Jurisprudence Exam Questions and Answers Review

Jurisprudence Exam Questions and Answers Review Practice questionnaires 1. The Complaints Director can only act on a written complaint: ALSE Even if written complaint is not received, but the Complaints Director has reasonable grounds to believe the conduct of a regulated or former member constitutes unprofessional conduct, he/she may treat the matter as a complaint and act on it 2. The legislated obligations for the CLPNA in dealing with complaints are stated in: HPA 3. The Complaints Director may request an expert to review and assess the issues surrounding a complaint. This would involve: Opinion as to whether service was acceptable practice, Review of client files, a written report 4. LPNs wishing to set fracture and/or apply a cast are required to have: Advanced authorization restricted activities 5. LPNs wishing to insert or remove instruments, devices, fingers or hands beyond the urethra, anal verge or artificial opening into the body must have: Entry-level restricted activities 6. What level of authorization is required for a LPN to “administer anything by an invasive procedure on body tissue below the dermis for the purpose of administering subcutaneous injections”? Entry-level restricted activities 7. The roles, responsibilities and scope of practice of health care aides is defined by the HPA The ultimate deciding factor in what health care aides can or cannot do is determined by the employer’s policy 8. A random group of LPNs is selected each year to participate in the Continuing Competence Program audit: TRUE Validation is an annual event of providing proof of. Participation in CCP, and a formal means of evaluating learning completed in the previous two years 9. The Complaints Director can direct the investigated person to submit to specified physical or mental examinations if the Complaints Director has ground to believe the investigated person in incapacitated: TRUE 10. LPNs are encouraged to use electronic and social media to communicate and develop relationships with Clients: FALSE Code of Ethics requires that professional boundaries and strict confidentiality be maintained when using electronic or social media 11. Only regulated RNs, RPNs, and LPNs are permitted to use the term “nurse”: TRUE Other rems protected by the HPA are “college”, “registered”, and “specialist” 12. Clients are much less likely to file a complaint if they perceive that their service provider cared for, and communicated with them: TRUE Poor communication is the root of many unprofessional conduct complaints 13. A regulated member must provide certain demographic and employment information when there is a change to the information or at the request of the registrar: TRUE The information includes such things as current contact information, full names, years of registration, birth and gender, employer’s name and other related information 14. A regulated LPN on the temporary register may only practice under supervision: TRUE 15. Individuals without a valid practice permit are transferred to the temporary register and are allowed to work only under supervision: FALSE According to the HPA (section 43), individuals without a valid practice permit are NOT authorized to work as an LPN nor use the title “LPN” 16. What constitutes a quorum of all meetings of the CLPNA 15 regulated members present 17. A quorum at all meetings of the CLPNA consists of 10% of regulated members present: FALSE A quorum consists of 15 regulated members present 18. Why do LPNs need to be familiar with their regulatory requirements? Client safety and well-being, Requirement to register with CLPNA, Affects their daily practice decisions, avoid being subject of complaints 19. All LPNs applying for registration in Alberta must be proficient in: English 20. The HPA provides the overall framework and authority for CLPNA to regulate its members: TRUE 21. Failure to adequately document or chart is a common element in unprofessional conduct complaints: TRUE Good documentation practices are the best defense in terms of providing an objective account of what happened 22. Personal difficulties affecting work performance are NOT grounds for unprofessional conduct: FALSE Individuals should seek help or counselling before they become at risk or unprofessional conduct 23. Which governance document states that CLPNA must establish, maintain and enforce standards for registration and continuing competence HPA 24. Under what authority does CLPNA have legislated responsibility to establish, maintain and enforce standards of registrations? HPA 25. Schedule 10 of the HPA applies to the LPN profession: TRUE This section describes the services generally provided by regulated members of the LPN profession 26. Under the HPA a college may set and negotiate professional fees: FALSE HPA prohibits a college from setting or negotiating professional fees, or from being a certified bargaining agent 27. When a regulated member encounters a difficult situation for which they may not have to necessary skills, they should do the best they can: FALSE It is important to recognize their limitations and when necessary, to seek assistance from a colleague or to refer the client to someone with the appropriate skills 28. The LPN scope of practice is defined only in one document- the HPA: FALSE It is defined in multiple documents: HPA, Regulation, Standards of practice, code of ethics, and the competency profile 29. For how many years should Continuing Competence program CCP learning records by kept by members: Four years 30. The college’s registration year is January 1 to December 31: TRUE 31. A practice permit must be on display or made available for inspection upon the request of employers or the public: TRUE 32. CLPNA is governed by council consisting of regulated members and at least 25% public members: TRUE HPA states that at least 25% of the voting members of a governing council must be members of the public 33. The Complaints Director may appoint an investigator to obtain further information regarding a complaint: TRUE Investigator may be a qualified, unbiased LPN, or an independent professional investigator hired by CLPNA 34. All applicants for registration as regulated members of CLPNA must provide evidence of having good character and reputation: TRUE This can be done via written references from colleagues; a declaration stating that the applicant has no history of unprofessional conduct or disciplinary actions; and the results of a criminal check 35. Both LPN code of ethics