post-conference issue post-conference issue

2 sept. 2017 - Dorothy Phillips, Barb Plumstead, Laura Robbs, .... Parslow and Dorothy Phillips for their ...... Prairies/NWT: Mary Hill (mhillster@shaw.ca).
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www.caet.ca

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SEPTEMBER 2017 VOLUME 28, ISSUE 2

Canadian Association for Enterostomal Therapy

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Courtesy: www.curiostudios.ca

POST-CONFERENCE ISSUE

LIEN

SEPTEMBRE

2017

VOLUME 28, PUBLICATION 2 PM42202514

Association Canadienne des Stomothérapeutes

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December 2014

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The LINK accepts contributions in the form of professional news, research projects and findings, clinical papers, case studies, reports, review articles, questions for clinical corner, and letters to the editor. Advertising and news from industry are also welcome. The deadline for submissions to the next edition of The LINK is September 10th, 2017. La revue Le LIEN est une publication officielle de l’Association canadienne des stomothérapeutes publiée trois fois par année et indexée dans la banque de données «Cumulative Index to Nursing and Allied Health Literature». Le LIEN accepte toute contribution sous les formes suivantes: nouvelles professionnelles, projets de recherches, études cliniques, études de cas, rapports, revues d’articles, questions destinées à la section clinique et lettres à l’éditeur. Les publicités et nouvelles de l’industrie sont aussi les bienvenues. La date limite pour la soumission d’un écrit à paraître dans le prochain numéro de Le LIEN est le 10 septembre 2017. For further information or to submit content/ Pour de plus amples renseignements ou pour soumettre un écrit, veuillez contacter: Tel: 1-888-739-5072 Email: [email protected] The LINK is published by Clockwork Communications Inc. on behalf of CAET. Clockwork Communications Inc. PO Box 33145, Halifax, NS, B3L 4T6 Tel: 902.442.3882 Fax: 888.330.2116 www.ClockworkCanada.com Managing Editor: Deborah McNamara Art Director: Sherri Keenan Translator: Jocelyne Demers-Owoka Please forward any changes in membership status or address to: Noëlla Trudel Tel: 1-888-739-5072 Fax: 613-834-6351 E-mail: [email protected] Website: www.caet.ca/membership.htm ISSN 1701-2473 Publications Mail Agreement No. 42202514 Return Undeliverable Canadian Addresses to 66 Leopolds Drive, Ottawa, ON, K1V 7E3 [email protected]

SEPTEMBER 2017 • VOLUME 28, ISSUE 2 Courtesy: www.curiostudios.ca

The LINK, the official publication of the Canadian Association for Enterostomal Therapy (CAET) is published three times a year. It is indexed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database.

CONTENTS Regular Features MEMBERSHIP COMMUNIQUÉ CAET ACADEMY UPCOMING EVENTS

4 - 11 14 - 20 21

CAET CALL FOR NOMINATIONS

22 - 23

CONTINENCE EXCHANGE

24 - 25

REGIONAL DIRECTORS' CORNER

26 - 32

CORE PROGRAM LEADERS' CORNER

34 - 36

ET COMMUNITY NEWS

37 - 42

MEMBERSHIP COMMUNIQUÉ

CAET PRESIDENT’S MESSAGE Submitted by: Rosemary Hill, RN, BSN, CWOCN, CETN(C), CAET President. [email protected]

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s we enter the season of change, and prepare to leave behind the memories of summer we move forward into new schedules, changing colours, and changing temperatures. At the CAET annual conference change was an important theme. I am excited to announce that an important vote took place to rename our specialty from Enterostomal Therapy Nurses to Nurses Specialized in Wound Ostomy, and Continence (NSWOC). See the Executive Director’s Message on page 8 for more details. There has been, for several years, a growing expression from members that the term Entertostomal Therapy created challenges on many levels. The intention, with this change, is to more clearly communicate all areas of our specialty. There are many aspects involved in a transition from old to new! We want to assure you that in the coming months the CAET will be sharing more information about this transition. We realize that things are always changing – new ideas, new technology, new budgets, new policies, new regulations – and yet one thing that is certain is that change itself is a constant. Instead of viewing change as something daunting it is a wonderful opportunity to begin to “view the positive” in the new landscapes that emerge. After the important vote for the CAET name change, we launched our annual 4

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I am excited to announce that an important vote took place to rename our specialty from Enterostomal Therapy Nurses to Nurses Specialized in Wound Ostomy, and Continence (NSWOC).

conference. There was an inspirational array of speakers and I wish to thank and congratulate Mary Hill and her conference planning team for their enormous work creating such a successful conference! Everyone mark your calendars to be in Victoria, BC, May 3 – 6, 2018. We are already germinating some exciting ideas which we hope to see flower next spring. I wish to invite you all to think of topics you wish to present, in either poster or oral abstract format, at the 2018 conference. Also to look forward to - in our December 2017 issue of LINK we will feature a new pamphlet that provides specific information regarding the disability tax credit for those living with an ostomy. I had the privilege of working with Ostomy Canada Society in developing this pamphlet. This information seeks to simplify and clarify to ETs, Physicians, Nurse Practitioners, and, most importantly, to individuals who have an ostomy, how to access this important financial support.

I take a moment also to encourage the 2nd group of students who have just started the year-long CAET Leadership Program. As a graduate I can tell you how much I learned and enjoyed the experience. I continue to value the powerful exercise of taking personal inventory, centering on what I have learned, and practicing gratitude in spite of the challenges and adversities of the day. This exercise replenishes my core and gives me fuel for the days ahead. This quote, to me, captures the challenge for each of us as leaders, as nurses, and as human beings caring for others: “The only way that we can live, is if we grow. The only way that we can grow is if we change. The only way that we can change is if we learn. The only way that we can learn is if we are exposed. And the only way that we can become exposed is if we throw ourselves out into the open. Do it. Throw yourself.” C. JoyBell C. May you all enjoy the learning ahead as you “throw yourselves” into this season of change. cd

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MEMBERSHIP COMMUNIQUÉ

MESSAGE DU PRÉSIDENTE DE CAET Soumis par : Rosemary Hill, inf., B.Sc.Inf., stomothérapeute certifiée, ICS(C), présidente de l’ACS [email protected] lors que nous entamons la saison des changements et que nous nous préparons à laisser derrière nous les souvenirs de l’été, nous passons à de nouveaux horaires, au changement des couleurs et de la température. Lors de la conférence annuelle de l’ACS, un thème important qui a été abordé était le changement.

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Je suis très heureuse de vous annoncer qu’un vote important s’est tenu dans le but de renommer notre spécialité d’infirmière/infirmier stomothérapeute à celui d’infirmière/infirmier spécialisé(e) en plaies, stomies et continence. Veuillez vous référer au Message de la directrice générale à la page 10 pour plus de détails. Depuis plusieurs années, les membres nous informaient de plus en plus que le terme « stomothérapeute » créait des défis à plusieurs niveaux. Ce changement vise à communiquer plus clairement tous les domaines de notre spécialité. La transition pour passer de l'ancien au nouveau implique plusieurs aspects! Nous tenons à vous assurer que dans les prochains mois, l’ACS vous fera part de plus de renseignements concernant cette transition. Nous sommes bien conscients que les choses changent perpétuellement – nouvelles idées, nouvelles technologies, nouveaux budgets, nouvelles politiques, nouvelle réglementation – et en effet, une chose est sûre, c’est que le changement en lui-même est une constante. Plutôt que de voir le changement comme

quelque chose d’intimidant, voyons-le comme une merveilleuse occasion de commencer à « voir ce qu’il y a de positif » dans le nouveau paysage qui se dresse devant nous. À la suite du vote important pour le changement de nom de l’ACS, nous avons tenu notre conférence annuelle, animée par toute une sélection de conférenciers inspirants. Je tiens à remercier et à féliciter Mary Hill et son équipe de planification de la conférence pour leur travail titanesque qui a permis d’offrir une conférence en tous points réussie! Avis à tous! Indiquez ces dates à votre calendrier : du 3 au 6 mai 2018, à Victoria, en C.-B. Nous en sommes déjà à pondre quelques idées excitantes que nous espérons voir éclore le printemps prochain. Je vous invite à réfléchir à des sujets que vous souhaitez présenter, soit sous forme d’une présentation par affiches ou d’un exposé oral, lors de la conférence de 2018. Autre fait que nous attendons avec impatience : dans notre numéro de la revue Le lien de décembre 2017, nous publierons un nouveau dépliant fournissant de l’information précise concernant le crédit d'impôt pour personnes handicapées vivant avec une stomie. J’ai eu le privilège de travailler avec la Société canadienne des personnes stomisées pour élaborer ce dépliant. Les renseignements qu’il contient s’adressent aux stomothérapeutes, aux médecins,

Je suis très heureuse de vous annoncer qu’un vote important s’est tenu dans le but de renommer notre spécialité d’infirmière/infirmier stomothérapeute à celui d’infirmière/infirmier spécialisé(e) en plaies, stomies et continence. 6

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aux infirmières praticiennes et, surtout, aux personnes stomisées et ce dernier vise à clarifier et à simplifier comment avoir droit à cet important soutien financier. Je profite également de cette occasion pour encourager le deuxième groupe d’étudiants qui vient tout juste de commencer le programme de leadership d’un an de l’ACS. En tant que diplômée, je peux vous dire combien j’ai apprécié et appris de mon expérience. Je continue d’accorder de l’importance à l’exercice efficace qui consiste à me baser sur mon inventaire personnel, à me concentrer sur ce que j’ai appris et à exprimer ma reconnaissance malgré les défis et les malheurs de la journée. Cet exercice ravitaille mon âme et me donne la force nécessaire pour les jours à venir. Pour moi, cette citation transpose bien les défis auxquels nous faisons face en tant que leaders, infirmières et êtres humains qui prennent soin des autres : « La seule façon que nous pouvons vivre, est si nous grandissons. La seule façon que nous pouvons grandir est si nous changeons. La seule façon que nous pouvons changer, c’est si nous apprenons. La seule façon que nous pouvons apprendre, c’est si nous sommes exposés. Et la seule façon que nous pouvons devenir exposés est si nous nous montrons au grand jour. » C. JoyBell C. Je vous souhaite de profiter des apprentissages auxquels vous serez exposés, alors que « vous vous montrez au grand jour » lors de cette saison de changements. cd

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MEMBERSHIP COMMUNIQUÉ

EXECUTIVE DIRECTOR’S REPORT Submitted by: Catherine Harley, RN, eMBA, CAET Executive Director. [email protected]

CAET Members Vote in Favour of Name Change!

