The CLPNM is the professional regulatory body for licensed practical nurses (LPNs) in Manitoba

Our duty is to regulate the profession in a manner that serves and protects the public interest

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COVID-19

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COVID Information

COVID-19 and Your Practice

In the context of the COVID-19 pandemic, LPNs are expected to:

  • screen themselves for COVID-19 symptoms and risks, using screening criteria established by Shared Health Manitoba,
  • disclose symptoms or risks for exposure to appropriate authorities, such as the employer,
  • ensure their health status does not place clients at risk,
  • ensure they are familiar with their employer’s policies on COVID-19,
  • regularly visit the CLPNM website and Shared Health Manitoba website for updated guidance, refreshing the browser each time to ensure access to the most up-to-date information, and
  • stay up-to-date on other credible sources of information regarding COVID-19 that may relate to their practice.

More Frequently Asked Questions

1. What are my accountabilities as an LPN during the COVID-19 pandemic?

All LPNs are accountable to meet their professional standards.  In a pandemic situation, meeting standards includes, among other things:

  • Making decisions that are in the best interest of your clients and protecting them from harm.
  • Taking action when client care may be compromised, including identifying strategies to prepare for, reduce and resolve situations that may leave client without the nursing services they need.
  • Protecting patients from infection risks. You can do this by:
    • applying hand hygiene principles
    • choosing appropriate measures to prevent and control infection transmission such as wearing personal protective equipment (PPE)
    • understanding your workplace’s organizational policies about infection prevention and control
    • working with your employer to develop new policies as needed
    • using sources of evidence to inform your practice

To learn more, refer to Shared Health Manitoba’s Coronavirus Resources for Health-Care Providers and Staff. Note that Shared Health updates its resources frequently, so when visiting its website, you are encouraged to refresh (Ctrl + R) each time.

The following CLPNM resources may also assist you:

2. What are my accountabilities when providing care to a client diagnosed with (or suspected of having) COVID-19?

All LPNs are accountable to meet their professional standards.  See question 1.

In addition, when caring for a client diagnosed with (or suspected of having) COVID-19, LPNs are expected to understand and apply precautionary measures to minimize the risk of infecting themselves, colleagues client and others. To learn more about these topics, refer to Shared Health Manitoba’s Coronavirus Resources for Health-Care Providers and Staff

The following CLPNM resources may also assist you:

3. Can LPNs collect nasopharyngeal and oropharyngeal swabs for COVID-19 in any setting?

Yes. LPNs can collect nasopharyngeal and oropharyngeal swabs for COVID-19 in any settings if they have the acquired competence and employer policy and/or guidance. LPNs can collect nasopharyngeal and oropharyngeal swabs for a client with a client specific order or following a clinical decision-making tool (i.e. protocol or standing order). 

The following resources may assist you: 

4. Can an LPN provide care for a client receiving mechanical ventilation?

Yes. LPNs must ensure they have the knowledge, skills, judgment and appropriate authority before performing any health care activity or procedure. The CLPNM expects LPNs to practice within their individual level of competency, and in accordance with the CLPNM Standards of Practice, Code of Ethics, and practice directions. LPNs with the demonstrated knowledge, skill, and judgment, and who are supported by employer policy and/or guidance, may provide care for clients receiving mechanical ventilation.

All LPNs are responsible and accountable for their practice, and must collaborate with their employers to ensure they have the competencies to fulfill their role. As with any new practice or task, if an LPN has never cared for a client receiving mechanical ventilation in practice, the LPN should ensure they receive the necessary (as determined by the employer) training and supervision until both parties agree that the LPN has the required competence to perform the procedure safely.

The following resources may assist you: 

 

5. Due to the COVID-19 pandemic, my employer has asked me to work in an unfamiliar area. Can I refuse to work in that area?

Nurses from all designations and areas may be asked to work in unfamiliar areas or in new ways to provide nursing services related to the COVID-19 pandemic. We acknowledge this is an unprecedented time in health care and we recognize your efforts.

Nurses work in the best interests of their clients to set priorities, use critical thinking skills and apply professional, knowledge, skill, and judgment in these circumstances. Nurses seek out credible sources of information and follow best practice guidelines to provide nursing services and minimize the risk of disease transmission to themselves, their clients and others.

If you have concerns about your competence to work in an area, collaborate with your employer to problem solve, so that you can provide safe care and meet relevant standards of practice.

The following CLPNM resources may assist you in your decision-making:

You may also wish to contact the CLPNM Practice Department at info@clpnm.ca or 204-663-1212 (ext. 322)

6. Since the pandemic started, I have been asked to work in another area of the hospital that requires performing activities and procedures I am not familiar with. What are my accountabilities?
LPNs must ensure they have the knowledge, skill, judgment and appropriate authority before performing any health care activity or procedure. There are elements of nursing knowledge and entry-level competencies that transcend to all client groups and practice. While you may not be able to carry a full client assignment in the unfamiliar setting, there are many things you can do competently within your individual scope of practice to support client care in the new area.

When assigned to an area that you are not familiar with:

  • Perform activities that you are competent to perform.
  • Identify your learning needs specific to the new practice setting. Are there ways to address them?
  • Discuss your competency and expected responsibilities with your employer.
  • Seek out and participate in appropriate, employer-approved training opportunities.

LPNs can continue to provide safe client care by seeking advice, collaborating and problem-solving with the health care team, and their employer to identify strategies to continue safe client care during this challenging time.

The following CLPNM resources may assist you in your decision-making:

7. Can I post information on COVID-19 on social media?

There are risks and benefits to posting and it is important to maintain public confidence in your profession.  LPNs should not post information on social media that is not based in evidence or best practice, particularly if it might increase the anxiety levels of the public. For more information on your responsibilities related to social media use, read our Electronic Communication and Social Media Practice Direction.  We encourage stakeholders that are seeking information on the pandemic to access evidence-based information that is available and updated daily from the Manitoba Health COVID-19 webpage or Public Health Agency of Canada webpage. 

Other questions? Contact us at:
practice@clpnm.ca
204-663-1212 (ext 322)
1-877-663-1212 toll free (ext 322)

COVID-19: Private Nursing Foot Care in Personal Care Homes – Updated

Updated: May 15, 2020

Many LPNs will be aware that the Province’s Chief Public Health Officer introduced an order, on April 29, 2020,  limiting staff of personal care homes to working within a single site. View the order here. 

LPNs who provide nursing foot care, in a self-employed capacity, within multiple personal care homes may have questions regarding how this order applies to their services.

Following consultation with provincial long term care administrators, the CLPNM interprets that, with approval of a personal care home (PCH) operator, foot care services provided by external, self-employed nurses may be able to continue within PCHs provided that:

  • the service is essential,
  • the PCH operator has determined there is no other way for the service to be provided, competently and safely,
  • the foot care nurse notifies the PCH operator that they provide services at other PCHs (if applicable)
  • the PCH operator makes the decision to permit entry and the provision of the service, knowing that the foot care nurse provides services at other PCHs (if applicable), and
  • the foot care nurse wears the applicable PPE, follows appropriate infection control practices including hand hygiene, and participates in the staff screening process when entering a PCH.  Note that PCH operators may continue to expect that foot care nurses provide their own PPE.

Basic nail care, including hygiene (nail shortening) on residents:

  • who have intact skin, toenails of normal length and thickness, normal sensation, and palpable or audible dorsalis pedis pulses, and
  • who do not have a chronic condition, such as diabetes or peripheral vascular disease, which would make care of the feet a higher risk activity,

should be performed by PCH staff whenever possible. 

If you have any further questions, please contact us at:
practice@clpnm.ca
204-663-1212 (ext 322)
1-877-663-1212 toll free (ext 322)

 

COVID-19: Are you a practical nursing student who also holds a job in a PCH?

Posted: May 5, 2020

Following the Chief Public Health Officer’s order limiting staff to work in only one PCH, students of practical nursing programs, who also work in PCHs, may have questions about the implications of the order to their potential practicum placements within other PCHs.

The CLPNM expects all student practical nurses, who work in PCHs, to be fully transparent with both their school and with their employer. Early disclosure to your school that you hold a position in a PCH will provide the organization with important information, as it plans for practicum placements. 

COVID-19: Nursing Foot Care and Non-Urgent Services

Posted: April 30, 2020

The Province has announced that, effective May 4, non-urgent health care and therapeutic services may be restored, with specific precautions in place. Licensed practical nurses (LPNs) who provide nursing foot care in a self-employed capacity will no longer be limited to providing urgent and emergent services only.

Please note that offering non-urgent health care services is subject to any restrictions that may be in place respecting working in more than one personal care home. Please see here for information on that topic.

Decisions about providing nursing foot care services to clients who are at high risk for severe illness from COVID-19 must be made on a case by case basis, in consideration of the real or potential risk of negative health outcomes that the nurse is trying to prevent.  Decisions must, as always, be made in the client interest.

LPNs are advised to consult provincial guidance respecting the precautions that must be in place before offering health care services.

Some of this guidance is offered on the Province of Manitoba’s website. Some is offered on Shared Health Manitoba’s website. The following summary of this guidance, organized by setting, is offered here to assist LPNs. This summary reflects the information posted on provincial websites as of April 30, 2020. LPNs are advised to stay abreast of any updates by visiting the source websites.

Home visits

 Clinics 

  • LPNs and any staff or volunteers must use the self-screening tool prior to attending the clinic each day. https://sharedhealthmb.ca/covid19/screening-tool/ 
  • LPNs and any staff or volunteers must stay home when ill with COVID-19 symptoms. 
  • Clients or people attending with clients must use the self-screening tool before booking an appointment and before attending the clinic https://sharedhealthmb.ca/covid19/screening-tool/  
  • Clients or people planning to attend with clients must stay home when ill with COVID-19 symptoms.
  • People identified as symptomatic should be instructed to call Health Links – Info Santé.
  • Staff and volunteers must be given information about physical distancing. 
  • Entry into the clinic must be regulated to prevent congestion. 
  • Clinics must post external signs indicating COVID-19 physical distancing protocols, along with floor markings where service is provided or lines form. https://sharedhealthmb.ca/covid19/providers/posters/ 
  • Clinics must maintain a single point of entry. 
  • Waiting room management strategies must be in place. Strategies should include waiting in car if possible, and physical distancing for those in waiting room. No more than 10 people may gather in common areas. 
  • Hand sanitizer must be available at the entrance/exit for client and staff/volunteer use.
  • Patients and people attending with patients must sanitize hands upon entry to facility. 
  • Work/service areas are sanitized after each client. 
  • Washrooms have frequent sanitization and a regime for business sanitization is in place. 
  • Magazine racks and toys are removed and play areas in waiting rooms are closed. 
  • Clients may wear masks when receiving services, where possible. 
  • Cashless or no-contact payment should be used to the greatest extent possible. 
  • Shared Health direction for personal protective equipment for Outpatient Settings/ Community Clinics must be followed https://sharedhealthmb.ca/files/ppe-provincial-requirements-outpatient-settings.pdf 

If you have any further questions, please contact us at:
practice@clpnm.ca
204-663-1212 (ext 322)
1-877-663-1212 toll free (ext 322)

 

CLPNM News

Proposed Amendments to CLPNM By-Laws

In September 2020, the CLPNM Board of Directors approved by-law revisions to clarify registrants' obligations, with respect to the payment of fees and costs, during the registration renewal period each fall. Note: these by-law changes do not affect registration fee...

Submitting Documents To Us

Since March of 2020, the CLPNM office has remained closed to visitors to protect both our staff and visitors during the COVID-19 Pandemic. Please be sure to submit documents by email, mail (Canada Post) or courier. We are unable to accept drop-offs at this time....

Completing Your Renewal: Practicing vs Inactive Application forms

When renewing it is important to click on the correct application form. There are 2 options: Practicing and Inactive. Before you begin, please make sure you are selecting the correct application form. There are 2 options for your consideration: Practicing - If you...

Notice re: Changes to CLPNM Public Registry and Public Information

On June 15, 2020, the CLPNM implemented a new registration system and database. In connection with this system upgrade, the CLPNM now has the ability to provide more detailed and meaningful information on its Public Register. CLPNM registrants are asked to take note...

Upgraded Registrant Renewal System & Database

On June 15, 2020, the CLPNM upgraded the registrant renewal system and database. Over the next few months, there will continue to be significant improvements made from an administration and registrant perspective. Immediate changes: New login: you will now login to...

CCP Audit Cancelled for the Coming Year

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Stakeholder News

The ARNM is now the Association of Regulated Nurses of Manitoba

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CNA Certification Exams

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Upcoming Job Opportunities in New Progressive Care Unit

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Addressing Vaccine Hesitancy

Vaccine hesitancy is described as a delay in acceptance or refusal to vaccinate, despite the availability of vaccination services. According to the World Health Organization (WHO) vaccine hesitancy is now one of the top 10 threats to global health, despite robust...

LPNs Now Eligible to Register for CNPS Services

Licensed practical nurses (LPNs) across Canada are now eligible to register to become beneficiaries of the Canadian Nurses Protective Society (CNPS). The services available to beneficiaries are described on the CNPS website.  Note that CNPS registration is optional...