and standards of practice must be available to the public: TRUE 36. Regulated members of CLPNA have a legal responsibility to report offences and instances of professional negligence; such reporting is not considered a breach of confidentiality: TRUE HPA and the Protection for persons in care Act state circumstances where there is a duty to report information to the proper authority 37. Individual who resigns from the College and wishes to reapply for registration at a future date can simply submit a status change form: FALSE Individual must meet ALL the registration requirement in place at the time of their application 38. A temporary Registration with CLPNA can be held for three years: FALSE Temporary registration is for persons who have not yet successfully passed the registration examination. It is only valid for a Maximum of ONE year 39. Bylaws can be created and/or amended by simple majority vote of council: FALSE A two-thirds majority vote is needed to create or amend a bylaw 40. Matters such as member registers and registration, restricted activities, continuing competences and practice permits are all defined by the College’s Bylaws: FALSE These are defined by the LPN regulation 41. The standards of practice for the LPNs are unique to Alberta: FALSE Standards are part of a national framework that was developed and implemented 42. CLPNA regulates LPNs in Alberta as authorized by the HPA: TRUE The HPA states that the key regulatory responsibilities of a College, which relate to registration and practice permits, professional practice standards, continuing competence and professional conduct. 43. Complaints against regulated members can be made anonymously: FALSE Complaints must be made in writing with the name, signature and contact information of the person filing the complaint 44. An investigated person may have their practice permit suspended pending the outcome of a professional conduct hearing: TRUE 45. Self-regulation means that a profession governs and manages itself: TRUE Although self-regulation is constrained by the legislation and regulation 46. Self-regulation means that a health profession, such as LPN, governs and manages itself without outside assistance or influence: TRUE The government of Alberta, through legislation, grants self-regulating status to recognize professions 47. Under what conditions is registration with CLPNA mandatory for educationally-qualified LPNs? Teaches practice of regulated profession, Meets registration requirements, intends to provide professional services, and supervises regulated members 48. The registrar has the power to establish and manage college comities such as the competence committee: FALSE This is the responsibility of Council 49. The LPN Code of ethics provides ethical guidelines to practical nurses in dealing only with their clients and colleagues: FALSE The Code of Ethics provides guidelines for dealing with the public, clients, the profession, colleagues and one’s self 50. The Code of Ethics requires LPNs to disclose any personal or legal conflict that makes it difficult to participate in an intervention or provide service: TRUE Any potential or existing personal or legal conflict should be disclosed to the supervisor and/or employer 51. A regulated member has the responsibility to inform a college if employment has been terminated, suspended or the member resigned for reasons related to professional conduct: FALSE The Employers have a legal obligation to inform the College 52. Code of Ethics is one of the mandatory requirements of all regulated health profession in Alberta: TRUE Code of Ethics is required by the HPA, must be reviewed and approved by the government, and must be made available to the public 53. In which registration category can a member practice only under supervision? Provisional register 54. If a CLPNA regulated member is found to be guilty of unprofessional conduct by a Hearing Tribunal, they may be having their practice permit suspended or cancelled: TRUE Other penalties are caution or reprimand, counselling or treatment, remedial training and/or a fine 55. If the Complaints Director of the College has grounds to believe that a regulated member is incapacitated, he may direct the individual to seek treatment and to cease practice: TRUE These condition shall prevail until such time that the Complaints Director is satisfied that the member is no longer incapacitated 56. When a complaint is filed, a formal process is always followed where the regulated member of the profession is charges with unprofessional conduct and a hearing is held: FALSE The Complaints Director can attempt to have the concerned parties settle the dispute informally by communicating with each other, or through assistance by the Complaints Director or a neutral third-party mediator 57. Health Care Aides are permitted certain restricted activities provided they are done under supervision of an LPN: TRUE HCA are also permitted to perform ADLs. The employers policies determines what HCAs can and cannot do 58. CLPNA must first receive a formal complaint before it can investigate the conduct or competence of a regulated member: FALSE If the Complaints Director has grounds to believe that a regulated member is incapacitated, they may direct that person to submit to a specified physical and/or mental examination. Failure by the member to do so would constitute unprofessional conduct 59. Council is bound by any resolution passed by a majority of regulated members at an annual general meeting: FALSE Council is NOT bound by theses solutions. Council does have to provide report on the deposition of any resolutions. 60. The contact information of each LPN is available on the CLPNA’s Public registry: FALSE Thein formation provided on the registry includes data on each member’s registration and practice permit status and any condition or restriction. NO contact information is included. 