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AET Members Vote in Favour of Name Change!

With the CAET’s mandate to support excellence and advance the profession of nurses specialized in the three domains of wound, ostomy, and continence care a resolution was introduced, at the 2017 Annual Meeting, to re-name the association, and the specialty, in order to better represent who we are and what our members do. The membership voted in favour of the name changes recommended by the Board of Directors… and history was made for our association and specialty. A priority of the 2014-2017 CAET Strategic Plan was to establish a clear identity for the CAET and Enterostomal Therapy Nurses by building recognition & understanding of the CAET association name and the name of nurses who specialize in wound, ostomy, and continence care. The current names did not reflect the specialized role were often not clearly understood by patients, aligned caregivers, and the public. In order to prepare and inform the CAET Members and Board of Directors on this topic a Name Change Leadership

Project was launched in early 2016. A business plan was developed to support the decision-making process. The project team analysed the impact of the current names and implemented six stakeholder surveys and 13 one-on-one interviews with WOCN Society Members and members from WCET. There were also meetings with the CAET Board of Directors, CAET Core Program Leaders, the Canadian Nurses Association, and the WOCN Society Executive, to discuss and debate potential names and future impact. More than 50% of CAET members outside of Quebec supported a name change but CAET Members in Quebec did not currently support a name change. The CAET Board agreed that Quebec would need a separate plan. The information from this project work was presented to CAET members through eight town hall meetings, in an electronic and interactive webinar format, that took place in April and May 2017. These meetings allowed CAET members to ask questions and provide feedback. One third of the CAET’s membership participated in these meetings. EXECUTIVE DIRECTOR’S REPORT continued on Page #12

The new names will be officially launched at the 2018 CAET Conference in Victoria, BC. 8

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MEMBERSHIP COMMUNIQUÉ

RAPPORT DE LA DIRECTRICE GÉNÉRALE Soumis par : Catherine Harley, IA, M.B.A. pour cadres, directrice générale de la CAET. [email protected]

Les membres de l’ACS votent en faveur d’un changement de nom!

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es membres de l’ACS votent en faveur d’un changement de nom!

Compte tenu du mandat de l’ACS visant à appuyer l’excellence et à faire progresser la profession des infirmiers et des infirmières spécialisés dans les trois domaines de soins des plaies, des stomies et de la continence, une motion a été déposée lors de l’Assemblée générale annuelle de 2017 pour renommer l’association et la spécialité afin de mieux représenter qui nous sommes et ce que font nos membres. Les membres ont donc voté en faveur des changements de noms recommandés par le Conseil d’administration… notre association et notre spécialité sont donc entrées dans l’histoire.

Les nouveaux noms seront officiellement lancés lors de la conférence de l’ACS de 2018, à Victoria, en C.-B. Les noms actuels continueront d’être utilisés jusqu’à ce moment.

L’une des priorités du plan stratégique 2014-2017 de l’ACS était de déterminer une identité claire pour l’ACS et les stomothérapeutes en développant la reconnaissance et la compréhension du nom de l’association de l’ACS et du nom des infirmiers et des infirmières qui se spécialisent en soins des plaies, des stomies et de la continence. Les noms actuels en anglais ne reflétaient pas le rôle spécialisé et souvent les patients, les personnes soignantes et le public ne les comprenaient pas.

prise de décision. L’équipe du projet a analysé l’impact des noms actuels en anglais et a mis en œuvre six sondages à l’intention des intervenants et treize entrevues individuelles avec les membres du WOCN Society et les membres du World Council of Enterostomal Therapists (WCET). Des discussions avec le conseil d’administration de l’ACS, les leaders des programmes de base de l’ACS, l’Association des infirmières et infirmiers du Canada et le conseil exécutif du WOCN Society ont eu lieu afin de débattre des noms potentiels et de leur impact futur. Plus de 50 % des membres de l’ACS à l’extérieur du Québec étaient en faveur d’un changement de noms, mais les membres de l’ACS du Québec n’appuyaient pas ce changement pour les noms en français. Le conseil d’administration de l’ACS a accepté que le Québec se penche sur un plan différent.

Dans le but de préparer et de renseigner les membres et le conseil d’administration de l’ACS à ce sujet, le projet de leadership pour un changement de noms a été lancé au début de 2016. Un plan opérationnel a été élaboré pour appuyer le processus de

L’information au sujet de ce projet a été présentée aux membres de l’ACS par le biais de huit séances de discussion ouverte sous forme de webinaires électroniques et interactifs qui se sont déroulées en avril et mai 2017. Ces séances ont permis aux membres de

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l’ACS de poser leurs questions et de fournir leurs rétroactions. Un tiers des membres de l’ACS a participé à ces séances. On a demandé aux membres de l’ACS de voter pour les noms suivants recommandés par le conseil d’administration de l’ACS après les vérifications diligentes d'usages. Le 25 mai 2017, tous les membres de l’ACS ont eu la chance de voter sur les changements de noms, par voie électronique ou en personne, lors de l’AGA. Dans toutes les provinces et tous les territoires, à l’exception du Québec, la grande majorité des membres de l’ACS ont voté en faveur des changements de noms comme suit (tel que recommandé par le conseil d’administration) : • « Enterostomal Therapist / Enterostomal Therapy Nurse » qui deviendra : « Nurse Specialized in Wound, Ostomy, and Continence (NSWOC) »; et • « Canadian Association for Enterostomal Therapy » qui deviendra : « Nurses Specialized in Wound, Ostomy, and Continence Canada (NSWOCC) »

MEMBERSHIP COMMUNIQUÉ

RAPPORT DE LA DIRECTRICE GÉNÉRALE (suite) Les nouveaux noms seront officiellement lancés lors de la conférence de l’ACS de 2018, à Victoria, en C.-B. Les noms actuels continueront d’être utilisés jusqu’à ce moment. Concernant la traduction en français du nom de la spécialité, le conseil d’administration de l’ACS a reconnu que l’Association des infirmières et infirmiers stomothérapeutes du Québec (AIISQ) pouvait avoir des préoccupations relativement à la traduction en français et le conseil alloue donc plus de temps à nos collègues du Québec pour discuter de ces changements de noms lors de leur assemblée en octobre 2017, à Montréal. Le conseil d’administration était aussi enclin à élaborer un plan de rechange pour appuyer le Québec si les membres choisissaient de conserver le nom actuel de la spécialité. Le processus pour autoriser les changements de noms est en cours et

différentes étapes sont nécessaires avant de pouvoir officiellement utiliser les nouveaux noms. Les règlements administratifs de l’ACS doivent être révisés pour y intégrer les nouveaux noms et un vote se tiendra lors de l’AGA de mai 2018. Des documents juridiques doivent également être remplis avec Industrie Canada et l’Agence du revenu du Canada. D’autres discussions avec l’AIIC se dérouleront concernant le changement au titre de la certification de notre spécialité. Ces changements de noms nous permettront de mieux répondre aux besoins des stomothérapeutes de partout au Canada et de faire progresser la profession des infirmiers et infirmières spécialisés(es) en soins des plaies, des stomies et de la continence tout en favorisant la reconnaissance chez les autres professionnels de la santé et le public. L’avenir s’annonce brillant pour l’ACS et les stomothérapeutes! cd

EXECUTIVE DIRECTOR’S REPORT (cont. from page #8) The CAET Members were asked to vote on the following names recommended by the CAET Board of Directors after due diligence was completed. On May 25, 2017, all CAET Members were given the opportunity to vote, electronically or in-person at the AMM, on the name changes. In all provinces and territories outside of Quebec the vast majority of CAET Members voted to change the names to the following (as recommended by the Board of Directors): • Enterostomal Therapist / Enterostomal Therapy Nurse to change to: Nurse Specialized in Wound, Ostomy, and Continence (NSWOC); and • Canadian Association for Enterostomal Therapy to change to: Nurses Specialized in Wound,

Ostomy, and Continence Canada (NSWOCC). The new names will be officially launched at the 2018 CAET Conference in Victoria, BC. Until then it will be business as usual with the current names continuing to be used. Regarding the French translation of the specialty name the CAET Board did recognize that l’Association des infirmières et infirmiers stomothérapeutes du Québec (AIISQ) may have concerns over the French translation and so they are providing our Quebec colleagues additional time to discuss this name change at their October 2017 meeting in Montreal. The Board was also open to developing an alternative plan to support Quebec if they choose to keep the existing specialty name.

