WOUND, OSTOMY AND CONTINENCE INSTITUTE · study with the WOC-EP. Acceptance into the Wound, Ostomy...
Transcript of WOUND, OSTOMY AND CONTINENCE INSTITUTE · study with the WOC-EP. Acceptance into the Wound, Ostomy...
WOUND,OSTOMYANDCONTINENCEINSTITUTE
March2020
WOUND,OSTOMYANDCONTINENCEEDUCATIONPROGRAMPOLICIES
Wound,OstomyandContinenceEducationProgram
2 ©CopyrightWOC-InstituteMarch2020
TABLEOFCONTENTS
ADMISSION.........................................................................................................................................4
ADMISSIONREQUIREMENT....................................................................................................................4ADDITIONALREQUIREMENTSFORADMISSION.....................................................................................5COMPUTERREQUIREMENTS..................................................................................................................7WOUND,OSTOMYANDCONTINENCEEDUCATIONPROGRAMAPPLICATION........................................7PROOFOFCRIMINALSCREENING.....................................................................................................................................8CURRICULUMVITAE/RESUME.........................................................................................................................................9ADMISSIONRUBRIC...........................................................................................................................................................10APPLICATIONCHECKLIST................................................................................................................................................10GRADUATIONFROMTHEPROGRAM...................................................................................................11GRADUATIONREQUIREMENTS.......................................................................................................................................11TIMETOCOMPLETETHEPROGRAM...................................................................................................12ACADEMICAWARDS............................................................................................................................13RULESOFCONDUCT............................................................................................................................16TUITION..............................................................................................................................................18EVALUATIONS,GRADINGANDEXTENSIONS........................................................................................20COURSEEVALUATIONTOOLS.........................................................................................................................................20ASSIGNMENTS.....................................................................................................................................................................20EXTENSIONS........................................................................................................................................................................21DELAYINSUBMITTINGANASSIGNMENT....................................................................................................................22FAILURETOSUBMITANASSIGNMENT.........................................................................................................................22FAILUREOFANASSIGNMENT.........................................................................................................................................22REMARKINGOFASSIGNMENTS......................................................................................................................................23DISCUSSIONFORUMS........................................................................................................................................................24EXEMPTIONFROMADISCUSSIONFORUM...................................................................................................................24FAILURETOPARTICIPATEINTHEDISCUSSIONFORUM..........................................................................................25FAILUREOFTHEDISCUSSIONFORUM..........................................................................................................................25FINALCOURSEQUIZ.........................................................................................................................................................25FAILURETOATTEMPTTHEFINALCOURSEQUIZ.....................................................................................................25FAILURETOCOMPLETETHEFINALCOURSEQUIZDUETOASYSTEMSISSUE..................................................26FAILUREOFTHEFINALCOURSEQUIZ.........................................................................................................................26CLINICALPRECEPTORSHIPEXPERIENCE.............................................................................................27OCCUPATIONALHEALTHANDINFECTIOUSDISEASEREQUIREMENTS................................................................30MANDATORYIMMUNIZATIONRECORDS......................................................................................................................31POLICERECORDCHECKANDVULNERABLESECTORCHECK..................................................................................33CARDIOPULMONARYRESUSCITATION..........................................................................................................................34