61. The LPN Code of Ethics requires regulated members to report unethical behaviour, incompetence, impairment or misconduct of one’s colleagues and oneself: TRUE Reporting others and self is part of the Code of Ethics 62. Informed consents mean that the client must have knowledge and be able to understand the options and risks associated with proposed treatment or intervention: TRUE 63. Health professions in Alberta are organized into regulatory bodies called: Colleges 64. An example of unprofessional conduct is behaviour that harms the integrity of the regulated profession: TRUE This includes any type of member action that might harm the integrity or reputation of a profession 65. CLPNA Council may make, amend, or delete bylaws: TRUE 66. LPN who are registered in one province are permitted to work and use protected titles in another province: FALSE Healthcare professionals must be registered in the province where they want to practice in order to have the right to use the protected titles of their profession 67. Which of the following is federal (Canada-wide) legislation? Controlled Drugs and substances act 68. Health professions in Canada are regulated by the federal government: FALSE 69. Practicing in breach of the standards of practice, code of ethics or any other professional practice documents may constitute “unprofessional conduct” as defined by the HPA: TRUE If a regulated member is found guilty of unprofessional conduct, a range of penalties, including loss of practice permit may be applied 70. Restricted activities are defined in the HPA: FALSE Restricted activities are defined in Schedule 7.2 of the Government Organization Act. Restricted activities are those activities that are considered high risk to the public and therefore are restricted to perform such activities 71. The Complaints Director may hire an expert to determine whether the regulated member subject to a complaint is competent to continue to practice: FALSE The expert is hired to report on whether the services in question constituted acceptable practice 72. Employers are prohibited by law from knowingly employing any individual who is required to be registered with the College but is not: TRUE The employer may be guilty of an offence and may be subject to a fine 73. The individual making a complaint against a regulated CLPNA member has the right to appeal a decision of the Hearing Tribunal: FALSE Under the HPA, only the member being investigated, and the Complaints Director have the right to appeal the decision of a Hearing Tribunal 74. A complaint against a regulated member: Must be in writing 75. The term of registration for an LPN on a courtesy register is 3 months: TRUE 76. The registrar may require an applicant want to register with the CLPNA to demonstrate English language proficiency: TRUE 77. If a quorum at the AGM is not present, the College is obliged to call for another meeting: FALSE Council shall be authorized to proceed with the business that was to have been done at such a meeting. Council is NOT required to call a further meeting during that calendar year 78. Individuals volunteering their nursing professional services are exempt from mandatory registration: FALSE Mandatory registration requirements apply regardless of whether an individual engages in paid employment or volunteer, or practices full-time, part-time or on a casual basis 79. What Defines the information that must be on a practice permit HPA 80. CLPNA is required to notify an employer when a practice permit is suspended, or condition are applied: TRUE The HPA requires a college to notify an employer when a practice permit is suspended, or conditions are applied 81. Which jurisprudence document states how the College will operate on a day-to-day basis? CLPNA Bylaws 82. The document that states how the College will operate on a day-to-day basis is the College Bylaws: TRUE Also, policies state the principles or rules developed and approved by the College to support achievement of its legislated mandate and strategic goals 83. The LPN Code of Ethics are only suggested guidelines for conduct and behaviour; regulated members are free to use their discretion in following them: FALSE Unethical practice can lead to a charge of unprofessional conduct. This may lead to the suspension or loss of their practice permit 84. The LPN Standards of practice represent the level of professional performance expected of all practical nurses to demonstrate competent, safe and ethical practice: TRUE Each health profession is required to have standards of practice; these are reviewed and approved by the government 85. Which level of authorization are restricted activities acquired through experience, onthe-job education or post-basic education? Additional-restricted activities 86. Jurisprudence is about the legislation, standards and regulatory requirements that affect the nursing practice of LPNs: TRUE 87. Mandatory registration requirements are only applicable to those LPNs in clinical practice: FALSE A LPN who teaches or conducts research (as well as other roles) related to their profession in Alberta must be registered, even if they are not involved in clinical practice 88. A regulated member has the legal right to refuse to participate in the complaints process, alternative complaint resolution, investigations, hearing, decisions and appeals: FALSE In doing so, they can be charged with unprofessional conduct 89. If a regulated member fails or refuse to comply with CLPNA Continuing Competence Program, it is considered unprofessional conduct: TRUE According to HPA, unprofessional conduct is failure or refusal to comply with the requirements of the Continuing Competence program, or to cooperate with the Competence Committee, or with the person make a practice visit 90. Any decision by the Hearing Tribunal may be appealed by the investigated person, the complaints director or the complainant: FALSE Under current legislation, the complainant does NOT have the right to appeal a decision made by a hearing tribunal 91. What enables employers, LPNs and the public to check on the status of any regulated member? Public LPN registry 92. Specialty competencies are acquired through completion of approved programs and advanced certification: TRUE 93. Practice permit expires on December 31 of each year: TRUE LPNs are not authorized to work without a valid practice permit 94. All regulated members on the general or specialized practice register are eligible to run for Council and cast a vote: TRUE 95. CLPNA bylaws must be approved by the government and made available to the public: FALSE Only the Standards of Practice and code of ethic have to be approved by the government and made available to the public 96. A regulated LPN on the temporary register may only practice under supervision: TRUE 97. Regulated members may change their annual learning plan if circumstances or needs change during the year: TRUE 98. CLPNA may approve programs of study and education courses for the purposes of registration requirements: TRUE This is one of the powers of the College has under the HPA 99. Which of the following are part of CLPNA’s mandate Establish and