The process to initiate the approved name changes is underway with various steps required before the new name can officially be used. The CAET by-laws must be revised with the new names and they will be voted on, by members, at the May 2018 AMM. Legal documents must also be filed with Industry Canada and the Canada Revenue Agency. There will be further discussions with CNA regarding the change to our specialty certification designation. This name change will allow us to better meet the needs of Enterostomal Therapy Nurses across Canada and to further advance the profession of nurses specialized in wound, ostomy and continence care while raising the recognition among other healthcare professionals and the public. The future looks strong for CAET and Enterostomal Therapy Nurses! cd le LIEN

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CAET Executive President: Rosemary Hill President-Elect: Chris Murphy Secretary: Laureen Sommerey Treasurer: Corey Heerschap Executive Director: Catherine Harley

Regional Directors BC/Yukon: Lani Williston Prairies/NWT/Nunavut: Patrice Jull Ontario: Donna Fossum Québec: Nevart Hotakorzian Atlantic: Kathy Mutch

CAET Staff Membership Coordinator: Noëlla Trudel Webmaster: ImaginationPlus Bookkeeper: Andre Lavigne

Core Programs Informatics and Research: Karen Napier Marketing: Debbie Howe National Conf. Planning: Mary Hill Public Relations: Kim LeBlanc Professional Development & Practice: Laura Robbs

CAET/JWOCN Editorial Board

CAET Academy Director: Virginia McNaughton Office Coordinator: Suzanne Sarda IT Support: Linda Forster Academic Advisors: Gail Creelman, Deb Cutting, Cathy Downs, Mary Engel, Melanie Fauteux, Marilyn Langlois, Toba Miller, Nancy Parslow, Dorothy Phillips, Barb Plumstead, Laura Robbs, Louise Samuel, Teri Schroeder, Louise Turgeon. Preceptor Coordinator: Nicole Denis

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Features Editor: Lina Martins BC/Yukon: Kim LeBlanc Prairies/NWT: Mary Hill Ontario: Lina Martins Québec/Atlantic: Louise Forest Lalande

CAET Ad Hoc Committees Bylaws Chair: Vivien Wass Nominations Chair: Jillian Brooke

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CAET ACADEMY

CAET ACADEMY DIRECTOR’S REPORT Submitted by: Virginia McNaughton, BA, MPA, RN, CETN(C), Director of the CAET Academy [email protected]

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t was such a pleasure meeting and talking to so many CAET members and ETNEP students and grads at the May 2017 CAET conference. I was thrilled by the enthusiasm that I experienced from students and new grads. One student said it was like going to Hollywood and meeting all her favorite celebrities! The CAET Board, Executive Director, and I once again had the chance to take a detailed look at the CAET Academy programs and operations. You are welcome to read my Annual Report at www.caet.ca. We continue to grow our benefits to members and this year we have a new initiative! Kathryn Kozell RN, MScN, APN, CETN(C) will lead the new CAET Virtual Journal Club. More information will be coming to you in a CAET e-blast as well as at www.caet.ca. Our monthly CAET Webinar Series continues! Many CAET 2017 conference speakers will join our 2017/2018 line up. Check your

monthly e-blast for webinar details. If you don’t receive these please check in with [email protected] because it means we don’t have your correct email address. Please consider doing a webinar! If you are new to public presenting, and want to try, we will help you. This is a terrific opportunity to practice your presentation skills in a positive and supportive environment. Contact me to discuss this! We have several new awards for ETNEP. Please check out http://caetacademy. ca/caet-etnep-awards. We are so proud of our award winners this year (please see page 37) and sincerely thank this year’s sponsors, ConvaTec and Nightingale Medical, for their support. In October 2017 we will hold a strategic planning session to develop a plan for the next 10 years of specialized Wound, Ostomy and Continence education. We have worked at managing our wait lists this year by launching a third Cohort. We have 13 students from BC

In October 2017 we will hold a strategic planning session to develop a plan for the next 10 years of specialized Wound, Ostomy and Continence education. 14

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and 6 from the rest of Canada enrolled. Many thanks to our new faculty members Cathy Downs, Teri Schroeder, and Laura Robbs who are assisting Eleanore Howard and Nancy Parslow. The Board and I will be reviewing the new admissions criteria put forward by the Admissions Committee. Many thanks to Lisa Hegler, Dawn Lypchuk, Keri Coulson, Louise Turgeon, Nancy Parslow and Dorothy Phillips for their hard work on this. Our new K2P Foundations of Skin and Wound Management course, a collaborative effort between the CAET Academy and Bow Valley College in Calgary, graduated its first cohort. The next course starts in September and Bow Valley will be hosting a two-day skills lab with Patrice Jull, in January, for graduates of this course. We hope that this skills lab will be transportable and look forward to hosting it at the CAET conference in Victoria next year. Thanks to Nancy Parslow for her support. Students loved the live biweekly webinars, with Nancy and myself, to go over materials and discuss cases. We are seeking ET Nurses who are interested in joining the academic and clinical faculty. To learn more, please contact me at the email at the top of this page. Wishing you all a happy Fall! cd



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CAET ACADEMY

RAPPORT DE L’ACADÉMIE DE L’ACS Soumis par : Virginia McNaughton, IA, B.A., MPA, ICS(C), directrice de l’Académie de l’ACS [email protected]

C

e fut un grand plaisir de rencontrer et de parler avec autant de membres de l’ACS, d’étudiants et de diplômés du PFIS lors de la conférence de l’ACS de mai 2017. L’enthousiasme de la part des étudiants et des nouveaux diplômés m’a impressionnée et une étudiante m’a même dit que c’était comme si elle allait à Hollywood pour rencontrer toutes ses vedettes préférées!

Le conseil d’administration de l’ACS, la directrice générale et moi-même ont à nouveau eu la chance d’examiner en détail les programmes et les opérations de l’Académie de l’ACS. Nous vous invitons d’ailleurs à consulter mon rapport annuel à www.caet.ca. Nous continuons d’offrir plus d'avantages à nos membres et, cette année, nous lançons une nouvelle initiative! Kathryn Kozell, inf., M. Sc. Inf., inf. en PIA, ICS(C) dirigera le nouveau club virtuel de la revue de l’ACS. Plus d’informations vous seront transmises sous peu dans un envoi de masse de l’ACS ainsi que sur le site Web www.caet.ca. Notre série de webinaires mensuels de l’ACS se poursuit! Plusieurs conférenciers présents à la conférence 2017 de l’ACS se joindront à nos collaborateurs pour 2017/2018. Jetez un coup d’œil à votre envoi en masse mensuel pour tous les détails sur les

webinaires. Si vous ne les recevez pas, veuillez envoyer un courriel à l’adresse [email protected], car cela signifie qu’il y a une erreur dans votre adresse électronique. Pensez à présenter un webinaire! Si parler en public est nouveau pour vous et que vous voulez essayer, nous vous aiderons. C’est l’occasion idéale pour mettre à l’essai vos compétences en présentation dans un environnement positif qui vous soutient. Communiquez avec moi pour en discuter! Nous offrons plusieurs nouveaux prix pour le PFIS que vous pouvez consulter à http://caetacademy.ca/caet-etnepawards. Nous sommes très fiers de nos lauréats de cette année (veuillez consulter la page 37) et nous tenons à remercier chaleureusement nos commanditaires, ConvaTec et Nightingale Medical, pour leur soutien. En octobre 2017, nous tiendrons une séance de planification stratégique pour élaborer un plan pour les dix prochaines années de formation spécialisée en plaies, stomies et continence. Cette année, nous nous sommes efforcés de bien gérer nos listes d’attente en lançant une troisième cohorte. Il y a donc treize étudiants de la C.-B. et six autres du reste du Canada qui sont inscrits. Un gros merci aux nouveaux membres de notre corps professoral :

En octobre 2017, nous tiendrons une séance de planification stratégique pour élaborer un plan pour les dix prochaines années de formation spécialisée en plaies, stomies et continence. 16

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Cathy Downs, Teri Schroeder et Laura Robbs qui viendront en aide à Eleanore Howard et Nancy Parslow. Le conseil d’administration et moi-même réviserons les nouveaux critères d’admission qui ont été proposés par le comité des admissions. Je remercie sincèrement Lisa Hegler, Dawn Lypchuk, Keri Coulson, Louise Turgeon, Nancy Parslow et Dorothy Phillips pour leur bon travail. Les étudiants de la première cohorte de notre nouveau cours K2P Fondements de la peau et gestion des plaies, une collaboration entre l’Académie de l’ACS et le Bow Valley College, ont obtenu leur diplôme. Le deuxième cours commencera en septembre et le Bow Valley College organisera un laboratoire de compétences de deux jours avec Patrice Jull, en janvier, à l’intention des diplômés de ce cours. Nous espérons que ce laboratoire de compétences pourra être offert ailleurs et nous sommes impatients de vous le présenter lors de la conférence de l’ACS, à Victoria, l’année prochaine. Je tiens à remercier Nancy Parslow pour son soutien. Les étudiants adorent les webinaires en direct aux deux semaines avec Nancy et moi-même durant lesquels nous les aidons à réviser les documents et où nous discutons de certains cas. Nous sommes à la recherche de stomothérapeutes qui souhaiteraient se joindre à notre corps professoral pour les cours théoriques et cliniques. Pour en savoir davantage, veuillez communiquer avec moi au courriel indiqué ci-haut. Je vous souhaite un très bel automne! cd

CAET Academy's Newest ETNEP Graduates Nouvelles graduées du PFIS de l'Académie de l'ACS

Cohort 15/16/17 English Graduates

Nicole Fritz Etobicoke, ON

Finissantes francophones cohorte 11 et 16

Sriti Mizan Hamilton, ON

Sheila Moffatt Halifax, NS

Caroline Aucoin St-Urbain-Premier, QC

Julie Bélanger Salaberry-de-Valleyfield, QC

Photo not available.

