SRNA Proposed Bylaws - Saskatchewan Registered Nurses

1
SRNA Annual Meeting
May 4, 2017
Bylaws
2
The RN Act 1988
SRNA Bylaws 2016
3
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VI — CATEGORIES OF PRACTICE
SECTION 2. GENERAL PRACTICE CATEGORY
(3) In the course of engaging in
the practice of registered nursing in
the general practice category, a
registered nurse with additional
authorized practice may, subject to
conditions or restrictions imposed on
his or her licence, perform the
following:
(a) in accordance with
standards, competencies and
clinical decision tools adopted
by the association, diagnose
and treat limited common
medical disorders as defined
in the clinical decision tools.
(b) in accordance with
standards, competencies and
clinical decision tools adopted
by the association, order,
perform, receive and/or
interpret reports of screening
and diagnostic tests.
(c) in accordance with
standards, competencies and
clinical decision tools adopted
(3) In the course of engaging in
No change
the practice of registered nursing in
the general practice category, a
registered nurse with additional
authorized practice may, subject to
conditions or restrictions imposed on
his or her licence, perform the
following:
(a) in accordance with
standards, and competencies
and clinical decision tools
adopted by the association,
diagnose and treat limited
common medical disorders as
defined by using the process
in the clinical decision tools.
(b) in accordance with
standards, and competencies
and clinical decision tools
adopted by the association,
order, perform, receive and/or
interpret reports of screening
and diagnostic tests by using
the process in the clinical
decision tools.
Reference to the clinical decision
tools (CDTs) in the bylaws is being
deleted because the CDTs are
adopted by council after
recommendation by the
Interprofessional Advisory Group.
The CDTs are not part of the
standards and therefore do not need
to be incorporated into the bylaws for
association approval.
4
EXISTING BYLAW
by the association, prescribe
and/or dispense drugs in
accordance with provincial
and federal legislation:
(i)
drugs listed in
schedules I, II and III as
amended from time to
time;
(ii) drugs in the
Health Canada NonInsured Health Benefits
list, as amended from
time to time; and
(iii) drugs and Natural
Health Products that
may be sold without a
prescription.
(d) in accordance with
standards, competencies and
clinical decision tools adopted
by the association, perform
PROPOSED BYLAW
EXPLANATION/COMMENTS
(c) in accordance with
standards, and competencies
and clinical decision tools
adopted by the association,
prescribe and/or dispense
drugs by using the process in
the clinical decision tools and
in accordance with provincial
and federal legislation:
No change
(i)
drugs listed in
schedules I, II and III of
The Drug Schedules
Regulations 1997, as
amended from time to
time;
(ii) drugs in the
Health Canada NonInsured Health Benefits
list, as amended from
time to time; and
No change
(iii) drugs and Natural
Health Products that
may be sold without a
prescription; and
(d) in accordance with
standards, and competencies
and clinical decision tools
adopted by the association,
Reference to the clinical decision
tools (CDTs) in the bylaws is being
deleted because the CDTs are
adopted by council after
5
EXISTING BYLAW
minor surgical and invasive
procedures.
PROPOSED BYLAW
perform minor surgical and
invasive procedures by using
the process in the clinical
decision tools.
EXPLANATION/COMMENTS
recommendation by the
Interprofessional Advisory Group.
The CDTs are not part of the
standards and therefore do not need
to be incorporated into the bylaws for
association approval.
6
MOTION
THAT Bylaw VI, Section 2 (3)(a)(b)(c) (iii) and (d), be
revised as proposed to our membership.
MOVED by:
SECONDED by:
7
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VI — CATEGORIES OF PRACTICE
SECTION 2. GENERAL PRACTICE CATEGORY
(4) A registered nurse with
additional authorized practice shall
adhere to the standards and
competencies listed in the association
publication dated December 21, 2016
entitled Standards and Competencies
for the Registered Nurse with
Additional Authorized Practice.
(4) A registered nurse with
additional authorized practice shall
adhere to the standards and
competencies listed in the association
publication dated December 21, 2016
entitled Standards and Competencies
for the Registered Nurse with
Additional Authorized Practice. In
the course of engaging in the
practice of registered nursing with
additional authorized practice, the
member shall meet the registered
nurse with additional authorized
practice standards and
competencies.
New
The document is incorporated by
reference into Bylaw XV – therefore
not necessary to reference here.