enforce code of ethics, Set standards for registration, Approve educational programs, Govern its regulated members 100. The Mandate of the Hearing Tribunal is to determine on the basis of the evidence, whether the LPN is competent enough to continue to practice: TRUE 101. The CLPNA Council appoints the registrar, president, complaints director and hearing director and college Committees: TRUE 102. The president and vice-president are elected by the Council from the elected members for one-year term: FALSE 103. Regulated members must meet requirements for participating in the Continuing Competence Program (CCP) in order to renew their practice permit: TRUE Under the LPN regulation, CLPNA is required to link renewal of practice permits to meeting the requirements of the CCP 104. Practice permit renewals are subject to a member meeting all the requirements of the continuing competence program: TRUE 105. Every regulated LPN may provide immunization services: FALSE LPN must have additional approved training and be authorized by the Registrar or registration Committee 106. LPNs who handle and administer narcotic medication should be familiar with the Occupational Health and Safety Act: FALE They should be familiar with Controlled Drugs and Substances act 107. College Bylaw can be created and/or amended by a simple majority vote of Council: FALSE Two-thirds majority vote of Council is required to create or amend College bylaws 108. The Registrar must compile information on the regulated members and disclose such information to the minister and other authorized persons: TRUE. As per HPA 109. The Standards are authoritative statements that define the legal and professional expectations for LPN practice: TRUE 110. All regulated members on the general register or specialized practice register are eligible for nomination, and to cast a vote: TRUE LPNs on the courtesy register are NOT eligible to vote 111. Which piece of legislation requires the College to establish a continuing competence program? HPA 112. Where can LPNs regulated by CLPNA use their protected titles: ONLY in Alberta Titles are not portable. They can only be used in the province where they are registered 113. Which Jurisprudence document deals with Matter such as member registers and registration, restricted activities, continuing competence, practice permits and titles LPN Regulation 114. Which jurisprudence document is the governing legislation for regulated health professions in Alberta: HPA 115. Which register is used for regulated practical nurses from another jurisdiction who want to work in Alberta for a short period of time? Courtesy register 116. Which jurisprudence document is a set of guidelines and principles that guide the conduct of LPNs and outlines the conduct that regulated members are expected to follow? Code of ethics 117. When a complaint is filed, a formal process is always followed where the regulated member of the profession is charged with unprofessional conduct and a hearing is held: FALSE The complaints director will first attempt to have the concerned parties settle the dispute informally by communicating with each other or through assistance by the Complaints Director or a neutral third-party mediator 118. The CLPNA registration year is from: January 1 to December 31 119. Which document requires that regulated members on annual basis submit a selfassessment, learning plan, and list of continuing competence activities completed during the past registration year? LPN regulation 120. The Registrar has the powers to establish and manage College committees such as the competence committee: FALSE This is the role of Council The following terms are also protected by the HPA College, Regulated, Registered, Regulated Health professional 122. Which standard of practice requires LPNs to “provide relevant and timely information to clients and co-workers”: Service to the Public and Self-regulation (Standard 3) 123. Which standard of practice requires LPNs to “Maintain documentation and reporting according to establish legislation, regulations, laws and employer policies”: Professional Accountability and Responsibility (Standard 1) 124. The investigator has the authority to investigate other matters unrelated to the original complaint that are related to the conduct of investigated person: TRUE 125. CLPNA’s authority to regulate their profession is delegated by the provincial government through the: HPA 126. Which Standard of practice requires LPNs to “Practice with honesty and integrity to maintain the values and reputation of the profession”: Ethical Practice 127. Three specific learning objectives, chosen from the Competency Profile, are required in the annual CCP learning plan: FALSE Two learning objectives 128. The following does the College use to protect and serve the public interest: Continuing competence, Complaints process, Registration standards, standards of practice 129. The Standards of practice for LPNs in Canada were develop by the CLPNA Council: FALSE Standards used in Alberta are from a national framework developed for LPNs in Canada 130. What legislation outlines the professions-specific titles that health professionals may use HPA (part 10, schedules) 131. The regulated member will receive a copy of the written letter of complaint and asked to provide a response TRUE 132. A CLPNA nomination committee seeks a minimum of two nominees from each district to run for council: TRUE 133. Which College committee review Hearing Tribunal decisions? Council appeal committee 134. The College approves programs of study and education courses for the purposes of registration as an LPN in Alberta: TRUE 135. Which Standards of Practice requires LPNs to “recognize the impact of their own values and beliefs on nursing practice and nurse-client therapeutic relationships”? Ethical practice (Standard 4) 136. Which Standards of Practice requires LPNs to “provide relevant and timely information to client and co-workers”? Service to the public and self-regulation (Standard 3) 121. 137. Which governance document outlines the key regulatory responsibilities of CLPNA HPA 138. Regulation of health profession in Canada occurs at the Provincial level 139. Which of the following does the College use to protect and serve the public interest? Standards of practice, Registration standards, Continuing competence and Complaints process. 