Stéphanie Desrochers Laval, QC

Elisa Dufour Baie Comeau, QC

Kassandra Dumont Montréal, QC

Elmira Enikeeva Montréal, QC

Justine Ndjoli-Loyanga Montréal, QC

Claudine Pelletier Le Gardeur, QC

Jessica Pelletier Québec, QC

Janie Richardson Moncton, N.-B. le LIEN

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CAET ACADEMY

Cohort 18 English Graduates

18

Nina Arboine Barrie, ON

Deborah Bates Edmonton, AB

Heather Campbell Saskatoon, SK

Tom Chang Milon, ON

Jessica De Strake Monte Creek, BC

Krystal Fleck Kaministiquia, ON

Carol Fleet Medicine Hat, AB

Joshua Gohl Guelph, ON

Rhonda Huculak Saskatoon, SK

Kaila Huot Nepean, ON

Tracy Lillington Tower Road, NS

Christine Powles Edmonton, AB

Sharlenne Sanchez Toronto, ON

Najwa Shbat Mississauga, ON

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CAET ACADEMY

Cohort 18 English Graduates cont. Nashra Sidik Maple Ridge, BC

Bridget Simmonds Edmonton, AB

Christie Tuttosi Brandon, MB

Nathalie Champagne Mascouche, QC

Chantale Chrétien Thetford Mines, QC

Finissantes francophones cohorte 18

Photo not available.

Émilie Demers St-Constant, QC

Chantale Dufresne Magog, QC Gagnante du prix académique 2017

Katherine Poirier St-Isidore, QC

Élysa Roy-Sylvain Montréal, QC

Kathia Fortin Sept-Iles, QC

Bernadette Kowa Ajax, ON

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CAET ACADEMY

Cohort 19 English Graduates

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Laura Baker Carbonear, NL

Meggan Chung Langley, BC

Nichol Cristo Saskatoon, SK

Corey Heerschap Barrie, ON

Kelly Mazerolle Pembroke, ON

Kay McGregor Sherbooke, QC

Kaitlin McHenry Calgary, AB

Michele Palanca Calgary, AB

Diana Pavel Windsor, ON

Nicole Thompson Grand Falls-Windsor, NL

Ly Truong Victoria, BC

Emily Woodgate Halifax, NS

September 2017

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Upcoming Events Stoma Stroll Ostomy Canada Society October 7, 2017 www.ostomycanada.ca Wounds Canada November 16 - 19, 2017 Mississauga, ON www.cawc.net WCET April 14 - 18, 2018 Kuala Lumpur, Malaysia www.wcetn.org SAWC April 25 - 29, 2018 Charlotte, NC www.sawc.net

CAET National Conference Turning Knowledge into Action May 3 - 6, 2018 Victoria, BC www.caet.ca

International Continence Society August 28 - 31, 2018 Philadelphia, PA www.ics.org

EWMA May 9 - 11, 2018 Krakow, Poland www.ewma.org

NPUAP March 1 - 2, 2019 St. Louis, MO www.npuap.org/events/

WOCN Society 50th Anniversary Conference June 3 - 6, 2018 Philadelphia, PA www.wocn.org

World Union of Wound Healing Society (WUWHS) Global healing Changing Lives March 8-12, 2020 Abu Dabi, UAE http://www.wuwhs2020.com

The views or opinions expressed in the editorial or articles are those of the authors and do not necessarily represent the policies or views of the Canadian Association for

This publication is copyright in its entirety. Material may

Enterestomal Therapy (CAET). Although

not be reprinted without the

reasonable efforts are made to ensure

written permission of

accuracy CAET, and its agents, take no

CAET. Contact through

responsibility whatsoever for errors,

www.CAET.ca.

omissions or any consequences of reliance on material or the accuracy of information.

Publication does not constitute CAET endorsement of, or assumption of liability for, any claims made in advertisements.

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Canadian Association for Enterostomal Therapy (CAET) CALL FOR NOMINATIONS Open Positions for 2018

The Canadian Association for Enterostomal Therapy (CAET) Board of Directors has the following elected Director positions open: • Regional Director - Prairies / NWT / NU • Regional Director - Atlantic Region • Regional Director - Ontario Term: 2 years with opportunity to run for an additional 2 years

The following CAET Board Director and Officer positions are open: • President Elect • Secretary Term: 2 years with opportunity to run for an additional 2 years

Nominations Deadline: January 10, 2018

Qualifications:

i) Must be a Member of the CAET for a minimum of two (2) years as a member in good standing; ii) Must be a registered nurse who has successfully completed an Enterostomal Therapy Nursing Education Program recognized by the CAET OR a non-registered nurse who completed a recognized Enterostomal Therapy Program, recognized by the CAET, prior to 1976; iii) Not an employee or representative of a company whose primary business involves the development, manufacture and sole distribution of products in the field of wound, ostomy, and/or continence care; and iv) The individual cannot be a contractor of the CAET.

Nominations for the above Board positions will be accepted by the Nominations Chair, via the CAET Head Office, at [email protected]. The Nominations Application paperwork is available on the CAET website at www.caet.ca (in the CAET news section of the home page). For further information regarding these open positions please contact the CAET Executive Director at [email protected].

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Association canadienne des stomothérapeutes (CAET) APPEL DE CANDIDATURES Postes à pourvoir en leadership pour 2018

Le conseil d’administration de l’Association canadienne des stomothérapeutes (CAET) cherche à pourvoir les postes d’administrateurs élus suivants : • Administrateur(trice) régional(e) - Praries / TN-O / NU • Administrateur(trice) régional(e) - Région de l’Atlantique • Administrateur(trice) régional(e) - Ontario Mandat : 2 ans avec possibilité de prolonger pour 2 ans de plus.

Le poste suivant de directeur au sein du conseil d’administration de la CAET est également à pourvoir : • Président(e) élu (e) • Secrétaire Mandat : 2 ans avec possibilité de prolonger pour 2 ans de plus.

Qualifications:

Date limite des mises en candidature : 10 janvier 2018

i) Doit être membre en règle de la CAET depuis au moins deux (2) ans; ii) Doit être infirmier(ère) autorisé(e) ayant réussi le Programme de formation infirmière stomothérapeute reconnu par la CAET OU infirmier(ère) non autorisé(e) ayant suivi un programme de formation en stomothérapie reconnu par la CAET, avant 1976; iii) Ne peut être employé(e) ou représentant(e) d’une entreprise dont l’activité principale repose sur le développement, la fabrication et l’exclusivité des droits de distribution de produits dans le domaine du soin des plaies, des stomies et (ou) de la continence; iv) La personne ne peut être un(e) entrepreneur(e) de la CAET.

Vous pouvez faire parvenir votre candidature pour l’un des postes susmentionnés au conseil d’administration à la présidente des mises en candidature, au siège social de l’ACS, à l’adresse : [email protected]. Les documents pour poser sa candidature sont disponibles sur le site Web de la CAET à www.caet.ca (dans la Page d’accueil, section Nouvelles de la CAET). Pour de plus amples renseignements concernant ces postes à pourvoir, veuillez communiquer avec la directrice générale de la CAET à l’adresse [email protected].

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CONTINENCE EXCHANGE

THE CONTINENCE EXCHANGE: TO FOSTER AND SUPPORT ETN CONTINENCE PRACTICE Submitted by: Laura Robbs RN, MN, NCA, CETN(C), Continence Clinical Nurse Specialist, and Allison Kirke, BSN, CETN(C), Skin, Wound and Ostomy Care Clinician; Trillium Health Partners. “The Continence Exchange” aims to foster and support ETN continence practice. This regular feature will offer a forum to share and exchange continence-related knowledge, experiences, questions and issues among ETNs. Please email [email protected] with interesting or challenging case studies or questions from your own continence practice. Laura Robbs will comment on readers’ case studies, and answer as many questions as possible, in subsequent issues of The Link.