8
MOTION
THAT Bylaw VI, Section 2 (4) be revised as
proposed to our membership.
MOVED by:
SECONDED by:
9
EXISTING BYLAW
PROPOSED BYLAW
BYLAW VI — CATEGORIES OF PRACTICE
SECTION 2. GENERAL PRACTICE CATEGORY
MAINTAINING ELIGIBILITY
(8) A registered nurse who is on
the additional authorized practice
register, who practices less than 900
hours in the preceding three years,
must satisfactorily complete
additional education courses or
learning activities to address the
standards, competencies and clinical
decision tools in the additional
authorized practice.
(8) A registered nurse who is on
the additional authorized practice
register, who practices less than 900
hours in the preceding three years,
must satisfactorily complete
additional education courses or
learning activities to address the
standards, and competencies and
clinical decision tools in the
applicable to additional authorized
practice.
EXPLANATION/COMMENTS
10
MOTION
THAT Bylaw VI, Section 2 (8) be revised as
proposed to our membership.
MOVED by:
SECONDED by:
11
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VII – FEES
SECTION 4. ANNUAL REGISTRATION FEE.
(4) A member of the association who
has not paid the annual registration fee,
or the initial installment in the method
prescribed by council on or before
November 30, shall cease to be a
practicing member of the association.
An applicant shall be registered as a
practicing member upon completing the
prescribed inventory and renewal form
and submitting it with the annual
registration fee, or the initial installment
in the method prescribed by council, to
the registrar provided that the applicant
has met the requirements of Bylaw V,
section 3(1) and 3(3).
(4) A member of the association who
has not paid the annual registration fee,
or the initial installment in the method
prescribed by council on or before
November 30, shall cease to be a
practicing member of the association.
An applicant shall be registered as a
practicing member upon completing the
prescribed inventory and renewal form
and submitting it with the annual
registration fee, or the initial installment
in the method prescribed by council, to
the registrar provided that the applicant
has met the requirements of Bylaw V,
section 3(1) and 3(3).
A member is no longer able to
pay the annual registration fee in
installments since 2015. This
paragraph was missed when the
amendment was first made.
12
MOTION
THAT Bylaw VII, Section 4 (4) be revised as
proposed to our membership.
MOVED by:
SECONDED by:
13
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VII – FEES
SECTION 11. COURTESY EDUCATOR PRACTISING MEMBERSHIP FEE.
(1) There shall be an initial
registration fee and an annual
registration fee for the courtesy
educator practising membership
category. The fees shall be the
amount approved from time to time
by the council and the members at an
annual or special meeting in
compliance with sections 14 and 15 of
The Registered Nurses Act, 1988.
New
Paragraphs 15(1)(m) and 15(2)(j)
of The RN Act allow the
association to create a new
membership category and to
impose a fee for that category.
This is a courtesy extended to
out-of-Saskatchewan RNs
licensed in their home province
who are remunerated to provide
distance education in
Saskatchewan for RN or RN(NP)
education programs approved by
council.
14
MOTION
THAT Bylaw VII is amended by adding new Section
11 (1) as proposed to our membership.
MOVED by:
SECONDED by:
15
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VIII – EXAMINATIONS
SECTION 1. REGISTERED NURSE EXAMINATIONS
(1) As of January 1, 2015, to be
eligible for registration and the issuance
of a licence to practice registered
nursing in the general practice category,
a person must write and pass the
National Council Licensure Exam for
Registered Nurses (hereafter NCLEX®RN) within three years of the date of
completion of the registered nursing
program. A person admitted as an
internationally educated nurse must
write and pass the NCLEX®-RN exam
within three years of the date of
becoming eligible to write the exam.
Has been approved by the
Minister; membership to
confirm as per RN Act 14(1)
and (2)
The requirement that the
NCLEX®-RN be passed within
the first three attempts was
removed. Other jurisdictions
have adopted a similar bylaw.
The NCLEX®-RN is a computer
adaptive exam. No two exams
are identical. It is impossible for
the writer to write multiple times
and simply recall questions and
answers through repeated
exposure. The exam design and
format improves the precision of
measurement of a candidate’s
competence related to nursing. It
provides a valid and reliable
measurement of nursing
competence that is not
compromised through numerous
attempts to pass the exam.
16
MOTION
THAT Bylaw VIII, Section 1 (title change) and
Section 1 (1) be confirmed as proposed to our
membership.
