Get certified in your nursing specialty and Care to be the Best!

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1 CNA Webinar Series: Progress in Practice Get certified in your nursing specialty and Care to be the Best! Leslie Anne Patry Manager, Certification and Credentialing September 10, 2013 Canadian Nurses Association, 2012

2 Lucie Vachon, RN, BSc Nurse Advisor, Certification Program Professional Practice Division Canadian Nurses Association

3 Leslie Anne Patry, RN, MScN Manager, Certification and Credentialing Professional Practice Division Canadian Nurses Association

4 Poll Question Are you planning to write one of the CNA Certification exams this April 2014? a. Yes b. No

5

6 Definition of Certification VOLUNTARY PROCESS RN - with experience in nursing specialty RN - CNA Certification Renewal every 5 years to Maintain CNA credential RN - writes CNA certification exam

7 Certification The credential confirms that an RN has committed to a national standard of professional competence. It was created by registered nurses for registered nurses.

8 Benefits of Certification Benefits of Specialty Certification Certification benefits the entire health-care community, from the patient to the nurse to the employer, by supporting nursing excellence and continuing competence. Supporting certification can help employers recruit and retain highly qualified nurses by contributing to job satisfaction.

9 CNA-Certified Nurses Demonstrate commitment to excellence in patient care comprehensive understanding of their specialty/area of nursing practice desire to challenge their knowledge and skills in the specialty at a national level commitment to personal growth, nursing excellence and continuing competence

10 Historical Perspective 1991:First official CNA certification exam was Neuroscience Nursing. 2011:CNA celebrates the 20 th year of the program. 2014:PeriAnesthesia 20th specialty First Exam Administration.

11 CNA Certification Specialty/Area of Practice # Specialty/Area of Practice # Cardiovascular 822 Community Health 840 Critical Care 1,210 Critical Care Pediatric 120 Emergency 1,301 Enterostomal Therapy 123 Gastroenterology 277 Gerontology 2,502 Hospice Palliative Care 1,488 Medical-Surgical 470 Nephrology 1,201 Neuroscience 321 Occupational Health 735 Oncology 1,802 Orthopaedic 180 Perinatal 779 Perioperative 1,539 Psychiatric/Mental Health 1,681 Rehabilitation 285 Total all specialties 17,676

12 Exam Development Subject matter experts volunteer to develop exam content.

13 Photo Poster brochure

14 Eligibility Criteria current registration/licensure in Canada as an RN education and experience in the speciality/area of nursing practice:* Accumulated a minimum of 3,900 hours of experience as an RN in the nursing specialty over the past FIVE years in full-time, part time or casual employment or If you have successfully completed a formal post-basic nursing program in your specialty of at least 300 hours, you may apply with a minimum of 2,925 hours in your specialty over the past FIVE years * Enterostomal therapy nursing has different eligibility criteria.

15 Eligibility Criteria Endorsement from supervisor Submit applicable documents and appropriate fees Apply online OR Complete the application form and mail it in

16 Current Status Exam administration annual administration 20 specialties/areas of nursing practice bilingual exams 2,100+ candidates 70+ writing centres across Canada

17 Certification Exams 3.5-hour exam approximately 160 to 165 questions multiple-choice questions: question (stem), then four possible answers

18 Types of Questions 1. Knowledge/comprehension 2. Application 3. Critical thinking

19 Example: Knowledge/ Comprehension (Community Health) What type of immunity refers to the ability of a population to resist an epidemic? 1. Active immunity 2. Passive immunity 3. Herd immunity 4. Cross immunity

20 Answer and Rationale What type of immunity refers to the ability of a population to resist an epidemic? 1. Active immunity 2. Passive immunity 3. Herd immunity 4. Cross immunity Rationale: Herd immunity is the ability of a population to resist an epidemic as a result of a mass vaccination program or as a result of mass infection or exposure to a disease. References: Allender, Rector & Warner (2012), p. 180 Competency: 1.16h Applies the principles of immunization: types of immunity (active, passive, cross, herd).

