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

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COVID Information

Guidance for LPNs Considering Providing Aesthetic Services During the Pandemic

Posted: January 14, 2021

The Public Health Order issued on November 22, 2020 and extended on January 8, 2021 does not restrict the services of regulated health professionals.  However, given the continued community spread of COVID-19, it is prudent for LPNs to limit in-person interaction with clients when it is appropriate to do so.

Before deciding to offer aesthetic services during the ongoing COVID-19 Pandemic, LPNs must apply their professional knowledge, skill, and judgment and consider all of the following factors:

  • Does the benefit to the individual patient outweigh the risk of potential exposure to COVID-19? Consider the risk to the patient, the risk to others in the office, and the risk to the community.
  • Is my decision consistent with my ethical obligations under my profession’s Code of Ethics?
  • How confident can I be that the broader health care system will not be impacted by my decision to provide aesthetic services? What are the risks associated with the services I provide, and the potential implications to acute care resources if there are complications or unintended results?
  • Am I able to ensure that the appropriate level of PPE and infection and prevention control measures, per Public Health and Shared Health Guidelines, are consistently in place?

Decisions regarding providing aesthetic services for an individual client must be documented in the health record.  LPNs are regulated professionals and must act accordingly. LPNs must make decisions that are in the best interests of their clients and the public. LPNs are accountable for their decisions.

Resources
Guidance on Outpatient Care Delivery
Point of Care COVID 19 Risk Assessment Tool
PPE – Outpatient Settings
PPE – Patients

For a complete list of Shared Health COVID-19 guidelines for healthcare providers, visit
https://sharedhealthmb.ca/covid19/providers/

For questions, please contact a CLPNM Practice Consultant at practice@clpnm.ca

COVID-19 Vaccination FAQs

On December 9, 2020, Health Canada approved Canada’s first vaccine for COVID-19. The Province quickly followed up by announcing a recruitment campaign to staff the its immunization clinics. The Minister of Health also issued a Ministerial Order, authorizing certain groups to administer vaccinations as part of the provincial COVID-19 vaccination program, after completing a training program offered by Red River College.

The events and announcements of this past week may raise several questions for LPNs, employers, retirees, applicants, practical nursing graduates and practical nursing students.

Are Manitoba LPNs authorized to participate in the vaccination program?
Yes. The Ministerial Order does not explicitly name LPNs among the groups of individuals authorized to participate in the program, because vaccination is already included in their scope of practice.  LPNs should assess their individual competence, and access additional education if a refresher is required.

Do LPNs require a client-specific order to administer a vaccine?
LPNs do not require a client-specific order when the vaccine is administered as part of a publicly-funded provincial immunization program, or a communicable disease response.

Can all practical nursing students participate in the vaccination program?
Eligibility requirements for practical nursing students include: being actively enrolled in the DPN program; being in their second year of the program; having completed the COVID-19 vaccination training program offered by Red River College; and being employed by a regional health authority, Shared Health, or a designated pandemic response service provider. The employer may advise of additional eligibility requirements.

Where can I access the job postings?
https://careers.wrha.mb.ca/job/Flexible-in-Manitoba-COVID-Immunization-Clinic-Manager-MB/543640217/
https://careers.wrha.mb.ca/job/Flexible-in-Manitoba-COVID-Immunization-Clinical-Lead-MB/543527817/
https://careers.wrha.mb.ca/job/Flexible-in-Manitoba-COVID-Immunization-Clinic-Immunizer-MB/543640017/
https://careers.wrha.mb.ca/job/Flexible-in-Manitoba-COVID-Immunization-Clinic-Post-Immunization-Observer-MB/543640117/
https://careers.wrha.mb.ca/job/Flexible-in-Manitoba-COVID-Immunization-Clinic-Client-Navigator-MB/543639917/

If I am a former LPN, do I need to reinstate my licence to administer vaccines as part of this program?
No. You do not need an active licence with the CLPNM if you are a retired LPN, however, you must complete the vaccine administration course offered by Red River College. You must also be employed by a regional health authority, Shared Health, or a designated pandemic response service provider. In addition, you are only eligible if you left the CLPNM register in good standing. You must not hold yourself out as an active member of the profession, or use the titles Licensed Practical Nurse or LPN, when working as part of the vaccination program.

I am qualified to practise nursing in a jurisdiction outside of Manitoba, but I do not hold registration with any nursing college in Manitoba. The Ministerial Order now authorizes me to administer COVID-19 vaccines in Manitoba, when working as part of the provincial immunization program. Am I practising as a nurse when I work as part of this program? Can I call myself a nurse? Can I count my hours as “practical nursing practice” hours?
No. The performance of this task does not qualify as practical nursing practice, for the purpose of CLPNM policy, unless it is performed by an LPN who is registered in Manitoba and who, as an active practising LPN, would be expected to apply their nursing knowledge and judgment, as well as skill, when performing the task. Unless you hold registration with the CLPNM, you cannot use the titles associated with the profession in Manitoba, such as Licensed Practical Nurse or LPN.

Nasopharyngeal Sample Collection FAQs

Can LPNs collect samples by nasopharyngeal swab?

Yes. Collecting samples by nasopharyngeal swab is within the scope of practice of the practical nursing profession in Manitoba.  Manitoba’s LPNs have the authority to perform this activity if they are competent to do so and supported by employer policy.

The recent Ministerial Order, which authorizes certain groups to obtain nasopharyngeal swab specimens, does not mention LPNs.  Why?

On November 30, 2020, the Minister of Health issued a Ministerial Order authorizing certain groups to obtain nasopharyngeal swab specimens for the purpose of COVID-19 testing. The order did not mention LPNs; however, this is because this activity already falls within the scope of practice of the profession in Manitoba. There was no need to provide LPNs with additional authority.

Are LPNs required to take the micro course offered by Red River College?

No. LPNs, in general, are not required to take the Red River College micro course in order to be authorized to collect samples by nasopharyngeal swab. An employer may choose to recommend the course for an individual LPN, or the LPN might choose to take the course, if the LPN would benefit from a refresher of entry-level nursing knowledge and skill.

I am not registered with the CLPNM, or one of Manitoba’s other two nursing regulators. However, I am qualified to practise as a nurse in another jurisdiction, and under the new Ministerial Order, I am now authorized to collect samples by nasopharyngeal swab in Manitoba. Am I practising as a nurse when I collect these samples? Can I call myself a nurse in Manitoba?

No. The order authorizes several groups to perform this task, including several groups of unregulated health care providers. The performance of this task does not qualify as practical nursing practice, for the purpose of CLPNM policy, unless it is performed by an LPN who is registered in Manitoba and who, as an active practising LPN, would be expected to apply their nursing knowledge and judgment, as well as skill, when performing the task.

LPN Services During Code Red

Updated: January 16, 2021

As part of the Province’s pandemic response, new orders under The Public Health Act took effect on November 12, 2020.  These orders were extended on January 8, 2021.  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 restrictions mean for the services they provide.

While the current Public Health 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. 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 risk to client health, to delay such services during Code Red restrictions, unless the LPN has applied their professional knowledge, skill and judgment and has determined that the client interest in receiving the service outweighs the risk of COVID-19 transmission to the client, others in the care setting, and the broader community. As regulated professionals, LPNs are accountable for their decisions. For specific guidance on aesthetics click here.

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

In all cases, the LPN must take all necessary precautions such as self-screening, pre-screening clients and donning appropriate personal protective equipment (PPE), in accordance with Public Health and Shared Health guidelines.

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 LPNs 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

 

 

 

 

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.

CLPNM News

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2020 Annual Report

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