“Less is Best”: Reducing skin injuries in ICU by eliminating incontinence briefs and reusable underpads

L

ayers of incontinence briefs and underpads are frequently placed under patients who are incontinent, have other moisture-related issues, are immobile and cannot reposition independently.1 There is, however, a strong relationship between incontinence, underpad use and pressure injuries.1,2,3,4,5 There is evidence that layers of incontinence briefs and underpads inhibit the ability of the mattress to conform around the patient and redistribute pressure and to sustain skin’s microclimate therefore contributing to pressure injuries.1,2,3,4 Each successive layer (incontinence brief or underpad) placed under patients increases peak sacral interface pressure.3,4 Research also suggests that reusable underpads cause significantly more pressure injuries than disposable underpads.6

Research also suggests that reusable underpads cause significantly more pressure injuries than disposable underpads.6 24

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Clinicians at an Ontario hospital noted an increase in pressure injury rates and incontinence associated dermatitis (IAD) in the intensive care unit (ICU) and thought it could be due to the arrival of a new reusable quilted underpad. This quilted underpad plus an incontinence brief was routinely used to capture incontinence. Clinicians made the decision to eliminate both the incontinence briefs and reusable underpads and replace them with

breathable disposable underpads to improve incontinence management and make more effective use of therapeutic bed surfaces. As a result the layers beneath ICU patients went from 5-6 layers to a maximum of 3 layers including repositioning sling (designed for air bed surface), non-fitted sheet, and breathable disposable underpad. Clinicians believe that this reduction in layers and use of a breathable disposable underpad led to a 14% decrease in ICU-acquired pressure injuries in 2014 (Figure 1) and no new cases of IAD. There was also a decrease in hospital-wide acquired pressure injuries from 7.7% to 4.4% in 1 year and this decrease has been sustained (Figure 2). It is a misconception that multiple layers of incontinence briefs and reusable underpads will be more effective in containing moisture and increasing patient comfort. Instead adding layers under the patient may harm the patient by inhibiting the therapeutic surface’s ability to redistribute pressure and maintain an optimal skin microclimate.1 Lessons learned: • The risks that layers of incontinence products and linen pose to patients was new knowledge for staff. • Nursing wanted layers under the

CONTINENCE EXCHANGE

THE CONTINENCE EXCHANGE (cont.) patient to “protect the bed” yet the bed itself does not need protecting. • Practice change is challenging and may take multiple steps. Nurses struggled to give up all the layers under their patients including incontinence briefs. • The interdisciplinary teams across the hospital are becoming increasingly aware of the dangers of layers under patients and many areas are using the slogan “less is best”.

• Although the breathable disposable under-pad was initially more costly than the reusable under-pad and incontinence brief it has been shown to reduce very costly pressure injuries. cd REFERENCES: 1. Williamson, R. & Sauser, F. Linen usage impact on pressure and microclimate. 2009;Hill-Rom Services, obtained from: www.hillrom.com. 2. Williamson, R., Lachenbruch, C. & VanGilder, Catherine. The effects of multiple layers of linens on surface interface pressure: Results of a laboratory study. Ostomy Wound Management 2013;59(6):38-47. 3. Fader, M., Bain, D., & Cottenden, A. Effects of absorbent incontinence pads on pressure management mattresses. Journal of Advanced Nursing, 2004;48(6):569-574. 4. National Pressure injury Advisory Panel, European Pressure injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure injuries: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Osborne Park, Western Australia; 2014. 5. Beekman, D., Van Lancker, A., Van Hecke, A., & Verhaeghe, S. “A systematic review and meta-analysis of incontinence associated dermatitis, incontinence, and moisture as risk factors for pressure injury development”. Research in Nursing & Health. 37, 2014, pp 204-218. 6. Francis, K., Pang, SM, Cohen, B., Salter, H., & Homel, P. Disposable versus reusable absorbent underpads for prevention of hospital-acquired incontinence-associated dermatitis and pressure injuries. J Wound Ostomy Continence Nurs. 2017: (published ahead of print: Accessed June 9, 2017 http://journals. lww.com/jwocnonline/toc/9000/ 00000). le LIEN

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REGIONAL DIRECTORS’ CORNER

REPORT FROM ATLANTIC REGION By: Kathy Mutch RN, BN, CETN(C), Atlantic Regional Director. [email protected]

W

hy do we attend the CAET National Conference and Annual Members Meeting (AMM)? Many of us take this opportunity to recharge, learn, network, and be inspired. For me this year was no exception. For this report I will focus on networking as conference is such an excellent opportunity for building a collegial network. The Oxford dictionary defines networking as: A group of people who exchange information and contacts for professional or social purposes.1

Since becoming an ETN, many years ago, I have always taken the opportunity to talk with colleagues across Canada about challenges, practices, and ideas. My practice was, in the beginning, very isolated as I was the only ETN practicing in PEI. But soon my world expanded as I met colleagues from across Canada at CAET conferences. Through the year I would, inevitably, be faced with challenging situations and I would use my recollection of informal discussions, on how others had approached a similar problem, to give me ideas and direction for further research. One such special encounter during our London conference occurred on the first evening at the CAET Academy Reception. There I had the pleasure of 26

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Why do we attend the CAET National Conference and Annual Members Meeting (AMM)?

meeting Carly Lindsay, a nurse who will be starting the ETNEP in September. I learned that her journey to make this decision started when she was 9 years old and, after a short illness, faced the difficult decision about ostomy surgery. Helping her face this challenge was Enterostomal Therapy Nurse Nancy Trapasso. Carly told me that, from that time onward, her goal has been to become an ETN. We are so privileged to share in people’s lives – to touch them and to be touched by them as they face health challenges. Carly is an advocate, and an inspirational speaker, for people with ostomies. What a wonderful asset she will be to our specialty! Networking with Carly provided me with inspiration, understanding, and a new colleague with whom to share ideas about practice. Another great way to network with ETN colleagues and our non ETN colleagues is at the Atlantic CAET Education Day. This year Halifax ETNs are hosting the event on November 3rd and 4th at St. Mary’s University. The program will again be two-fold – the opportunity to present and provide education to nurses

(including ETN colleagues) and the opportunity to showcase the benefits of ETNs as we share information about our specialty and our knowledge base. Congratulations to all our Atlantic Canada ETNEP graduates! They are Jamie Richardson, NB; Sheila Moffat, NS; Tracy Lillington, NS; Emily Woodgate, NS; and Laura Baker, NL. Special note of congratulations to ETNEP graduate Emily Woodgate on the birth of her daughter Sadie Elizabeth. Four weeks after Sadie’s birth Emily passed the CNA certification exams!! She also joined us, by teleconference, for her first CAET AMM with her mother (and the baby’s proud grandma) ETN Gail Creelman. Our future generation of ETNs! Congratulations to all ETNs who achieved certification! cd Reference: 1. (https://en.oxforddictionaries.com/ definition/network)

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REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM QUEBEC By: Nevart Hotakorzian, BScN, Enterostomal Therapy Nurse, Quebec Regional Director. [email protected]

I

have just returned from the 36th CAET national conference in London, ON. The theme of the event was Person Centred Care: Growing Stronger Together and, in my opinion, it was definitely an outstanding conference. There was a lot of positive feedback from the attendees. I especially enjoyed the patient’s perspective on their recovery journey and topics related to sexuality that are not often addressed. This conference refreshed my knowledge and gave me a new perspective. Thank you to all the conference organisers for their efforts and sacrifices including the time it took from your busy schedules.

In tribute to Nicole Denis, the Quebec ET Nurses voted in favour of creating a $500 financial award for ET graduates. 28

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Last May Quebec ET Nurses had a Town Hall Meeting with Cathy Harley, our Executive Director, and Noëlla Trudel, a CAET staff member who helped with the French translation. There were approximately 20 members from Quebec present at this town hall. The discussions showed a favourable response to the proposed name change for the ET title. We felt, however, that there was a need to discuss this with all our members at our regional meeting this Fall. With the understanding, and total support of Cathy Harley, on behalf of the CAET Board and Executive, the decision was taken to wait until after this meeting to allow Quebec to further discuss the French version of the ET name change. On another subject, I would like to congratulate Liette St-Cyr who accepted the role of Quebec Preceptor

Coordinator for the CAET Academy in April. We look forward to seeing her in action as she helps the students in the Academy find preceptors. This is such an essential role in the transition of knowledge into skills for all ETNEP graduates and we sincerely thank her for taking on this role. In tribute to Nicole Denis, the Quebec ET Nurses voted in favour of creating a $500 financial award for ET graduates. Every other year a draw will take place to select one of the graduates who has successfully completed their ETNEP program, within the last 2 years, and is currently working as an ET Nurse. This is in addition to a previous decision made by the AIISQ to honour an ET nurse who distinguishes themselves in their profession by giving them the Nicole Denis Distinction Award (with the first recipient of this award being Nicole Denis herself last fall). I invite all Quebec ET Nurses to join us this coming November for a clinical day. We will be discussing case studies and transfer of knowledge among peers. If you have any topics to discuss, you can contact Dominique Lord, organizer of this event. You will be receiving e-mails shortly and I hope to see you in November. Also keep this earlier date in mind: Friday, October 27th when we will have our Quebec regional members’ meeting and discuss the ET name change for Quebec. See you there! cd

LE COIN DES DIRECTEURS RÉGIONAUX

RAPPORT RÉGIONAL DU QUÉBEC Soumis par : Nevart Hotakorzian, Ba. Sc. Inf., stomothérapeute, directrice régionale du Québec [email protected]

En hommage à Nicole Denis, les infirmières stomothérapeutes du Québec ont voté en faveur d'un don financier de 500 $ pour un ou une jeune diplômé(e) en stomothérapie au cours des deux premières années de leur diplôme.

e viens tout juste de revenir du 36e congrès national de l’ACS à Londres, Ontario. Le sujet principal était Person Centred Care: Growing Strong Together et, à mon avis, ce fut un congrès définitivement exceptionnel. Je dois également admettre qu'il y a eu beaucoup de commentaires positifs parmi les participants. J'ai surtout apprécié la perspective des patients et les sujets liés à leur rétablissement. Ce congrès m'a rafraichi et m'a donné une nouvelle perspective. Merci à tous les organisateurs pour votre temps, efforts et sacrifices.

