administrative (Schedule 3) 268,269 288,458Occupancy (Schedule 4) 101,245 102,480Developmental Projects (Schedule 5) 14,373 115,221

1,601,481 1,630,608

EXCESS OF REVENUES (EXPENSES) FROM OPERATIONS 121,156 58,425

OTHER INCOMEGain on disposal of capital assets 349 -Loss on disposal of investments - (373)Interest income 33,269 30,481

33,618 30,108

EXCESS OF REVENUES (EXPENSES) $ 154,774 $ 88,533




SASKATCHEWAN ASSOCIATION OF LICENSED PRACTICAL NURSES


Statement of Changes in Net Assets


General Fund

Restricted Fund

2015

2014 NET ASSETS - BEGINNING OF YEAR

$ 841,929

$ 266,000

$ 1,107,929

$ 1,019,396

Excess of revenues (expenses) 154,774 - 154,774 88,533 Transfers (Note 9) (8,000) 8,000 - -

NET ASSETS - END OF YEAR $ 988,703 $ 274,000 $ 1,262,703 $ 1,107,929






Statement of Cash Flow


2015 2014

OPERATING ACTIVITIES Excess of revenues (expenses)

$ 154,774

$ 88,533 Items not affecting cash:

Amortization of capital assets 36,910 36,772 Amortization of intangible assets 8,592 30,065 Gain on disposal of assets (349) - Loss on disposal of investments - 373 Investment income reinvested (7,316) (19,774)

192,611 135,969

Changes in non-cash working capital:

Accounts payable (10,812) 31,555 Deferred income (21,866) 161,726 Prepaid expenses 24,640 (29,935) Wages payable 13,387 5,687 Employee deductions payable (547) 2,671

4,802 171,704

Cash flow from operating activities 197,413 307,673

INVESTING ACTIVITIES

Purchase of capital assets (9,493) (18,647) Proceeds on disposal of capital assets 349 - Purchase of investments (475,391) (1,008,254) Proceeds from the sale of investments 451,659 799,312

Cash flow used by investing activities (32,876) (227,589)

INCREASE IN CASH FLOW 164,537 80,084

CASH - BEGINNING OF YEAR 947,795 867,711

CASH - END OF YEAR $ 1,112,332 $ 947,795

CASH CONSISTS OF: Cash $ 838,332 $ 681,795 Restricted cash 274,000 266,000

$ 1,112,332 $ 947,795






Notes to Financial Statements


1. NATURE OF OPERATIONS

The Saskatchewan Association of Licensed Practical Nurses (SALPN) is the regulatory body responsible for the initial registration, annual licensing, counselling, disciplining and setting standards of practice for Licensed Practical Nurses in Saskatchewan.

The Association, in consultation with the membership, speaks on their behalf to provide constructive input to the decision making process in health care planning and delivery of services, including policy development at the provincial and federal level.

The Association is a non-profit organization and is exempt from tax under Section 149 of the Income Tax Act.

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of presentation

The financial statements were prepared in accordance with Canadian accounting standards for not- for-profit organizations (ASNFPO).

Financial instruments policy

Financial instruments are recorded at fair value when acquired or issued. In subsequent periods, financial assets with actively traded markets are reported at fair value, with any unrealised gains and losses reported in income. All other financial instruments are reported at amortized cost, and tested for impairment at each reporting date. Transaction costs on the acquisition, sale, or issue of financial instruments are expensed when incurred.

Financial assets reported at amortized cost include cash, investments and restricted cash.

Financial liabilities reported at amortized cost include accounts payable and accrued liabilities.

Revenue recognition

Membership revenues are deferred and recognized in the year for which the individual is licensed to practice. Associated fees (application, verification, late, retroactive fees and fines) are recognized at the time of receipt. Exam and event registration fees are reported in the period the related event occurs. Merchandise sale items are recognized in the period the transaction occurs. Grant revenue is recognized in the period the related costs are incurred.

Fund accounting

SALPN reports its net assets in accordance with the principles of fund accounting in order to classify different activities and objectives. The general fund reports the day-to-day operations of the Association. The internally restricted fund arose as a consequence of a decision by the Board and management to set aside some resources to cover unexpected costs which could jeopardize the financial stability of the Association. In addition, the Board intends to set aside monies to prepare for the cost of infrequent but scheduled activities such as program approval and strategic planning.

(continues)







2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

Capital assets

Capital assets are stated at cost less accumulated amortization. Capital assets are amortized over their estimated useful lives at the following rates and methods:

Equipment 5 years straight-line method Computer equipment 5 years straight-line method Leasehold improvements 10 years straight-line method

The Association regularly reviews its capital assets to eliminate obsolete items. A full year of amortization is taken in the year of addition.

Intangible assets

The database is being amortized on a straight-line basis over its estimated useful life of five years.

3. INVESTMENTS 2015 2014

Term deposits $ 1,464,361 $ 1,413,963 Accrued interest 23,287 42,642

$ 1,487,648 $ 1,456,605

The Association has guaranteed investments certificates with maturity dates ranging from February 2016 to January 2019 earning interest at 1.250% to 3.900%.