140. Which of the following terms are also protected by the HPA? Regulated, College, Regulated health professional, registered 141. Where can LPNs regulated by CLPNA use their protected titles? Only in Alberta 142. Which jurisprudence document prescribe the minimum standards for LPN practice? Standards of practice 143. What should a regulated member do if he or she suspects someone misusing a protected title? Report to CLPNA and Check the LPN register 144. Which College committee must be independent of Council or other committees? Hearing tribunal 145. The AGM of the CLPNA is help at a date, time and place determined by Council: TRUE 146. Any resolutions passed by the regulated members by a majority vote at an annual meeting shall be considered at the next meeting of Council: TRUE Council is NOT bound by these resolutions 147. For the purpose of election to the CLPNA Council, how many electoral districts are there in the province? 7 electoral districts 148. Which Jurisprudence document deals with the matters such as member registers and registration, restricted activities, continuing competence, practice permits and titles? LPN regulation 149. LPN in Alberta are: Self-regulated 150. A code of ethics optional for the self-regulating health professions in Alberta: FALSE Under the HPA, Council is required to establish and enforce a code of ethics for its regulated members. The code of ethics is subject to review by the government 151. How often must the College submit reports to the Alberta government? Annually 152. Any additions or changes to the College’s bylaws have to be reviewed and approved by the regulated members and the government: FALSE Council has the full authority to make changes to the bylaws by a two-thirds majority votes 153. The CLPNA Code of Ethics is a private document for use by regulated LPNs only: FALSE 154. 155. 156. The Code of Ethics is a public document. One reason is that it informs public about the ethical values and responsibilities of the LPN profession and conveys the profession’s commitment to society The CLPNA Standards of Practice are authorized by: HPA In Alberta, the governing legislation for all health professions is the: HPA Why do LPNs need to be familiar with their regulatory requirements? Requirement to register with CLPNA, Affects their daily practice decisions, Client safety and well-being, Avoid being subject of complaints Jurisprudence Exam Review Sheet Health Professions Act: the governance document that outlines the key regulatory responsibilities Lays out consistent rules by which regulated health professions must provide competent, safe and professional service to the public Committees Competence Committee: Considers application for registration, review practice permits renewal, place conditions or cancel practice permit and address issues referred by registrar Registration Review Committee: Conducts reviews of registration decision Complaints Review Committee: Conducts reviews of dismissals of complaints Hearing Tribunal: Established by council as per HPA, Independent of council or other committees, and conducts hearings as required Council Appeal Committee: Established by council as per HPA. President, public member and one other Council member. Reviews Hearing tribunal decisions Function of CLPNA Delegated powers by the HPA College Role: Govern its regulated members Regulate practice of members Standards for registration, continuing competence and practice Code of ethics Carry out activities of the College Approve education programs CLPNA Prohibitions May not set professional fees Provide guidelines for professional fees or negotiate professional fees May not be a certified bargaining agent (defined in the labour Relations Code MANDATE “To regulate and lead the profession in a manner that protects and serves the public through excellence in Practical nursing” VISION “Influencing a quality person-centered system through regulatory excellence” MISSION LPNs are progressive nursing professionals who provide safe, competent and ethical person-centered care in collaboration with clients, families and other providers CLPNA bylaws Define day-to-day operations of the College Created or amended by two-thirds majority of Council Do NOT need approval from government Council Role (What the College’s Council do) Governing body of the College Consists of president, vice-president, elected members and public members Manages and conducts college’s day-to-day operations and activities Creates and manages bylaws and policies Appoints registrar. President, complaints director and hearings director Establishes committees such as the competence committee Elections Province divided into 7 electoral districts Nominations committee seeks a minimum of 2 nominees per district All active and in good-standing members allowed to run and vote for Council membership except where stated in Sec 24 (2) of the bylaws President and vice-president elected by Council from elected members for 2 year terms Annual General Meeting (AGM) Council sets date, time, and place Quorum consists of 15 regulated members personally present If quorum NOT present (within 30 minutes), Council can proceed with business All regulated members vote at AGM Resolution passed by members at AGM shall be reconsidered by Council but are not binding Standards of Practice National framework developed for LPNs in Canada Define legal and professional expectations Describe elements of quality LPN practice Applicable to LPN in all settings Provide benchmarks to assess performance Indicators describe expectation in detail Six Foundational Principles i. LPNs are self-regulating and accountable for providing safe, competent, compassionate and ethical care within the legal and ethical framework or nursing regulation ii. LPNs are autonomous practitioners and work collaboratively with colleagues in health care to assess, plan and deliver quality nursing services iii. LPN practice is client centered and includes individuals, families, groups and communities iv. LPN standards are broadly based and address variations in client needs, provider competence, experience and environmental factors v. LPN standards allow for growth in the profession to meet changing approaches, treatment and technologies within the health care system vi. LPN standards encourage leadership through self-awareness and reflection, commitment to individual and professional growth, and promotion of the best possible service to the public Four Standards 1.1 Practice to their full range of competence within applicable legislation, regulations, by-laws and employer policies 1.2 Engage in ongoing self-assessment of their professional practice and competence, and seek