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Prideinourprofession-
RegisteredPracticalNursesis
CUPEsthemeforNursesweek
Hospitallocalswillcelebrate
Nursesweekin2011,witha
numberofspecialevents.
TheRegisteredPracticalNurses
committeeoftheOntarioCouncil
ofHospitalUnions/CUPEhas
themedNursesweekPridein
ourprofession-Registered
PracticalNurses.
Afilmhasbeenproducedabout
thehighlevelofskilland
knowledgeandthegreat
compassionthatRegistered
PracticalNursesbringtothe
profession.AnumberofRPNsfrom
acrossOntarioarefeaturedinthe
film.Thediversifiednursing
staffingpilotprojectatToronto
EastGeneralHospital(seepage2)
isfeaturedprominentlyalso.
Aprofessionalpracticebookletand
atooltoassistnursesinyour
interactionswithphysicianswillbe
giventoeachRPNduringNurses
week,alongwithacopyofthefilm
andalanyardwiththetext:Pride
inourprofession-Registered
PracticalNurses.

6ITUATION
A concise statement of the problem
What is going on right now
%ACKGROUND
Brief information related to the situation
What has happened
$SSESSMENT
Analysis and considerations of options
What you found/think is going on
5ECOMMENDATION
Request/recommend action
What you want done
Patient Name:
Diagnosis:
Concern:
Code Status:
Early warning signs:
LOC or GCS <10
SBP >200, <90 or drop of 30
Pulse >110 or <55
RR >25 or <10
Urine output <100ml in 4 hrs
Sat <90%with FiO2 >.5
This is what I think the problem is: ________ OR
I am not sure what the problem is, but I am worried: OR
The patient is unstable we need to do something.
I request that you <say what you would like done>
Come to see the patient now
Talk to the patient/family about code status
Ask for a consultant to see the patient now
Order CXR/ABG/ECG/CBC
If a change in treatment is ordered then ask:
How often do you want vital signs?
What improvement do you expect to see?
If the pt does not get better when should I call again?
Have patient chart, ow sheet,
MAR and nurses notes on hand
when you make the call!
Procedures
VS trend
Lab results
Medications
Physical assessment
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READ BACK ALL VERBAL ORDERS
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Above:oneoftheitemsCUPEisproducingforRPNsduring
nursesweek.Thisisatoolthatisusefulforinteractions
betweennursesandphysicians.CUPEisalsoproducinga
professionalpracticebookletforRPNs.BelowNBRHCRPN
CheriRogerskickedoffanorthernOntariocampaignon
hospitalacquiredinfectionsMarch4inNorthBay.

AregionalRPN
Conferencewasheldin
NorthBayMarch8.The
firstofsevenregional
conferencesintheleadup
toNursesweek
30RegisteredPracticalNurses
attendedaregionalnursing
conferencesponsoredbyCUPEin
NorthBayMarch8.
RPNsattheconferenceheard
presentationsonCUPEswage
adjustmentbargainingstrategyfor
RPNs.
RPNsattendingthemeetingalso
lookedatapilotprojectatToronto
EastYorkGeneralHospital,where
amoveawayfromallRNstaffing
toamixofRN,RPNandnon-
regulatedstaffhasseenadropin
patientdeathratesof43%onthe
pilotprojectunits.Nurses
satisfactionisup,mirroring
satisfactionincreasesforpatients
andphysicians.
RPNsdiscussedmalpractice
insurance,whichwillsoonbe
providedbytheCollegeofNurses
ofOntarioasaresultof
amendmentstotheRegulated
HealthProfessionsAct.
Smallgroupdiscussionsdealtwith
theincreasedworkloadforRPNs,
violenceandbargainingobjectives
forthenextroundofprovincial
negotiations.
CUPEsProvincialRPN
Committeewill
recommendanaction
planto2011convention
oftheOntarioCouncilof
HospitalUnions/CUPE
TheRegisteredPracticalNurses
committeeofCUPEsOntario
CouncilofHospitalUnionswill
recommendanambitiousaction
planonRPNissuestoOCHUsApril
2011convention.
TheRPNcommitteeiscomposed
ofrepresentativesfrom7
geographicareas.Northern
OntarioisrepresentedbyanRPN
fromSudbury.
TheactionplancallsonCUPEto
putincreasedemphasison
securinggovernmentand
employercommitmentsoffunding
forprofessionaldevelopmentfor
RegisteredPracticalNurses.The
actionplancallsforCUPEto
continuetopushforthefull
utilizationofRPNskillsbyall
hospitalsandforacampaignto
highlightthecontributionRPNs
maketotheirprofessionandto
theircommunities.
CUPErepresents7,000RPNsin65
hospitalsandanother8,000RPNs
inlong-termcareinOntario.
AcrossCanada,CUPErepresents
45,000LPNs/RPNs.200,000of
CUPEsmembersworkin
healthcare,1/3ofourmembers.
TheOntarioCouncilofHospital
Unions/CUPEishalfwaythrough
65localissuearbitration
presentationsonbehalfofRPNs.
CUPEhasprovincialbargaining.
Ourcentralissueswereresolved
ina4yearsettlementin2009.
Wageadjustmentswerepartof
localbargaining.
Thearbitrationboardhasbeen
setuptoresolveoutstanding
localissues.
Theunionisseekingtopullup
RPNwagerates.
Itisexpectedthatthearbitration
decisionwillbeissuedinthefall
of2011.
RPNwage
adjustmentaward
expectedthisfall