4. CAPITAL ASSETS

2015

2014 Cost Accumulated

amortization Net book

value Net book

value

Equipment $ 98,625

$ 88,939

$ 9,686

$ 17,065

Computer equipment 37,498 25,353 12,145 16,166 Leasehold improvements 160,167 80,084 80,083 96,100

$ 296,290

$ 194,376

$ 101,914

$ 129,331

5. INTANGIBLE ASSETS 2015 2014

Database software $ 150,325 $ 150,325 Accumulated amortization (137,968) (129,376)

$ 12,357 $ 20,949







6. RESTRICTED CASH

A separate account is not maintained to support internally restricted net assets. Restricted cash is an apportionment of the operating bank account.

7. DEFERRED INCOME

The deferred income includes practicing and non-practicing 2016 membership fees, examination registration fees for January 2016 CPRNE, and a portion of grant funds received but not used in the current year.

2015 2014

Membership fees $ 1,358,750 $ 1,320,550 Examination fees 4,500 42,000 Ministry of Health grant 21,060 43,626

$ 1,384,310 $ 1,406,176

8. FINANCIAL INSTRUMENTS

The Association is exposed to various risks through its financial instruments and management is responsible to monitor, evaluate and manage these risks. The following analysis provides information about the Association's risk exposure and concentration as of December 31, 2015.

Liquidity risk

Liquidity risk is the risk that an entity will encounter difficulty in meeting obligations associated with financial liabilities. The Association is exposed to this risk mainly in respect to the timing of receipts from membership fees at one point in the year whereas expenditures occur throughout the year. The Association has accumulated resources it can use in the event of a mismatch. In addition, membership fees are collected in advance.

Interest rate risk

Interest rate risk is the risk that the value of a financial instrument might be adversely affected by a change in the interest rates. In seeking to minimize the risks from interest rate fluctuations, the Association manages exposure through its normal operating and financing activities. The Association is exposed to interest rate risk primarily through its GIC investments. The Association does not rely on interest revenues

Other price risk

Other price risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices (other than those arising from interest rate risk or currency risk), whether those changes are caused by factors specific to the individual financial instrument or it’s issuer, or factors affecting all similar financial instruments traded in the market. The Association's investments are substantially guaranteed investment certificates and are not subject to price fluctuations.







9. INTERNAL TRANSFER

Council has approved an annual transfer of $8,000 to the Restricted fund to cover anticipated costs for strategic planning and program approval.

10. LEASE COMMITMENTS

The Association has entered into operating leases for copier, shredding and recycling services in 2015, with contract terms of 60 months. The future aggregate minimum lease payments under the operating leases over the next five years are as follows:

2016 $ 2,391 2017 2,297 2018 1,824 2019 1,824 2020 1,368

The Association entered into a lease for office premises, which commenced January 1, 2011. The lease term is 10 years.

Future minimum lease payments over the next five years are as follows:

2016 $ 63,000 2017 63,000 2018 63,000 2019 63,000 2020 63,000

11. CORRESPONDING FIGURES

Some of the corresponding figures have been reclassified to conform to the current year's presentation.





Salaries and Benefits (Schedule 1)


2015 2014

Professional development $ 29,023 $ 26,244Salaries 586,925 552,503Staff benefits 95,253 101,674

$ 711,201 $ 680,421

Professional (Schedule 2)Year Ended December 31, 2015

2015 2014

AGM expenses $ 82,602 $ 92,290Affiliation fees 6,683 4,237Canadian Council of Practical Nurse Regulators 13,603 9,459Canadian practical nurse registration exam 66,763 58,295Council 98,207 87,092Counselling and investigation and discipline committee 85,323 52,736Document review 13,249 1,145Insurance - liability/other 34,736 30,785Legal fees 17,506 18,789Other committees 3,062 12,284Professional development day 25,060 18,968Public/member relations 14,086 17,391Scholarships/awards 4,000 2,422Work expenses 41,513 38,135

$ 506,393 $ 444,028






Administrative


(Schedule 3)

2015 2014

Accounting $ 7,260

$ 6,997

Amortization of intangible assets 8,592 30,065 Auditing 8,557 7,260 Communications 98,267 92,234 Database 15,241 13,598 Equipment rental 4,684 5,336 Interest and bank charges 37,880 40,499 IT support 14,227 22,547 Office supplies 18,393 17,845 Photocopying 3,406 2,655 Postage 11,078 16,299 Printing 16,816 16,570 Telephone 23,868 16,553

$ 268,269 $ 288,458

Occupancy

(Schedule 4)


2015 2014

Amortization of capital assets $ 36,910

$ 36,772

Building repairs and maintenance 1,335 2,708 Rent 63,000 63,000

$ 101,245 $ 102,480

Developmental Projects

(Schedule 5)


2015 2014

Other development and collaborative project expenses (recovery)

$ (8,193)

$ 68,847 Ministry of Health project expenses 22,566 46,374

$ 14,373 $ 115,221


Phone: 306.525.1436

Fax: 306.347.7784

700A - 4400 4TH AVENUE | REGINA, SASKATCHEWAN | S4T 0H8

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