opportunities for continuing learning 1.3 Share knowledge and expertise with others to meet client needs. This also applies to mentoring and preceptor situations 1.4 Recognize their own practice limitations and consult as necessary 1.5 Identify and report any circumstances that potentially impede professional, ethical or legal practice 1.6 Take action to avoid and/or minimize harm in situations in which client safety and well-being are compromised 1.7 Incorporate established client safety principles and quality assurance/improvement activities into LPN practice 1.8 Advocate in the interest of the public for continuous improvement in LPN and health care environment that promote client-centred care. Expect nurses to advocate as such 1.9 Practice in a manner consistent with ethical values and obligations of the Code of Ethics for LPN 1.10 Maintain documentation and reporting according to established legislation, regulations, laws, and employer policies 1.11 Advocate for and participate in the development of policies and procedures that support evidence-informed LPN practice 2.1 Possess current knowledge to support critical thinking and professional judgement 2.2 Apply knowledge from nursing theory and science, other disciplines, evidence to inform decision-making and LPN practice 2.3 Access and use relevant and credible information technology and other resources 2.4 Review and integrate relevant nursing research findings into LPN practice 2.5 Maintain awareness of current trends and issues in health care and society that impact clients and nursing outcomes 2.6 Evolve their own LPN practice in response to changes and new developments affecting the profession 2.7 Demonstrate understanding of their role and its interrelation with clients and other health care colleagues 2.8 Collaborate in the development, review and revision of care plans to address client needs and preferences and to establish clear goals that are mutually agreed upon by the client and the health care team 2.9 Provide holistic LPN care considering the whole person, the environment and the concepts of health promotion, illness prevention, health maintenance, restoration and protection 2.10 Recognize how LPN practice environments and other environmental factors affect professional practice and client outcomes, and develop/modify care plans to assure client safety and well-being 2.11 Use critical inquiry to assess, plan and evaluate the implications of interventions that impact client outcomes 2.12 Practice in a culturally competent manner 2.13 Modify and communicate to appropriate person changes to specific interventions based on the client response 3.1 Engage clients in a therapeutic nurse-client relationship as active partners for mutual planning of and decisions about their care 3.2 Collaborate with clients and co-workers in the analysis, development, implantation and evaluation of LPN practice and policy that guide client-focused care delivery 3.3 Support and contribute to an environment that promotes and supports safe, effective and ethical practice 3.4 Promote a culture of safety by using established occupational health and safety practices, infection control, and other safety measures to protect clients, self and colleagues from illness and injury 3.5 Provide relevant and timely information to clients and co-workers 3.6 Demonstrate and understanding of self-regulation by following the standards of practice, the code of ethics and other regulatory requirements 3.7 Attain and maintain professional registration/licensure with the regulatory authority of the jurisdiction in which they practice 3.8 Practice within the relevant laws governing privacy and confidentiality of personal health information 4.1 Practice in a manner consistent with ethical values and obligations of the Code of Ethics for LPNs 4.2 Recognize the impact of their own values and beliefs on nursing practice and nurse-client therapeutic relationships 4.3 Identify ethical issues and communicate them to the health care team 4.4 Develop ethical decision-making capacity and take responsible action toward resolution 4.5 Advocate for the protection and promotion of clients’ right to autonomy, respect, privacy, confidentiality, dignity and access to information 4.6 Maintain professional boundaries in the nurse/client therapeutic relationship at all times 4.7 Communicate in a respectful, timely, open and honest manner 4.8 Collaborate with colleagues to promote safe, competent and ethical practice 4.9 Support and contribute to healthy and positive practice environments 4.10 Practice with honesty and integrity to maintain the values and reputation of the profession Code of Ethics Ethical values and responsibilities Expected to uphold and promote Be accountable Purpose of Code of Ethics i. Required by the HPA ii. Guide ethical reflection and decision-making iii. Informs public about ethical value Consequences of Unethical conduct i. Clients at risk ii. Nurse- client therapeutic relationship iii. Health team effectiveness iv. Conflict and disharmony v. Findings of unprofessional conduct LPN Ethical principles i. Responsibility to the public: LPN self- regulating professionals, commit to provide safe, effective, compassionate and ethical care to members of the public. Respect the rights of all individual regardless of their diverse values, beliefs and cultures. Provide only those functions for which they are qualified by education or experience ii. Responsibility to the Clients: LPN provide safe and competent care for their clients. Maintain professional boundaries in the use of electronic media. Respect and support client choices Report to appropriate authorities and take other action in a timely manner to ensure a client’s safety and quality of care when unethical or incompetent care is suspected iii. Responsibility to the Profession: LPN have a commitment to their profession and foster the respect and trust of their clients, healthcare colleagues and the public Practice in a manner that is consistent with the privilege and responsibility of self-regulation iv. Responsibility to the Colleagues: LPN develop and maintain positive, collaborative relationships with nursing colleagues and other health professionals Take appropriate action to address the unprofessional conduct of other members of the interprofessional team v. Responsibility to the Self: LPN recognize and function within their personal and professional competence and value systems Prevent and manage conflict of interest situations Demonstrate honesty, integrity, and