Nurse Practitioners in Northeast Winnipeg:

Success is intentional, not an accident

Debra Vanance

Community Area Director

Access River East & Transcona

Untold Stories from the Canadian Nurse Practitioner Initiative or Truths

Told Over Wine

• Nightmare in New Brunswick • Car Care in Ontario• National Variation

CONSIDERATIONS

• General Public

• Patients

• Colleagues

• Nurse Practitioners

General Public

• Use existing print media

• Capitalize on opportunities

• Access Transcona opening• Access Transcona open house

Primary Care Patients

• Pamphlets

• Informed about 2 available providers• Nurse Practitioners and Physicians

• Clinic staff aware of prescribing restrictions

Colleagues

• Role clarity required for all staff

• Discussion with physician colleagues : rostering, roles

• Collaborative practice model based on trust & respect

• Supportive Learning – procedures

• Clinical Rounds/ Winnipeg Integrated Services Rounds/ Presentation to Northeast Leadership group that includes Concordia Hospital Managers

Nurse Practitioners

Northeast Nurse Practitioner Committee• 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

• Sample Topics

• 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