MOVED by:
SECONDED by:
17
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VIII – EXAMINATIONS
SECTION 1. REGISTERED NURSE EXAMINATIONS
(2) A person who does not pass the
NCLEX®-RN exam within the three
years as provided in paragraph (1) shall
no longer be eligible to write the exam
until that person satisfactorily completes
an approved or recognized registered
nursing education program.
Has been approved by the
Minister; membership to
confirm as per RN Act 14(1)
and (2)
A person who has been
unsuccessful passing the
NCLEX®-RN within three years
must complete a nursing
education program in order to
ensure current competence and
knowledge.
18
MOTION
THAT Bylaw VIII, Section 1 (2) be confimed as
proposed to our membership.
MOVED by:
SECONDED by:
19
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VIII – EXAMINATIONS
SECTION 1. REGISTERED NURSE EXAMINATIONS
(3) In exceptional circumstances an
applicant may apply to the Registrar to
have an examination writing annulled
(3) In exceptional circumstances an
applicant may apply to the Registrar to
have an examination writing annulled
Upon application, the Registrar may,
in exceptional circumstances, annul a
written NCLEX®-RN exam.
Wording change to reflect the
name of the exam. There may be
a need to accommodate a grad
nurse in order to comply with the
Saskatchewan Human Rights
Code.
20
MOTION
THAT Bylaw VIII, Section 1 (3) be revised as
proposed to our membership.
MOVED by:
SECONDED by:
21
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW VIII – EXAMINATIONS
SECTION 2. REGISTERED NURSE (NURSE PRACTITIONERS) EXAMINATIONS
(1) To be eligible for registration and
the issuance of a licence to practice
registered nursing in the nurse
practitioner category, a person must
write and pass the examination required
for the particular nurse practitioner
specialty, which exams are:
(1) To be eligible for registration and
the issuance of a licence to practice
registered nursing in the nurse
practitioner category, a person must
write and pass the examination required
for the particular nurse practitioner
specialty, which exams are:
No change
(a) National Certification
Corporation (NCC): Neonatal
Nurse Practitioner Certification
Examination;
(a) National Certification
Corporation (NCC): Neonatal
Nurse Practitioner Certification
Examination;
No change
(b) Canadian Nurse
Practitioner Exam: Family/All
Ages (CNPE : F/AA);
(b) Canadian Nurse
Practitioner Exam: Family/All
Ages (CNPE : F/AA);
No change
(c)
American Academy of
Nurse Practitioners Certification
Program (AANPCP) – Adult –
Gerontology Primary Care Nurse
Practitioner Examination (AGNP); and
(c) American Academy of
Nurse Practitioners Certification
Program Board (AANPCPB) –
Adult – Gerontology Primary
Care Nurse Practitioner
Examination (A-GNP); and
The exam vendor changed its
name by replacing “Program”
with “Board”. The exam remains
the same.
(d) Pediatric Nursing
Certification Board (PNCB) –
Certified Pediatric Nurse
(d) Pediatric Nursing
Certification Board (PNCB) –
Certified Pediatric Nurse
No change
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EXISTING BYLAW
PROPOSED BYLAW
Practitioner – Primary Care
(PNCB PNP) Examination.
Practitioner – Primary Care
(PNCB PNP) Examination.
(2) A person who fails an
examination required by subsection (1)
on the third attempt, is no longer
eligible to write that examination until
the person satisfactorily completes an
approved or recognized RN(NP) nursing
education program.
EXPLANATION/COMMENTS
No change
23
MOTION
THAT Bylaw VIII, Section 2 (1) (c) be revised as
proposed to our membership.
MOVED by:
SECONDED by:
24
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW XV – STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
SECTION 1. STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
(1) Effective December 1, 2013, the
association adopts the standards and
competencies contained in its May 1,
2013 publication entitled Standards and
Foundation Competencies for the
Practice of Registered Nurses as the
standards and competencies required by
and for registered nurses pursuant to the
relevant Bylaws.
(2) The association adopts the
standards and competencies contained
in its January 1, 2011 publication
entitled Registered Nurse (Nurse
Practitioner) RN(NP) Standards and
Core Competencies as the standards and
competencies required by and for
registered nurses (nurse practitioners)
pursuant to the relevant Bylaws.
No Change
(2) The association adopts the
standards and competencies contained
in its January 1, 2011 publication
entitled Registered Nurse (Nurse
Practitioner) RN(NP) Standards and
Core Competencies as the standards and
competencies required by and for
registered nurses (nurse practitioners)
pursuant to the relevant Bylaws.