trustworthiness in all interactions Accept responsibility for knowing and acting consistently with the principles, practice standards, laws and regulations under which they are accountable Legislation – HPA Parts 1-9 common for all profession Establishment and governance Registration and continuing competence Complaint and disciple Protection of professional titles Schedule 10 specific to LPN profession Legislation that outlines the profession-specific titles that health professionals may use Sets out practice statements Identifies acceptable professional titles Protection of Titles Only regulated members of CLPNA may use: LPN PN Nursing assistant LPN or RNA Other terms are also protected by HPA Regulation of LPNs LPN Registration requirements Diploma or certificate in practical nursing Registration examination Good character and reputation Criminal records check Proficiency in English language Registration Categories General register: for most of the regulated members that meet the requirements Provisional register: applies to members who have met all the registration requirements but have not yet successfully passed the registration. Can only be held for a maximum of 1 year. May only practice only under supervision Courtesy register: approved by the registrar. Term only for 3 months or less Registration renewals Failure to renew results in suspension or cancellation Practice permits Registration year is Jan 1 – Dec 31 Practice permits expire each Dec 31 Practice permit required to be: authorized to work as an LPN and to use the title “LPN”. According to HPA individuals without a valid practice permit are not authorized to work as LPN in Alberta nor to use the title “LPN” Must have: full name, name of college, issued pursuant to HPA, registration number, category of registration, any practice condition, expiry date Other Membership i. Associate membership is for members who: Do not plan to practice as LPN Want to receive CARE magazine, practice updates and renewal notices Must meet all registration requirement when reinstating Continuing Competence Program i. Mandated by HPA: HPA Specifies that Council must establish a continuing competence program that provides for regulated members to maintain competence and to enhance the provision of professional services ii. Annual Continuing competence program process LPN regulation requires that regulated members, on annual basis, submit a self-assessment, learning plan, and a list of continuing competence activities undertaken during the past registration year iii. Continually enhance and expand knowledge iv. Practice and conduct meet current standards v. Purpose of the CCP Is to legally require regulated LPNs to continually enhance and expand their professional knowledge, skills and competence Also a mechanism that the college can use to ensure that nursing practice and conduct meet current professional standards Conduct process Relevant Documents Part 2: Registration Applying for registration: Section 28 to 32 Registration: Section 33 to 37 Practice permit renewal: Section 38 to 41 Suspension, Cancellation and reinstatement: Section 43 to 45 Registration Required: Section 43 to 45 Regulation Continuing Competence: Section 22 to 23 Bylaws Part 4 – registration and continuing competence HPA Part 3: Continuing competence Conduct expectations Provide competent, safe and ethical services Comply with legislation and practice standards Build trust and confidence in their profession Unprofessional Conduct define as Lack of knowledge, skill or judgement Contravention of HPA, Code of Ethics, Standards or applicable legislation. Example, failure to practice in compliance with privacy legislation Practicing without registration or practice permit Not complying with condition on permit Failure to comply with CCP requirements Failure to cooperate with investigator Refusal or ignoring directions of registrar Noncompliance with agreement of settlement Refusing to undergo examination (section 118) Failure to comply with a notice to attend or a notice to produce under Part 4 Conduct harmful to integrity of profession Failure to adequately document or chart Personality conflicts: any dispute should be resolved before they escalate to a major confirmation Professional conduct expectations: Maintaining high practice standards Providing competent, safe and ethical services Building trust and confidence in the profession Complaints can be filed/made by Patient/client or family member Regulated or former member Another health care professional Employer Member of the public Filing a Formal complaint Submitted to Complaints Director in writing and must include: i. Name of regulated member ii. Description of facts and events iii. Any other information / documents iv. Name, signature, and contact information of complaint Complaints Director during review: i. Contacting other individuals / organizations ii. Review of client files / records iii. Interviews with involved parties Complaints Director of College can direct the individual to seek treatment and to cease practice if regulated member is incapacitated Complaints Director may dismiss a complaint if i. There is insufficient or no evidence ii. The complaint is deemed trivial or vexatious Appeals Decision of Hearing Tribunal may be appealed by: i. Investigated person ii. Complaints Director Complaint does NOT have right to appeal Annual Learning Plan Must include: Timeline for completion, resources for meeting objectives, Success indicators, specific learning objectives Hearing Tribunals Penalty Fine and costs of hearing Counselling or treatment Caution or reprimand Suspension of practice permit Good character and reputation by Written references from colleagues; declaration stating that the applicant has no history of unprofessional conduct or disciplinary actions; and the results of a criminal records check Scope of Practice Defines: what nursing activities LPNs are allowed and not allowed to do There is NO ONE document that defines all the aspects of the LPN scope of practice LPN Role and Responsibilities (HPA, Schedule 10 (3)) i. Apply nursing knowledge skills and judgement to assess patients; needs ii. Provide nursing care for patients and families iii. Teach, manage and conduct research in the science, techniques and practice of nursing iv. Provide restricted activities authorized by the regulations Professional Nurse: (Standards of Practice) i. Professional accountability and responsibility: LPNs are accountable for their practice and responsible for ensuring that their practice and conduct meet both the standards of the profession and legislative requirements ii. Knowledge-based practice: LPNs possess knowledge obtained through practical nurse preparation and continuous learning relevant to their professional LPN practice iii. Service to the public and self-regulation: according to standards of practice LPNs are self-regulating and accountable for providing safe, competent, compassionate and ethical care within the legal and ethical framework of nursing regulation. LPNs practice nursing in collaboration with clients and other members of the health care team to provide and improve health care services in the best interests of the public iv. Ethical practice: LPN uphold, promote and adhere to the values and beliefs as prescribed in the Code of Ethics (Document Standards of practice) LPN Competencies i. Competency profile: provides a detailed and comprehensive description of the competencies found in the total LPN profession in Alberta. NO ONE LPN is expected to be proficient in all of the competencies listed Entry-level competencies: acquired through formal practical nurse education Post entry-level competencies: may be gained through informal or formal learning, experience, on-the-job training, post-basic education or certification Advanced authorization competencies: acquired through completion of approved programs and advanced certification LPN Scope of practice directed by: i. HPA ii. LPN regulation iii. Standards of Practice iv. Code of Ethics v. Competency Profile Restricted Activities: are those activities that are considered high risk to the public and therefore are restricted to those regulated health professionals authorized to perform such activities. Defined in Schedule 7.1 of GOA Restricted activities for LPN profession is defined by LPN regulation Legislative Structure i. Governments Organization Act (GOA): Identifies the restricted activities performed by Authorized under professional regulation Person or group authorized by minister: to perform one or more restricted activities subject to any conditions included in the regulations; and, for the purpose of preventing, combating or alleviating a public health emergency, the Minister may be order authorize a person or category to perform on of the more restricted activities subject to any terms or conditions the Minister may prescribe Authorized by other legislation LPN authorizations include: i. Entry-level restricted activities taught in basic practical nurse program ii. Post entry-level restricted activities: acquired through experience, on-the-job education or post-basic education iii. Advanced authorization restricted activities: requiring advance education recognized by the College Only perform restricted activities within competence and area of practice Supervision and Delegation Health Care Aides (HCA): come from a variety of backgrounds including internationally educated nurses who are working towards meeting their licensure requirement, students in nursing programs, or those who have no experience in health care. HCA are NOT a regulated health profession. Effective communication is critical to ensure the sharing of the necessary information between the health care aide and the nurse and to integrate the care activities i. Part of nursing care staff in variety of settings ii. Diverse training health profession iii. Nurse and HCA work together to integrate the care activities Restricted activities for HCA i. HCA permitted certain restricted activities under supervision of regulated nurse ii. HCA allowed to perform activities of daily living iii. Policy determines what can or cannot be done by HCA (by employer) Supervision of HCA’s i. Consultation and guidance by regulated nurse ii. Supervision may be direct, indirect or indirect remote iii. Nurse is responsible for assigning client care to HCA and ongoing evaluation of care iv. HCA is responsible for assigned tasks and care provided Professional accountability and responsibility LPNS are required to: i. Demonstrate legal accountability LPNs are required to be accountable for their own practice. This means that they must understand the concept of duty of care; adhere to the duty to selfreport; practice only within their competence and scope of practice ii. Adhere to confidentiality requirements This means managing all client information appropriately; identifying and reporting breaches in confidentiality; and recognizing and managing related risks iii. Follow informed consent rules The client must give permission prior to any treatment being provided. Informed consent means that the client must have knowledge and be able to understand the options and risks associated with the proposed treatment or intervention iv. Respect professional boundaries LPNs must respect professional boundaries with clients, family, colleagues, supervisors and employers. They must recognize and maintain professional boundaries both on and off duty. Respecting professional boundaries applies to use of technology and social media v. Participate in teamwork LPNs must work effectively through inter-professional collaboration and communication. They should know and use the principles of team dynamics and group processes, including recognizing and managing conflict vi. Maintain fitness to practice Maintain physical, mental and emotional health to provide safe, competent care. An LPN should inform the appropriate authority if they feel they are unable to safely practice Other relevant legislation Provincial Legislation – Privacy i. Health Information Act (HIA) – Guidelines and Practical Manual Rules for collection, use and disclosure of health information Protects privacy of individuals and confidentiality of their health records Health records shared, managed and protected properly Also lays out the requirements as to how health records are to be managed, stored, shared, protected and destroyed ii. Protection of persons in Care Act (PPCA) Publicly funded service providers required to protect clients form abuse and prevent abuse Requires abuse be reported Protected from liability for reporting *Any LPN who suspects or actually observes abuse, they are required by this law to report it* iii. Occupational Health and Safety Act (OH&S): Focuses on safety in the workplace Minimum legislated standards Health and safety advice and information Ensures compliance with legislated standards Investigations of incidents Targeted inspections iv. Controlled Drug and Substances Act Outlines regulations around controls of narcotic drugs