J

Au cours du mois de mai dernier, les infirmières stomothérapeutes du Québec ont eu une réunion téléphonique avec Cathy Harley, notre directrice générale et Noëlla Trudel. Elles nous ont présenté en français la présentation de power point de Cathy Harley sur le changement de nom de l’infirmière stomothérapeute. Il y avait environ 20 membres du Québec présents à cette réunion. Les discussions étaient favorables au changement de nom mais nous avons estimé qu'il fallait en discuter avec tous nos membres d’abord lors de notre réunion régionale à l'automne 2017. Avec la compréhension et le soutien de Cathy Harley, la décision a été prise d'attendre jusqu'à l'automne 2017 afin que les membres du Québec puissent reparler de ce sujet et arriver à la meilleure décision pour le Québec. Sur un autre sujet, félicitations à Liette St-Cyr qui a accepté, en avril 2017, le rôle de coordonnatrice de stage pour l'académie de l’ACS pour le Québec. Nous avons hâte de la voir dans son nouveau rôle. Ceci est essentiel pour la

transition des connaissances vers les compétences pour tous les diplômés de l'ETNEP et nous la remercions chaleureusement d'avoir accepté. En hommage à Nicole Denis, les infirmières stomothérapeutes du Québec ont voté en faveur d'un don financier de 500 $ pour un ou une jeune diplômé(e) en stomothérapie au cours des deux premières années de leur diplôme. Aux deux ans, un tirage au sort sera effectué parmi les jeunes diplômés qui ont terminé leur programme ETNEP et qui sont des stomothérapeutes. Cela s'ajoute à une décision antérieure prise par l'AIISQ d'honorer une stomothérapeutes qui se distingue dans sa profession en lui attribuant le Prix de Distinction Niclole Denis. La première récipiendaire de ce prix a été Nicole Denis l'automne dernier. J'invite toutes les stomothérapeutes du Québec à venir en grand nombre au mois de novembre prochain pour une journée clinique. Cette journée permettra de partager des situations cliniques avec nos paires. Si vous avez des sujets à discuter vous pouvez communiquer avec Dominique Lord, organisatrice de cet événement. Des courriels vous serons envoyés prochainement et je souhaite vous voir en novembre. Avant tout, rappelez-vous de la date… vendredi le 27 octobre et soyez-y à notre réunion des membres de l’AIISQ où nous discuterons de la possibilité de changement de nom de stomothérapeute pour le Québec. Au plaisir de vous voir prochainement, à bientôt ! cd le LIEN

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REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM ONTARIO By: Donna Fossum RN, BScN, CETN(C), Ontario Regional Director. [email protected]

This event highlighted the fact that ET nurses are keen to improve patient outcomes.

T

he 2017 CAET National Conference, in London, ON, kicked off with a history making CAET Annual Members Meeting – after years of debate the decision was finally made by members of CAET to move forward with a name that better reflects our specialty. And thanks to the town hall meetings, held in the previous months, members were informed and ready to vote. As a result of this vote Enterostomal Therapy Nursing will officially be changed, in less than a year, to Nurses Specialized in Wound, Ostomy, and Continence. Many thanks for the hard work put into this endeavour by our Executive. The conference planning committee organized a diverse array of educational sessions for our 2017 event. There were several opportunities, in keeping with the theme of the conference, to listen to, and converse with, patients who were willing to share their personal journeys through the health care system. It was absolutely fascinating. I learned just as much from these sessions as I do from the sessions hosted by health care professionals. Many thanks to those that participated and shared their personal stories. Dianne Garde announced that the Ostomy Museum will soon be opening in Toronto (behind Mount Sinai Hospital). This display of ostomy products will include pouching systems that date back to the 1930s. I'm hoping that photos will be made available for those who cannot attend in person.

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Poster sessions, and the reverse trade show gave ET nurses the opportunity to share their accomplishments. Once again this was a big hit amongst both industry and their fellow ET nurses. This event highlighted the fact that ET nurses are keen to improve patient outcomes. We do this in so many ways on both a small and a large scale. Either way, no matter how large or small, this focus has a positive impact on our clients and our specialty. I am always, as a result, looking to share success stories from the ETs of Ontario. It is with great pleasure and pride that I share Wendy's success story with you. Wendy Hebert and her spouse identified a need in their community of Norwich, ON and have opened a retail store, Ontario Connection, that supplies products related to wound, ostomy, and continence. They also provide ET skill and experience free of charge to help people use the products effectively. No doubt the residents of Norwich are grateful for Ontario Connection and the specialized ET service it provides. Thank you to all of our ET nurses who have dedicated time and energy in to improving the lives of their patients. The Ontario CAET Fall meeting details will soon be posted. Please send any agenda items to me at your earliest convenience. cd

REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM PRAIRIES / NWT / NU By: Patrice Jull, RN, BScN, ETN, Regional Director for Prairies/NWT/NU. [email protected]

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e have had a recent change with our Regional Director as Eileen Emmott has stepped down and I have taken over the remainder of her term. My name is Patrice Jull and I have been an ETN for the past 9 years. I am involved in a few different practicing areas at the moment and am currently employed as a Skin & Wound Consultant for Integrated Home Care Services and a Skin & Wound Clinical Nurse Educator for the Integrated Supportive & Facility Living Team, both with Alberta Health Services. I am also working with Bow Valley College as a Wound Care Subject Matter Expert in developing a wound care program. For the past 6 years I have been involved with the CAET National Conference Planning Committee where I was responsible for the Social events and organizing some of the fun aspects of the conference. It has been an amazing experience connecting with other ETs across the nation and developing relationships with those who are more involved. There is a strong group of ETs who are forging paths, furthering their education and being an

Calling all Westerners to save the date to attend the annual CAET Conference in beautiful Victoria, BC, on May 3-6, 2018.

inspiration. I want to thank CAET for giving me these amazing volunteering opportunities. My husband Mark and two beautiful boys Findley (6) and Theo (4) keep me on the go as well. A few things are going on in the next 6 months. We will be holding our regional meeting in the Fall and I’m hoping to build the ET community in our region. Please let me know if you have any ideas or suggestions that could enhance our region. An exciting educational opportunity exists for the Alberta ETNs. You should try and check out the Wound Conference 2017: Practical Approaches for Prevention and Wound Management that is being organized by the Skin and Wound Care Community of Practice. The conference is being held at the Edmonton Inn & Conference Centre on Thursday, October 5, 2017. They have a great line up of speakers and some optional hands on workshops. To find out more visit www.regonline. com/woundconference2017. Calling all Westerners to save the date to attend the annual CAET Conference in beautiful Victoria, BC, on May 3-6, 2018. This is where we will be gathering to ‘Turn Knowledge into Action’. Hope you all had a great summer! cd le LIEN

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REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM BC & YUKON By: Lani Wiliston, RN, BScN, CETN(C), BC & Yukon Regional Director. [email protected]

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ello fellow ETs. My name is Lani Williston and I am the new CAET Regional Director for BC & Yukon. Please allow me to introduce myself to those of you who have not yet met me. I am a BC girl who grew up in Oyama, BC, trained in Victoria, BC, and has worked in numerous parts of the province – Duncan, Cranbrook, Kelowna, and currently in the North Okanagan region of BC. I have been in the nursing profession for 37 years in a variety of healthcare settings. I am a member of our regional ET group and also a member of the BC Provincial Skin and Wound Care Committee. I have been an ET nurse since 2003 and I am extremely proud of what we have accomplished by working together as ETs in BC. We are now being recognized as leaders, and contributors, in our field across Canada. While attending the 36th CAET National Conference in London, ON, I met and spoke with ETs from all across Canada. I realize we all have a common goal – patient-centred care that ensures every patient with a wound, ostomy, or continence care issue is treated with respect and integrity and given the best possible care. The conference provided us with a glimpse in to the patient’s view – how they felt, what they learned, and what they need to know. They discussed how some nurses met all their needs by being unconditionally there for them… and how grateful they were for that

I realize we all have a common goal – patient-centred care that ensures every patient with a wound, ostomy, or continence care issue is treated with respect and integrity and given the best possible care. 32