The association adopts the standards
and competencies contained in its
November 2016 publication entitled
Registered Nurse (Nurse Practitioner)
Entry-Level Competencies.
The SRNA has updated its
RN(NP) standards and
competencies documents and
therefore the new documents
must be incorporated by reference
into the regulatory bylaws.
Subsections 2 & 3 are repealed
and replaced by the new
subsections 2 & 3
The standards and competencies
for registered nursing must be in
the regulatory bylaws (see section
15(2)(a), (d), (e), (f), (f.1), (f.2)
and (f.3).
25
MOTION
THAT Bylaw XV, Section 1 (2) be revised as
proposed to our membership.
MOVED by:
SECONDED by:
26
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW XV – STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
SECTION 1. STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
(3) The association adopts the
standards and competencies contained
in its October 2003 publication entitled
Clinical Expectations for RN(NP)s as
the standards and competencies required
by and for registered nurses (nurse
practitioners) pursuant to the relevant
Bylaws.
(4) For the purposes of approval of
the registered nursing education
programs pursuant to section 19 of The
Registered Nurses Act, 1988, the
association adopts its June 2015
Program Approval for Established RN
Education Programs.
3)
The association adopts the
standards and competencies contained
in its October 2003 publication entitled
Clinical Expectations for RN(NP)s as
the standards and competencies required
by and for registered nurses (nurse
practitioners) pursuant to the relevant
Bylaws.
The association adopts the standards
and competencies contained in its
November 2016 publication entitled
Registered Nurse (Nurse Practitioner)
Practice Standards.
The SRNA has updated its
RN(NP) standards and
competencies documents and
therefore the new documents
must be incorporated by reference
into the regulatory bylaws.
Subsections 2 & 3 are repealed
and replaced by the new
subsections 2 & 3
The standards and competencies
for registered nursing must be in
the regulatory bylaws (see section
15(2)(a), (d), (e), (f), (f.1), (f.2)
and (f.3).
No Change
27
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
(5) For the purposes of approval of
the registered nursing education
programs pursuant to section 19 of The
Registered Nurses Act, 1988, the
association adopts its September 2015
Program Approval for New and
Dissolving RN or RN Re-Entry
Education Programs.
No Change
(6) For the purposes of subsection
24(3) of The Registered Nurses Act,
1988, the association adopts its
February 2011 publication entitled
Nursing Education Program Approval
Process – Administrative Document for
Approval of Nursing Education
Programs for Registered Nurse (Nurse
Practitioner)s.
No Change
(7) For the purposes of subsection
24(3) of The Registered Nurses Act,
1988, the association adopts its July
2013 publication entitled Nursing
Education Program Approval Process
Administrative Document for the
Registered Nurse with Additional
Authorized Practice Courses.
No Change
28
MOTION
THAT Bylaw XV, Section 1 (3) be revised as
proposed to our membership.
MOVED by:
SECONDED by:
29
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW XV – STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
SECTION 1. STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
(8) The association adopts the
Standards & Competencies for RN
Specialty Practices, effective February
7, 2017 as the standards required by and
for registered nurses
New
Has been approved by the
Minister; membership to
confirm as per RN Act 14(1)
and (2)
30
MOTION
THAT Bylaw XV, Section 1 (8) be confirmed as
proposed to our membership.
MOVED by:
SECONDED by:
31
EXISTING BYLAW
PROPOSED BYLAW
EXPLANATION/COMMENTS
BYLAW XV – STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
SECTION 1. STANDARDS, COMPETENCIES AND NURSING EDUCATION PROGRAM APPROVAL
(9) The association adopts the
standards and competencies contained
in its December 21, 2016 publication
entitled Standards and Competencies
for the RN with Additional Authorized
Practice as the standards and
competencies required by and for
registered nurses practising with
Additional Authorized Practice.
Has been approved by the
Minister; membership to
confirm as per RN Act 14(1)
and (2).
Reference to the document
Standards and Competencies for
the RN with Additional
Authorized Practice removed
from Bylaw VI section 2(4) and
added here for consistency. All
standards documents incorporated
by reference are found in Bylaw
XV
32
MOTION
THAT Bylaw XV, Section 1 (9) be confirmed as
proposed to our membership.
MOVED by:
SECONDED by: