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

COVID-19

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COVID Information

LPN Services During Code Red

Updated: November 18, 2020

As part of the Province’s pandemic response, new orders under The Public Health Act took effect on November 12, 2020.  Under these new orders, to reduce the spread of COVID-19, all Manitobans are being asked to limit their number of contacts. LPNs who work in the community, outside of the provincial health care system, may have questions about what these additional restrictions mean for the services they provide.

While the new orders do not restrict the services of a health professional (refer to page 11 in the order, available here) LPNs  are reminded that they remain responsible for adhering to their professional Code of Ethics and Standards of Practice when making decisions that have implications to clients and members of the public. These documents advise LPNs that they have an ethical duty to take all reasonable steps to avoid doing harm and to take appropriate action to safeguard individuals, families and communities. LPNs remain accountable for their actions and decisions.

With this in mind:

  • The CLPNM encourages LPNs to continue providing nursing services to assist clients in maintaining and improving their health, while taking all necessary precautions such as self-screening, pre-screening clients and donning appropriate personal protective equipment (PPE). For example, the CLPNM recognizes that nursing foot care is often important to preventing further health complications down the road, and when that is the case, should continue.
  • The CLPNM advises LPNs who offer services that can be safely delayed without any risk to client health to postpone such services until the Province announces that non-essential businesses may resume in-person services. For example, nursing services provided for aesthetic purposes.

Any LPN who is unsure whether to continue or discontinue their services is encouraged to contact the CLPNM at practice@clpnm.ca.

LPNs are encouraged to consider whether their services can be appropriately provided by virtual means. Guidance on Telepractice can be found here.

The CLPNM continues to recommend that registrants check the provincial COVID-19 resources for health-care providers and staff webpage frequently to ensure they are following provincial recommendations.

As a reminder, obtaining informed consent for services includes providing the client with information about the risks, benefits and alternatives for services. These discussions should include a discussion about risk of COVID -19 transmission.

Contact the CLPNM with questions at practice@clpnm.ca

 

 

 

 

Thank You from Mayor Bowman

On November 12, 2020, Winnipeg Mayor, Brian Bowman, wrote to the College of Licensed Practical Nurses of Manitoba, asking us to share with you his deepest gratitude for the work you are doing to help keep Manitobans safe.

Please review his full letter to Manitoba’s LPNs,  available here.

COVID-19: Mental Health Support for Nurses

Updated: November 6, 2020

During these challenging times, LPNs are encouraged keep their own health and well-being a priority. The following resources offer mental health support to health care professionals, including nurses, who are facing the pressure of working on the front lines during the COVID-19 Pandemic.

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: 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)

 

CLPNM News

Upcoming Office Closures

The CLPNM office will be closed on the following dates: December 16, 2020 December 23, 2020 @ 1200 December 24, 2020 - January 1, 2021 The office will re-open on January 4, 2021 Please note: the office will remain closed to walk-in traffic until further notice.

2020 Annual General Meeting

Join us at the 2020 Annual General Meeting of the College of Licensed Practical Nurses of Manitoba on Tuesday, December 8, 2020, at 1000hrs. The meeting will take place virtually through GoToWebinar. Please register in advance, using the form below. After submitting...

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...

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