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support. A woman with dehisced infected surgical wounds described how it felt to have to advocate who could provide expertise in an unfamiliar area and how the support from the community nurses both healed her and transformed her into a person that can now go out and speak to others so they do not have to live through what she endured. A panel of people living with an ostomy described how the ostomy summer camp in Alberta changed their lives and made them feel normal when they were a child living with an ostomy. We really heard the fear, anxiety, anger, happiness and deep emotion in their voices as they described their experiences. In the ‘men’s sexual health after surgery’ talk a man got up and spontaneously shared his personal experiences – a situation that was very moving for the attendees. I have seen, in my own work, the consequences of an unplanned ostomy without a pre-op stoma marking and the problems, expense, and frustrations of dealing with a leaking appliance. I see the overjoyed people who have had a leg ulcer for years and finally see improvement once compression wraps are applied and the underlying etiology is finally dealt with. I am extremely proud of the work ETs do and of what we can accomplish in the lives of our patients. I am excited for the 2018 CAET National Conference which is being held in Victoria, BC, where I trained (at the Royal Jubilee Hospital). It is a chance to show our colleagues from across Canada what we do here in this region and to showcase the beautiful province of BC. For more information visit www.caet.ca. cd

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CORE PROGRAM LEADERS’ CORNER

INFORMATICS & RESEARCH By: Karen Napier RN, BScN, CETN(C), MClSc-WH. [email protected]

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he projects that fall under the Informatics & Research portfolio are determined by the CAET board and aligned with the strategic plan for the association. There is currently a very active body of work under this portfolio. All of our projects involve volunteer CAET members working together in teams. Thank you to all of the individuals who have volunteered through the CAET over the last year. As a national working group, with members across Canada, we have members working in different time zones and around different working hours. I thank you all for your patience

and flexibility in giving of your time to move our initiatives forward. Your support and contributions have been greatly appreciated! The Enterocutaneous Fistula Recommendations revision continues. While it is taking us significant time to revise this document there has been much growth and learning along the way. At the time of this writing we were finalizing the review of the updated document so we are almost there. This team has done some great work on updating the recommendations! I hope everyone has had a wonderful summer. cd

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CORE PROGRAM LEADERS’ CORNER

PROFESSIONAL DEVELOPMENT AND PRACTICE By: Laura Robbs RN, MN, CETN(C), NCA [email protected]

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hree priorities were identified at the mid-year board meeting in 2016 for the core program of Professional Development and Practice. The priorities included: 1) revision of the CAET Standards of Practice; 2) revision of the ET Nurse Position Statement; and 3) work towards supporting and fostering continence ETN practice.

The CAET Standards for ET Practice were revised in April 2016 and all members have access to them on the CAET website. The plan is to review these standards every two years and then revise accordingly – so I am looking for experienced ETNs right away to help with revision. The Standards will be presented at a future AMM. Members are encouraged to send me an e-mail if they are interested in being on the revision panel. CAET has an ET Nurse Position statement declaring who ETNs are and how they are differentiated in the healthcare sector through the trispecialty of wound, ostomy and continence care. I have been working

with CAET members Michelle Fleur De Lys, Teri-Anne Schroeder, Arden Townshend and Anna Tumchewics to research and revise the ETN position statement. Currently I will be working on correctly formatting the position statement to be presented at the AMM in May 2018. Finally, I am planning activities to support and foster ETN continence practice. I feel positioned to support continence practice among my ETN colleagues as I have specialized solely in continence practice for over 16 years. My first project is an ongoing column in the Link called “The Continence Exchange” which will provide a forum to share and exchange continencerelated knowledge, experiences, questions and issues among ETNs. Although primarily written by myself The Link’s readers are encouraged to email me with interesting or challenging case studies or questions from their own practice. These case studies or questions would be featured in subsequent issues of The Link. So please reach out so that we can share our knowledge across the country. cd

The CAET Standards for ET Practice were revised in April 2016 and all members have access to them on the CAET website. le LIEN

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CORE PROGRAM LEADERS’ CORNER

NATIONAL CONFERENCE PLANNING By: Mary Hill RN, BScN, MN, CETN(C).

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he CAET and Southwest Regional Wound Care program were very proud to work together to make the London conference a success! It’s been really exciting planning this year’s conference with a great group of people – Crystal McCallum and the entire CAET conference planning committee. This conference would not have been possible without the dedication and hard work of these volunteers. I would also like to thank Cathy Harley, Executive Director, for making this conference possible. Thank you to our industry supporters who helped make this conference possible: Honoured Corporate Partners: Hollister Limited, Acelity Corporate Partners: B. Braun of Canada, Coloplast, ConvaTec Canada Ltd. Corporate Supporter: Marlen Canada We would also like to recognize and extend thanks to: Coloplast Canada for supporting the conference bags and the refreshments for the CAET Academy Reception, to Smith and Nephew and Hollister Limited for supporting the educational power breakfast, to Acelity and ConvaTec for supporting the educational power lunches, and to 3M for sponsoring Jill Allen’s Chronic Edema Management of the Lower Extremities workshop.

This year we shared the conference with Southwest Regional LIHN health care professionals, patients and many new ET nurses to the specialty. I had the privilege to speak to many of the participants and marveled at the enthusiasm and different perspectives they brought to the conference and discussion. Many stated that the Person-Centred Care theme with the patient perspectives enriched the conference educational program. Overall, we had very positive feedback from participants and some said that there were too many good concurrent session topics making it difficult to choose!

(Laura Robbs, RN, MN, CAET(C), NCA). Dawn Christensen (RN, MMMHSC(N), CETN(C)) and Elyse Sunshine (LLP Law) presented on legalities in wound care and shared the most pressing legal issues facing health care professional such as the use of titles, privacy, and documentation. This created great discussion around this issues among those who attended the presentation. Kim LeBlanc moderated a panel of three people and their journey in having an ostomy, both the highs and the lows, their perspective on much needed resources and how they are just like everyone else and want to live as such.

New this year was the SOS: Solutions on the Spot which gave clinicians in the community the opportunity to share their challenging cases in ostomy and seek feedback and expertise from conference colleagues. Keeping with our person centred theme, Ashley McFarlane spoke on the topic of welcoming a new life after an ostomy and the reality of having new ostomy through marriage, pregnancy and life with two little girls. This presentation from the personal and family perspective was inspiring. A little discussed topic of intimacy and sex was presented this year’s with the Bird and the Bees and Ostomees (Leslie Heath RN, BScN, CETN(C), MCIScWH) and Men’s Sexual Health after Prostate or Bowel Cancer Surgery

There were numerous other excellent topics that were presented at the conference and workshops and we thank all the speakers for sharing their knowledge and experiences. We were also thrilled to have four oral abstract presenters and 18 poster presenters.

This year we shared the conference with Southwest Regional LIHN health care professionals, patients and many new ET nurses to the specialty. 36

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The joint social event was the ET Nursing Practice Showcase where ET nurses shared their knowledge and experience in their clinical practice and workplace with exhibitors in a reverse tradeshow concept. Participants also benefited from learning about practices from their peers across Canada. Attendees enjoyed networking, yummy hors d’oeuvres, and a three-piece jazz band. We are now starting our planning for the 37th National CAET Conference in beautiful Victoria, BC. Our theme for this conference is Turn Knowledge into Action. We hope to see you all next year on May 3-6th, 2018. Mark your calendars! cd

ET COMMUNITY NEWS

CAET Award Recipients

For full award details and criteria visit www.caet.ca/academic-awards-program/

2017 CAET President’s Award Recipient

By L. Fines

The CAET President’s Award is presented annually to an Enterostomal Therapy Nurse in recognition of the recipient’s achievements in nursing leadership and outstanding contributions made to the specialty of wound, ostomy, and continence care. The recipient has demonstrated a dedication to the highest quality of Enterostomal Therapy Nursing care and a contribution to the CAET mission, vision and values. At the 2017 CAET National Conference annual banquet this prestigious award was presented to Nancy Parslow RN, MCliSCWH, CETN(C) by Rosemary Hill, RN, BSCN, CWOCN, CETN(C), CAET President, to a standing ovation from the room.

Nancy Parslow is a certified Enterostomal Therapy Nurse who has over three decades of extensive clinical experience in community, long term care and acute care. Her contributions to the specialty of Enterostomal Therapy Nursing are many. Nancy participated on the development panels for the RNAO Best Practice Guidelines on the topics of Risk Assessment and Prevention of Pressure Ulcers, Treatment of stage 1-4 Pressure Ulcers, Venous Leg Ulcers, and Diabetic Foot Ulcers. She co-authored, with Patti Barton, a book about Oncology Wounds to help improve the outcomes of patients faced with cancer. She has been published in numerous peerreviewed publications and text books and has been a presenter at many national and international conferences. In 2010 Nancy completed her Master’s Degree in Clinical Science (Wound Healing) at Western University and successfully completed her CNA Certification in Enterostomal Therapy Nursing. She shares her knowledge and expertise as an Academic Advisor for the CAET Academy’s ETNEP and K2P programs in both wound and ostomy management. The unsuspecting Nancy was truly shocked at winning this award. “I am at a loss for words to express how grateful I am to have met and worked with so many wonderful and talented people,” said Nancy during her acceptance, “I don't know how I can ever thank everyone who supported and mentored me and took a chance on Patti Barton and I over the years – we were truly blessed.” The award presentation was followed by a recognition of Nancy’s contributions that included tributes from several individuals. Dr. R.G. Sibbald, who has worked with Nancy over the years, acknowledged her exemplary clinical work; Dr. Pamela Houghton, Professor at Western University, talked about how Nancy leads by example; and Virginia McNaughton, CAET Academy Director, spoke about Nancy’s outstanding contributions to ET students. CAET Executive Director Cathy Harley finished the tribute with a personal acknowledgement around Nancy’s care of Cathy’s mother, who was dying of cancer, that allowed Cathy to attend her daughter’s wedding, in England, last year. “People come into our lives for a reason,” said Cathy, “and Nancy’s support of our family, during a very difficult time, will never be forgotten.” CAET is grateful to Nancy for all she does for ET Nursing and congratulates her on this well-deserved recognition.

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Bill Carcary Award The Bill Carcary Award for Academic Excellence, sponsored by ConvaTec Canada, is awarded each year to the CAET ETNEP student with the highest academic marks overall. It is named in honour of William (Bill) Carcary, a ConvaTec representative, who has dedicated his 40-year career to the support of individuals living with an Ostomy and to fulfilling the needs of their healthcare providers. This year’s recipient is Chantale Dufresne, RN, BSc, CETN(C), Infirmière Clinicienne, Soins Infirmiers Courants, CIUSSS-Estrie-CHUS,installation Memphrémagog (Magog, Québec). Our congratulations to Chantale for her academic commitment and outstanding results!

Gail Hawke ET “Trailblazer” Award This award, sponsored by Nightingale Medical, was inspired by the career contributions made by Gail Hawke as a “Trailblazer” in innovative and patient centered care for people with ostomies. This award provides $2,500 in financial support to a ETNEP Graduate, from British Columbia, who has demonstrated leadership and innovation in wound, ostomy and, continence care. It is designed to motivate a BC graduate to “think outside the box” and create new opportunities to build the profile of ET Nurses and ET Nursing practice in ways that further support patients with wound, ostomy and continence challenges. The 2017 winner of the Gail Hawke “Trailblazer” Award is Heidi Oi Ting Sugita RN, BScN, ETN, of Saint Paul's Hospital in Vancouver, BC. Congratulations to Heidi!

Hollister Award The 2017 winner of the $2,500 Hollister Award is Michelle Fleur de Lys RN, BScN, CETN(C), Clinical Nurse Consultant for Wound, Ostomy and Continence, Acute, Community and Residential care. Michelle is employed at Interior Health, Kelowna General Hospital and is taking a Master’s of Science in Nursing, UBC School of Nursing, Okanagan Campus. The Hollister Award is awarded to an ET Nurse who is an active CAET Member pursuing a Baccalaureate, Masters, or PhD. This academic award winner is selected using specific criteria such as: • Academic marks; • Number of years the ET has been a CAETmember; • Involvement with CAET, Board and Executive positions, committees; and • Involvement in the planning of a CAET conference. These criteria are weighted and the ET applicant with the highest score receives the award.

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THE CAET – JWOCN CONNECTION The CAET Feature Section of JWOCN is Seeking Authors to Share their Expertise in… wound, ostomy and continence clinical practice, program development/education and quality improvement. Submissions are 250-500 words including pictures, tables and figures. OR Are you writing an original manuscript for publication? Consider JWOCN first!

Share your professional ETN expertise NOW

Contact your CAET Regional Editorial Board Representative for more information. (First time authors are encouraged. Coaching from the Editorial Board is FREE) Canadian Feature Editor: Lina Martins ([email protected]) BC/Yukon: Kim LeBlanc ([email protected]) Prairies/NWT: Mary Hill ([email protected]) Ontario: Lina Martins ([email protected]) Québec & Atlantic: Louise Forest Lalande ([email protected])

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ET COMMUNITY NEWS

OSTOMY CANADA SOCIETY INC. REPORT Submitted By: Ann Ivol, President, Ostomy Canada Society / Société canadienne des personnes stomisées www.ostomycanada.ca ur greatest challenge this year has been to find qualified volunteers to act as directors on the Ostomy Canada Society Board. We have, historically, been able to seek potential directors from the membership of Affiliated Chapters. As the Society evolves it has, however, become increasingly more difficult to find volunteers. A decision has therefore been made to go outside of the organization to seek candidates to fill Board positions. To this end a Board Posting has been designed and written and will be sent out to allied agencies of Ostomy Canada Society (including CAET) with a request to place this posting on their websites. We are hoping that a member of your organization would be interested in volunteering to be a director on the Ostomy Canada Board. Presently a director serves a two-year term. At the writing of this report the following positions were vacant: secretary and the administrators for governance; finance and fundraising; advocacy; marketing and communication; and outreach. If anyone is interested in supporting Ostomy Canada’s mission by volunteering please contact Ann Ivol at [email protected] for more information.

O

In April, a special Ostomy Canada members’ meeting was held in Mississauga, ON. During this meeting a resolution was passed to allow members to participate in the Annual General Meetings either in-person or by electronic means – a viable option for a charity with limited financial resources.

This new attendance option was used for the Ostomy Canada Society’s Annual General Meeting in August. This spring two ostomy education events were held (one in the Prairies and one in the Atlantic Region).

It is gratifying to know that the collaboration between CAET and Ostomy Canada continues to reflect the strong relationship between our two organizations. The Saskatoon Ostomy Association, in Saskatchewan, sponsored an Education Day with an informative and interesting program. It was a great success with an incredible attendance of 105 participants. Regional Director Debra Carpentier (Prairie Region) represented Ostomy Canada Society at the event. Ostomy Outreach Atlantic 2017, in Truro, NS, was organized under the leadership of Ostomy Halifax Society. This two-day event offered a variety of sessions by excellent speakers. A total of 164 participants travelled from the four Atlantic provinces to attend the event. Ostomy Canada Society was represented by Ann Durkee, Regional Director of the Atlantic Region. Since 2010 the national organization has held biennial conferences with local chapters organizing each conference. It has, however, become increasingly more difficult to find a chapter with enough

volunteers to support the planning of such an event. Attendance numbers are also declining as it becomes more difficult for individuals to attend. The success of both the above events suggests that Ostomy Canada should be putting resources in to promoting regional conferences and education days rather than national conferences. At the 2017 CAET National Conference, in London, ON, I was given the opportunity to recognise two registered nurses, who had recently completed the CAET Enterostomal Therapy Nursing Education Program. Congratulations to Tracy Lillington from Tower Road in Cape Breton, NS, and Emily Woodgate from Halifax, NS who received the Ostomy Canada ET Education Award for 2016. We wish them every success in their new career. It is very satisfying to know that Ostomy Canada Society is encouraging registered nurses to specialise in Enterostomal Therapy. It is gratifying to know that the collaboration between CAET and Ostomy Canada continues to reflect the strong relationship between our two organizations. cd

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SAVE V THEE DA ATE TE! 37th N National CAET A Conference e

Turn Kno Tu K owle ledge d e iintto A Action i n Ed Educa ti iin S tion Speciiialized li d Wou ound, Ostomyy & Continence ce Care

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caett.ca

ET COMMUNITY NEWS

WORLD COUNCIL OF ENTEROSTOMAL THERAPISTS (WCET) By: Kimberly LeBlanc RN, MN, CETN(C), PhD (student), WCET Canadian International Delegate, and Karen Bruton RN, BScN, MCISc-WH, CETN(C), WCET Canadian past International Delegate.

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he Canadian members of World Council of Enterostomal Therapists (WCETTM) had their annual meeting on May 26, 2017, during the CAET’s National Conference, in London, ON. The meeting was attended by 26 members and interested participants. Introductions included WCET representatives Susan Stelton (President); Elizabeth Ayello (Vice President); Kim LeBlanc (new Canadian International Delegate); Karen Bruton (Past Canadian International Delegate). Susan gave an excellent presentation about WCET, its members and its mission, values, and vision. Some of the benefits of WCET membership include: • • • • • •

• • •

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A quarterly Journal (hardcopy); WCET Bulletin – online with information about members’ activities; A dynamic website; Networking opportunities; Scholarship opportunities; The ability to become involved in committees such as Education, Norma N Gill Foundation (NNGF), Publications and Communications, and the Constitution Advisory Panel; Membership; Access to networking and the sharing of experiences; and Member rates for biennial congress: Membership pricing. To date the WCET congresses have taken place in: • 1978 Milan, Italy • 1979 Düsseldorf, Germany • 1980 Cleveland, Ohio, USA • 1982 Munich, Germany • 1984 Transkei, Southern Africa • 1986 Perth, Australia • 1988 Gothenburg, Sweden

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WCET Constitution Advisory Panel update for 2017: The WCET Constitution is an effective and necessary governing document for running the organisation. At the 2016 WCET Congress in Cape Town, South Africa, Karen Bruton presented proposed changes and then voting members proceeded to approve the changes. By the spring of 2017 the Constitutional Advisory Panel did their yearly review and came to the consensus that there was no need for changes to the current constitution. Membership were consulted and no requests were submitted therefore status quo for 2017. WCET Membership Survey: Every 2 years WCET Members have the opportunity to give feedback about WCET. Your comments are really helpful toward improving our actions and providing guidance. Call for Nominations were submitted for the following positions: President, Vice President, Treasurer, and the Chairperson for the committees of Education, Publications and Communications, and the NNGF. Results are available at www.wcetn.org. The 22nd WCET Biennial Congress will take place in Kuala Lumpur, Malaysia, April 15-18, 2018 (www.wcet2018.com). The conference theme is “Ethnocentric Challenges in Nursing Care”. The theme is fitting for the location in that it centres around the evaluation and respect for other people and cultures based on one’s own culture. We hope to see many Canadians attend this important event! cd

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