21 Example: Application (Psychiatry and Mental health) Madison, 15 years old, is attending an outpatient appointment for the first time. She states that she has had trouble sleeping and has stopped attending classes regularly. She also states that she thinks she is stupid and there is no point going to school. What should the psychiatric and mental health nurse do first? 1. Assess Madison for substance abuse 2. Provide health education regarding sleep hygiene 3. Assess Madison s sense of self 4. Discuss with Madison her support systems

22 Answer and Rationale Madison,. 15 years old, is attending an outpatient appointment for the first time. She states that she has had trouble sleeping and has stopped attending classes regularly. She also states that she thinks she is stupid and there is no point going to school. What should the psychiatric and mental health nurse do first? 1. Assess Madison for substance abuse. 2. Provide health education regarding sleep hygiene. 3. Assess Madison s sense of self. 4. Discuss with Madison her support systems. Rationale: By assessing Madison s sense of self, the nurse will be able to develop interventions to address poor coping and self-esteem issues. References: Townsend (2012), pp Competency: 3.9 Promotes the person s sense of identity, meaning in life, resiliency, selfesteem, power and hope.

23 Example: Critical Thinking (Emergency) Mr. Van Bruin, 38 years old, presents with right flank pain radiating to his groin with nausea and vomiting. His HR is 112, RR 18, BP 140/76 and pain is 10/10. He is restless and pale. The urine dipstick is positive for microscopic blood. He has no history of this type of pain. What priority interventions should the emergency nurse anticipate for this client? 1. Obtaining urethral discharge specimen and antibiotics 2. Administering narcotics and ketorolac (Toradol) 3. Obtaining urine cultures and administering antibiotics 4. Keeping him n.p.o. and preparing him for surgery

24 Answer and Rationale Mr. Van Bruin, 38 years old, presents with right flank pain radiating to his groin with nausea and vomiting. His HR is 112, RR 18, BP 140/76 and pain is 10/10. He is restless and pale. The urine dipstick is positive for microscopic blood. He has no history of this type of pain. What priority interventions should the emergency nurse anticipate for this client? 1. Obtaining urethral discharge specimen and antibiotics 2. Administering narcotics and ketorolac (Toradol) 3. Obtaining urine cultures and administering antibiotics 4. Keeping him n.p.o. and preparing him for surgery Rationale: Pain management is a priority for clients with renal or urinary calculi. References: Emergency Nurses Association (2010), p Competency: 08-02b Selects nursing interventions associated with the following alterations in genitourinary system: renal colic.

25 Resources to Prepare For each exam, the online resources available are: list of specialty competencies exam blueprint bibliography list online practice test

26 Resources to Prepare

27 Specialty Competencies

28 Specialty Exam Competencies Blueprint

29 Online Practice test

30 Resources to Prepare Also available: list of mentors list of study groups NurseONE National Nursing Specialty Associations Study group

31 List of Mentors

32 List of Study Groups

33

34 National Nursing Specialty Associations

35 Tips to Prepare Read and refer to the CNA certification specialty competencies on a regular basis. Focus on common practice (not unitspecific). What concepts are you not familiar with?

36 and alone vs. group it s your choice lectures ask other members of multidisciplinary team to help other resources: videos, texts, buddy with RN

37 2014 Certification Administration Next administration: April 5, 2014 Applications accepted from September 3 to November 6, 2013 Candidates can apply online or by mail

38 Initial Certification

39 Successful Result Congratulations! Félicitations! CNA-certified nurses can use designation after their name Florence Nightingale, RN, BScN, GNC(C) Jeanne Mance, inf.aut., B.Sc. inf., CSIG(C)

40 Maintaining the Credential valid for a five-year term supports the concept of continuing competence renewal requirements most nurses choose the continuous learning option

41 Questions/Discussion Thank you! Barb Mildon, president of the Canadian Nurses Association., proudly wearing their CNA certification pins, Judith Shaiman ICN president and Rachel Bard CNA CEO

42 For more information: Photo credits: istock Canadian Nurses Association, 2012

43 Upcoming Webinar Find it Fast! How to use EBSCOhost on the NurseONE.ca Library September 19, 2013 Canadian Nurses Association, 2012

44 Thank you! Canadian Nurses Association, 2012

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