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MASK-FITTESTING...........................................................................................................................................................34PLACEMENTAPPROVALPROCESS.................................................................................................................................34APPROPRIATEPRECEPTORSBYCOURSE.....................................................................................................................35STUDENTRESPONSIBILITIES..........................................................................................................................................36ADDITIONALREQUIREMENTSOFTHEPRECEPTORSHIP.........................................................................................37CLINICALPRECEPTORSHIPEVALUATION,GRADINGANDEXTENSIONS..............................................................38CLINICALJOURNAL............................................................................................................................................................40WORKSHOPSINLIEUOFCLINICALPRECEPTORSHIP................................................................................................42WOUND,OSTOMYANDCONTINENCEINSTITUTECOMPASSSTUDENTPORTAL..............................44GRIEVANCE..........................................................................................................................................46DISMISSALFROMTHEPROGRAM........................................................................................................47WITHDRAWALFROMTHEPROGRAM.................................................................................................47REFUNDS.............................................................................................................................................48RECOGNITIONOFPRIORLEARNING....................................................................................................49LETTERSOFREFERENCE.....................................................................................................................50STUDENTRESPONSIBILITYFORPERSONALINFORMATION................................................................50NATIONALHEALTHCAREDISASTERS..................................................................................................50
APPENDIX........................................................................................................................................51
APPENDIXB:PRECLINICALPLACEMENTREQUIREMENTS.................................................................52APPENDIXC:APPLICATIONTOGRADUATE........................................................................................56APPENDIXD:RECOGNITIONOFPRIORLEARNING.............................................................................59WOUNDCARE.....................................................................................................................................60DIDACTICWOUNDCOURSE................................................................................................................60WOUNDCOURSEPRECEPTORSHIP.....................................................................................................60CLINICALEVALUATIONCHECKLIST.....................................................................................................60CONTINENCECARE..............................................................................................................................83DIDACTICCONTINENCECOURSE.........................................................................................................83CONTINENCECOURSEPRECEPTORSHIP..............................................................................................83CLINICALEVALUATIONCHECKLIST.....................................................................................................84OSTOMYCARE.....................................................................................................................................88DIDACTICOSTOMYCOURSE................................................................................................................88OSTOMYCOURSEPRECEPTORSHIP.....................................................................................................88CLINICALEVALUATIONCHECKLIST.....................................................................................................88
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ADMISSIONAdmissionRequirementANurseSpecializedinWound,OstomyandContinence(NSWOC)isaregisterednursewithadvancedspecializedknowledgeandclinicalskillsinwound,ostomyandcontinencecare.RecognizedbytheCanadianNursesAssociation(CNA),asnursesspecializedinwound,ostomyandcontinence,NSWOCsaretheonlynursingspecialtyeligibletoobtainCNAcertificationinthetrispecialtyofwound,ostomyandcontinencecare.Acrossthecontinuumofhealthcare,NSWOCsdemonstrateleadership,education,criticalthinking,andresearch,ininterprofessionalcollaborationthroughspecializedconsultationstoensureoptimaloutcomesforcomplexissuesrelatedtotheareasofwound,ostomyandcontinence.NSWOCshaveademonstratedcommitmenttolifelongcontinuingeducation.
Inadditiontotuitionfees,studentsMUSTbeactiveNSWOCmember(WOCstudentassociatemembership)throughoutthecourseoftheirstudywiththeWOC-EP.
AcceptanceintotheWound,OstomyandContinenceEducationProgram(WOC-EP)isacompetitiveprocess.Enrolmentislimitedto44studentspercohort.TheWOC-EPisofferedtwiceperyearinEnglish(fallandwintercohorts)andonceperyearinFrench(fallcohort).ApplicationsforWOC-EPareacceptedthroughouttheyear.DeadlinesforcompletedapplicationsareApril30forthefallcohort(EnglishandFrench)andSeptember30forJanuarycohort(Englishonly).
• Applicationmaterialsmustbesubmittedasonefileinpdfformatotherformatswillnotbeaccepted.
• Submitallapplicationmaterialsonline(scanpapercopiesofdocumentsasrequired).OnlytranscriptswillbereceivedbyPost.
• Paythe$50non-refundableapplicationfeeonline• ApplicantsmusthaveaminimumofaBachelor’sdegree.Nurses
withoutaBachelor’sdegreeareinvitedtoapplytotheSkinWellnessAssociateNurse(SWAN)Programhttps://wocinstitute.ca/swan/.
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• Applicantswillberequiredtodemonstrateapassionforwound,ostomyandcontinencenursingevidencedbyahistoryofwound,ostomyand/orcontinencerelatedvolunteerism,educationandleadership.Theidealapplicantiscommittedtopursuingacareerinwound,ostomyandcontinencenursing.
Prioritywillbegiventothoseapplicantswho:
• ArecurrentlyworkinginapositionasaNurseSpecializedinWound,OstomyandContinence.
• HaveaguaranteedNSWOCpositionthatisdependentupongraduationfromtheWOC-EP.Asignedletterfromanemployerstatingthatthereisapositionoffermustbeattachedtotheapplication.Applicantsmustrequestpriorityadmissionatthetimeoftheirapplication.
• WorkinareaofpracticethatisunderservicedbyNSWOCs.
• Demonstrateapassionforwound,ostomyand/orcontinencenursing.
• Provideevidenceofacommitmenttolife-longlearning
Theadmissionprocessincludes:
• Completionofanonlineapplicationform,
• Submissionofacurrentresume/curriculumvitae,and
• Completionofthesupplementalquestionnaire.
Pleaseincludeallrelevantresearch,publications,education,presentations,andotherleadershipactivitiesonyourresume/curriculumvitae.
Formoreinformationabouttheapplicationprocesspleasegototheapplicationpagehttps://wocinstitute.ca/woc-ep-program/
AdditionalRequirementsforAdmission
1. Mustbearegisterednursewithavalidlicensetopracticeintheprovinceorregionwheretheclinicalpreceptorshipistobecompleted.
2. MustbefluentinEnglishand/orFrenchbothorallyandinwriting.Itisthestudent’sresponsibilitytoensurelanguageproficiency.Failureto
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beproficient(EnglishorFrench)willgreatlyimpactthestudent’sabilitytosucceedintheprogram.Noaccommodationswillbemadeforstudentswhoarenotabletocompletetheprogramsecondarytolanguagecomprehensionissues.
3. AllstudentsapplyingintotheFrenchprogramMUSTbeabletoreadEnglishasthemajorityofthetextbooksandarticleswillbeinEnglish.TheWOC-EPstrivestoensureasmuchmaterialaspossibleisavailableinEnglishandFrench.
4. EvidenceofsuccessfulacademicachievementinthecompletionofataminimumaBaccalaureateDegreeinanyfield.Aspartofthecompetitiveadmissionprocess,higherrankingwillbegiventocandidateswitheducationataMaster’sorPhDlevel.
5. Pleasenote–ApplicantswhocompletedtheiruniversityeducationoutsideofCanadaortheUnitedStatesmustsubmitaformalcredentialevaluationcompletedbyarecognizedCanadianCredentialEvaluationService.
6. Applicantsmusthaveatleast3000hoursofemployment,inthelast3years,asaRegisteredNurse.
7. CurrentCardiopulmonaryResuscitation(CPR)orBasicCardiacLifeSupport(BCLS)Certificate.
8. Currentimmunization.9. Twoprofessionalreferences(onemustbefromadirectsupervisoror
NSWOC,andonefromaprofessionalcolleagueoracademicprofessor).Pleasenote–Referencesmustbecompletedonlinebytheprofessionalprovidingthereference.
10. Submissionofthesupplementalquestionnaire.
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ComputerRequirements
TheWOC-EPisaweb-basedprogramonaMoodleplatform.Applicantsmusthavebasiccomputerskills,includingknowledgeofMicrosoftOffice.WOC-EPfacultyarecommittedtomentoringstudents.TrainingandITsupportareavailable.
Computerrequirementsinclude:
• Uptodatecomputer–eitheraPCoraMAC• Highspeedinternetconnection• WindowsMediaPlayer• QuickTime• Java
Wound,OstomyandContinenceEducationProgramApplicationTheonlineapplicationandsupplementalformsaretobecompletedandsubmittedelectronically.TheremainderoftheapplicationrequirementsmustbescannedandsentviaasingleemailtotheWound,Ostomy&ContinenceInstitute’sAdministrativeAssistantssarda@wocinstitute.caEnsurethatyourfilenameandeachcomponentareclearlymarkedwithyournameanddateofapplication.Donotsubmitapplicationsininstallments,ensureapplicationiscompletepriortosubmission.OnlyUniversityTranscriptsaretobesentseparately.
Priortostartingyourapplicationpleaserefertotheapplicationrequirements.ItistheresponsibilityoftheapplicanttoensurethatallelementsoftheapplicationhavebeenreceivedbytheWound,Ostomy&ContinenceInstitute’sAdministrativeAssistantoffice.Pleasecontacttheprogramadministratoratssarda@wocinstitute.cawithanyquestionsregardingyourapplication.
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Completetheon-lineapplicationformtoapplyfortheWOC-EP.Ensureyouhaveallofyourinformationreadilyavailablepriortostartingtheapplication,e.g.contactinformationofreferences.Uploadalldocumentsatthetimeofcompletingyourapplication.Haveyourreferencescompletetheon-linereferenceformuponsubmissionofyourapplication.
Thepersonalinformationcollectedismaintainedaspartofthestudent’srecordsandwillbeusedforthepurposesofadmissionreview,registration,andissuingreceipts,graduationcertificatesandforWOC-EPresearchandplanning.ContactinformationwillalsobedisclosedtoNursesSpecializedinWound,Ostomy&ContinenceCanada(NSWOCC)toprovidemembershipinformationandtowound,ostomyandcontinenceproductmanufacturerstoprovideproductinformationandsamples.Personalinformationwillnotbesharedwithanyotherbusinessororganization.
ProofofCriminalScreening
AlthoughtheWound,Ostomy&ContinenceInstitutedoesnotrequireproofofcriminalscreening,somefacilitiesinwhichstudentswillcompletetheirclinicalpreceptorshipsmayrequirethis.StudentsareadvisedtocontactthePreceptorCoordinatorregardingtheneedforproofofcriminalscreening.
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CurriculumVitae/Resume
Toenablethebestpossiblematchbetweenyourexpectations,learningandexperience,andthecapacitiesandgoalsoftheWOC-EPtheinformationrequestedbelowiswide-ranging.Yourresumeshouldincludethefollowing:
• Nameatthetopofeverypage• Formaleducationalachievements(mostrecentlistedfirst),including
anycredentials(e.g.degrees,certificates,diplomas)awarded• Othertraining/educationalexperiences(e.g.courses,workshops)that
relatetowound,ostomyandcontinencenursing• Informal/non-formalactivitiesorlifeexperiencesthatrelatetoyour
careerandeducationalgoals• Professionalemploymenthistory(mostrecentlistedfirst),with
enoughdetailtoadequatelydescribetheexperiencesandyourlevelofresponsibilityincludingtotalfull-timeyearsasaRegisteredNurse
• Publications,professionalpresentations,andresearchactivities• Membershipandleadershipinvolvementinprofessionalorganizations
andgovernanceactivities(e.g.participationonworkcommittees)• Volunteeractivitiesdemonstratingyourcommitmenttopatientswith
challengesinwound,ostomyandcontinence• Grants,scholarshipsandawardsyouhavereceived• Languageproficiency
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AdmissionRubric
Arubrichasbeendevelopedtoscoreapplicants–seeAppendixA
ApplicationChecklist
o CompletedApplicationandSupplementalFormo $50non-refundableapplicationfee,payableonlineo OfficialtranscriptsentdirectlytotheWOC-InstituteAdministrative
Officefromanaccrediteduniversity.Pleasehavetranscriptssentdirectlyto:SuzanneSarda,Wound,OstomyandContinenceInstituteAdministrativeOffice,1873ChaineCourt,OttawaON,K1C2W6
o Twoprofessionalreferencessubmittedusingtheon-linereferenceform.OnefromadirectsupervisororNSWOCandonefromaprofessionalcolleagueoracademicprofessor.
o Copy/proofofcurrentRNlicense.NOTE:theWOC-Institutewillnotsearch“findnurse”website.ThestudentmustdownloadproofofregistrationanduploadthePdffilewiththeirapplication.
o CopyofcurrentCPRorBCLSCertificateo CurrentResume
PleaseNote:YouareresponsibleforfollowinguponyourapplicationtoensurethatallmaterialsarereceivedattheWOC-EPofficebytheapplicationdeadline.PleasecontacttheAdminOfficetoensureyourfilehasbeenreceivedandiscomplete.
Office:1-877-614-1262.Email:[email protected]
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GraduationfromtheProgramTheWound,Ostomy&ContinenceInstitute’sWOC-EPconsistsofthree(3)requiredacademiccourses:OstomyManagement,ContinenceManagementandWoundManagement,and225hoursofapprovedclinicalpreceptorshipdividedamongthethreecourses.
AtthecompletionofthethreecoursesstudentsMUSTregistertowritetheCanadianNurse’sAssociation(CNA)wound,ostomyandcontinencecertificationexam(anadditionalfeewillapply,refertorequirementsatCNACertificationProgram).StudentsarerequiredtoprovideproofofregistrationfortheCNAcertificationexamtoreceivetheirWOC-EPgraduationdiploma.Acertificationprep-courseisavailableatnoadditionalcostpriortothecertificationexam.ThiscertificationpreparationcourseisalsoavailablefreeofchargeforallNSWOCCmembers.
GraduationRequirements
TheCNAWOCC(C)examisthefinalexamfortheWOC-EP.Theexamistobewrittenwithinone(1)yearofcompletingtheprogram.Studentscansignuptowritetheexamimmediatelyuponcompletingthewoundmanagementcourse.TheWOC-EPwillprovidelettersofcompletiontofacilitatewritingoftheexam.Studentsmustprovideproofofexamregistrationinordertocompletetheprogramandgraduate.Graduationcertificateswillnotbeprovidedwithoutproofofexamregistration.Note:TheWOC-EPwillnotrequestproofofpassingtheexam.
ACNAcertificationprepcoursehasbeendevelopedandisavailabletostudentsuponcompletionofthecourseifrequiredhowever,itisthebelieveoftheWOC-EPthatstudentswillbewellpreparedtosittheexam.Thecurrentexampassrateis95%.PleaseseeAppendixCfortheintenttograduateforms.
StudentsMUSTapplytograduate.ThedeadlinetocompletetheapplicationtograduateisnolaterthanMarch1,totheWOCInstitute’[email protected]
FormoreinformationontheCNAWOCC(C)certificationexampleasevisit:https://www.cna-aiic.ca/en/certification
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TimetoCompletetheProgram
Studentsareexpectedtocompletetheprogramwithintwo(2)calendaryearsfromtheirstartdate.Coursesemestersareapproximatelythirteen(13)tosixteen(16)weeks.
Therearetwostartdatespercalendaryear(JanuaryandSeptember)intheEnglishProgramandonestartdatefortheFrenchProgram(September).
Thestudentmaytakeasemesteroffbutmustgraduatewithinthetwo-yeartimeframe.StudentsmustadvisetheInstitutesAdministrativeOfficeoftheirdecisiontotakeasemesteroff.Theymustalsoconfirmtheirintenttoenrollandpayallcoursefeesforthenextcoursefour(4)weeksbeforethestartdateofthecourse.Admissiontoacourseisnotguaranteed.Ifthecourseisfull,thestudentwillbenotifiedofthenextpossibleopening.Iftheyareunabletocompletetheprogramwithintwoyearstheywillnotgraduateandwillneedtoreapplytotheprogram.Itisthestudent’sresponsibilitytoworkwiththeInstitutesAdministrativeOfficetoensurethattheyareregisteredforcourseswithinthetimeperioddefined
Onceacceptedintotheprogramprospectivestudentsmaydeferthestartdateoftheprogramforuptoone(1)calendaryearfromthedatetheywereacceptedintotheprogram.
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AcademicAwardsAcademicawardsareavailableannuallydependinguponsponsorships.Tobeeligibleforacademicawardsstudentsmustgraduateinthecohorttheystartedin.Studentstakingasemesteroffarenoteligible.AwardinformationisfoundontheWound,Ostomy&ContinenceInstitute’swww.https://wocinstitute.ca/
Studentswhoreceiverecognitionofpriorlearningarenoteligibleforawardsincoursestheyreceivedrecognitionofpriorlearning.
Awards
Thefollowingawardsareavailable(dependingonfundingavailability):
TheBillCarcaryAward• SponsoredbyConvaTecCanada• AfinancialawardtothetopacademicstudentfromtheFrenchorEnglish
programsinanycalendaryear• Valueofawardvariesfromyeartoyear• ApplicationnotrequiredTheSmithandNephewAchievementAwardinWoundCare• SponsoredbySmithandNephew• TheSmithandNephewAwardforExcellenceinWoundCarewillbe
awardedto2WOC-EPStudents(1Frenchstudentand1Englishstudent)withthehighestWoundCaremarksoverall.
• Theawardisintheamountof$1000.00• Applicationnotrequired
TheColoplastClinicalAchievementAwardinContinenceCare
• SponsoredbyColoplast• TheColoplastAwardforExcellenceinContinenceCarebyanWOC-EP
Studentprovidesanawardof$1000.00annuallytoastudentwhodisplayexcellenceinContinenceCare
• Applicationnotrequired
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TheClementLeBlancMemorialScholarship• SponsoredbythefamilyofClementLeBlancinhismemory(pending
funding)• TheClementLeBlancmemorialscholarshipifforaNewBrunswickWOC-
EPgraduatewiththehighestacademicmarkseachgradatingyear.• Applicationisnotrequired.
TheSummitAward
• SponsoredbyRobHill• Annualawardavailableannually,fundingpending• Valuedat$1000.00• Studentsmustapplyforthisaward–applicantmustsubmitan
environmentalscanofostomyservicesintheirregionGailHawkeTrailBlazerAward
• SponsoredbyNightingaleMedical• AnnualawardtoaWOC-EPstudentwho:
• residesintheprovinceofBritishColumbia• hasdemonstratedthattheyarealeaderinthetri-specialtyof
wound,ostomyandcontinencenursing• whomeetsthewrittencriteriaforthisaward
• Valuedat$2,500• Studentsmustapplyforthisaward
TheOstomyCanadaAward• SponsoredbyTheOstomyCanadaSociety• Annualaward(pendingavailabilityoffunding)toencourageRegistered
NursestopursueaNSWOCcareerwithafocusonostomycare• Value$1500• Studentsmustapplyforthisaward
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VancouverUnitedOstomyChapterAward• SponsoredbyTheVancouverUnitedOstomyAssociationChapter• Annualaward(pendingfundingavailability)torecognizeaWOC-EP
studentwho:• ResidesintheprovinceofBritishColumbia• Haddemonstratedahighdegreeofvolunteerismwith,and
supportofpeopleinVancouver,LowerMainlandorProvinceofBritishColumbialivingwithanostomy
• Value$1500• Studentmustapplyforthisaward
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RulesofConductTheWOC-EPfosterstheacquisitionofknowledgeanditsapplicationthroughaprocessofknowledgetransfertoaclinicalsetting.Itispresumedthatstudentsacceptedintotheprogramcanandwillmaintaintheirprovincialnursingcertificateofcompetenceandlicensure.Inabilitytoprovideproofofregistration/licensurewillresultinimmediatedismissal.Itisthestudent’sresponsibilitytoensurethatproofofrenewals(e.g.nursinglicense,CPR,maskfittesting,influenzavaccinationandcriminalscreening)issenttotheInstitute’sAdministrator.
Itisalsoexpectedthatthestudentwillpracticeacceptableprofessionalandacademicconductthatincludeshonestrepresentationoffactsandmaterialsandacknowledgement,throughreferencesfortheideasandcontributionsofothers.Plagiarismofanykindwillresultinimmediatedismissalfromtheprogram.
Misconduct
Studentsareexpectedtoberespectfulandprofessionalatalltimes.Failuretoconductthemselvesinanappropriateandprofessionalmannerisgroundsforsuspensionordismissalfromtheprogram.
Ifastudentisreportedforunsafe,unprofessional,orunacceptableacademicorclinicalconductafullinvestigationwillbeheld.Thestudent’sparticipationintheprogrammaybesuspendedwhiletheinvestigationtakesplace.Theinvestigationwillincludediscussionoftheconductwithinvolvedparties,opportunityforthestudenttopresentrelevantinformation,anddevelopmentofanactionplan.ThestudentmaybesuspendedfromtheprogramandmayultimatelybedismissedfromtheprogramatthesolediscretionoftheChairoftheWOC-Institute.
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Plagiarism
Plagiarisminanyformwillnotbetolerated.StudentsshouldbeawarethatALLassignmentsincludingdiscussionforumpostswillbesubjecttoanti-plagiarismsoftware.
Studentsshouldbeawarethatmanyofourfacultyhavedualappointmentswithotherprograms.Forexample,manyfacultyarealsoteacher’sassistantsfortheInternationalInterdisciplinaryWoundCareCourse(IIWCC)andtheMasterofClinicalScienceinWoundHealingRe-cyclingorself-plagiarismwillalsoNOTbetolerated.PlagiarismisanacademicoffenceandwillresultindismissalfromtheWOC-EP.
WeareawarethatmanyinstitutionsoutsideofCanadahavebroaderinterpretationofplagiarism.Atitsmostbasicplagiarismisdefinedaspresentinganotherperson’sworkorideasandusingthemasone’sown.Thestudentmustensurethatfullcreditisgiventotheideasaswellasthewordsofallauthorstoensurethattheriskofinadvertentplagiarismisminimized.
Studentsareexpectedtobeknowledgeableaboutintentionalandunintentionalplagiarismandavoidit.Alwayscitewords,phrases,ideas,opinions,theoriesortablesandchartsthatarenotyourown.Usequotesorparaphraseasappropriate.Studentswhousetheinternetfortheirstudiesareatriskofinadvertentplagiarismandareadvisedthatfacultyoftenuseonlineservicestodetectplagiarismsuchastheonefoundathttp://www.plagiarismchecker.com/.WhenindoubtaskyourAcademicAdvisor.
Studentsusingonlinetranslationservicesmustbeespeciallycarefulthattheydonotplagiarizethetranslatedcontent.Studentsmaynotusetranslatedcontentastheirownbutmustparaphrasethiscontentandreferencethetranslationservice.Onlinetranslationservicesarediscouraged,studentsareencouragedtowritetheirownassignmentsinEnglishorFrenchandthenworkwithapeerforediting.Theresultwillbeagreaterlearningexperienceforthestudent.
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TuitionThestudentisresponsibletopaytuitionfees.Iftuitionisbeingcoveredbyathirdpartythestudentremainsresponsibletoensurethatallfeesarepaidwithinthemandatorypaymentschedule.Iffeesareinarrearsthestudentmayfaceremovalfromtheprogram.Thefeesareincometaxdeductibleandtaxformswillbeprovided.
TuitionFees
Theprogramconsistsof3mandatorycourses:Ostomyplusatwo-weekintroductiontotheprogram,ContinenceandWoundManagement.Feesmaybepaidin3installments:4weekspriortothestartofeachcourseormaybepaidinfull4weekspriortothestartoftheprogram.
Feescoverthecostofprogramsupport,correctionofassignments,guidanceduringdiscussionforums,examinations,andsupportforclinicalpreceptorshipplacement.
FeesDONOTcoverthecostassociatedwiththeCNAcertificationexam,theclinicalpreceptorships(RefertoClinicalPreceptorshipbelow)orthecostsoftextbooks.Studentsmustarrangetopurchasetheirtextbookspriortothestartofeachcourse.SeeinformationontheWOCInstitutewebsitehttps://wocinstitute.ca/
forpurchasingtextbooks.StudentswillhaveCINHALlibraryaccessandaccesstotheWOCNJournalaspartoftheirNSWOCmembership.
AlltuitionfeesmustbereceivedbytheWOC-Instituteatleast4weeks(20businessdayspriortothestartofthecourseunlessnegotiatedotherwise.ChangestothispolicyarerareandmustbeapprovedbytheWOC-InstituteChair.Studentswhofailtosubmitfeesontimewilllosetheirpositioninthecourseandwillbemovedtothewaitinglistforthenextcoursestartdatedependentonreceiptofrequiredfees.Feesaresubjecttoyearlyreviewandmaybeincreased.StudentsarerequestedtorefertothetuitionfeeslistedontheWOCInstitutewebsite.Studentswhotakeasemesteroffmaybesubjecttotuitionincreasesifanincreasewasimplementedduringthattimeframe.Itisthestudent’sresponsibilitytoverifytuitionrateswiththeacademyadministration.
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Payment
FeesfortheprogramcanbepaidbycreditcardonthesecureWOCInstitutewebsite.Iftheuseofacreditcardisnotpossible,amoneyorderoracorporatecheque,madeouttotheWound,Ostomy&ContinenceInstituteisacceptable.PleasecontacttheWOCInstituteadministrationwithanyquestions.
NOpersonalchequeswillbeaccepted.
DefaultofPayment
Latepaymentissubjecttoa$100.00penaltyfeeifthestudentisnotremovedfromthecourse.Nogradingorcertificateswillbeprocesseduntiloutstandingpaymentshavebeenmade.ValidationofprogramcompletiontowritetheCanadianAssociationofNurses(CNA)certificationexamwillnotbeprovideduntilalloutstandingfeesarepaidinfull.
Note:AsofCohort25,GraduationdiplomaswillnotbereleasedwithoutproofofregistrationforCNAexam.
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Evaluations,GradingandExtensions
TheWOCInstituteWOC-EPiscompetencybasedandusesavarietyofassignments,discussionforums,quizzes,clinicalpreceptorshipevaluationsandjournalstoformallyevaluatethestudent’sgraspofthecompetencies.Thisallowsfortheassessmentoftheacquisitionofdifferentkindsofknowledgebytestingtheunderstandingoffactsandconceptsandthedemonstrationofknowledgesynthesisandcriticalevaluationcapabilitiesintheclinicalexperience.
Thevariousformsofevaluationaredesignedtocapturevariouslearningstylesandtopromotestudentsuccessintheprogram.Inaddition,thevariousevaluationmethodsarealsousedtosimulatereallifesituationsandtopromotetheNSWOCleadershiprole.StudentsareencouragedtousethesemethodsofevaluationasameanstosolidifytheWOCcompetenciesandtoenrichtheirpersonalleadershipcapabilities.
CourseEvaluationTools
Theobjectivesofallassessmenttoolsaretoreinforcelearningandtomeasureknowledgeacquisitionandintegrationofknowledgeintopractice.
Eachcourseusesasimilarsetofevaluationtools.Althoughthetoolsaresimilarandtherhythmofevaluationsisconsistentthroughouttheprogram,theamountthatanyoneevaluationtoolmaycontributetothefinalcoursegradeandthenumberofevaluationsmayvary.Ascheduleispostedineachcourse.
Assignments
AllassignmentsarecompulsoryandmustbesubmittedonlineandinMicrosoftwordformat.Therearenoexceptionstothisrule.Failuretosubmitanassignmentwillresultinfailureofthecourse.
Thepurposeoftheassignmentistoconsolidatethelearningsoverseveralunits.Studentsmustachieveanoverallmarkof70%foreachcourse.Thismeansthatstudentsmustachievea70%forthetheoryportionofthecourseANDtheclinicalpreceptorshipinordertopassthecourse.
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AssignmentsaremarkedbyanAcademicAdvisorordelegateusingarubricandaregradedoutof100.Eachassignmentcontributesapercentagethatvaries,tothefinalacademicmark.Gradingwillbecompletedandpostedinthegradebookwithin4weeksoftheduedateoftheassignment.Allassignmentsaresubmittedonlineandthedateandtimeofsubmissionisrecordedbythesystem.
Studentsarereferredtothedocument“WOCInstituteGuidelinesforPreparingAssignments”availableonlineintheWOC-EPareaforinformationregardingacceptableAPAformatting.AllassignmentsMUSTbecompletedusingAPAsixtheditionformatting.MarkswillbedeductedforinappropriateAPAformatting.
LengthandFormatofAssignments
AllwrittenmaterialsmustbesubmittedinMSWORD.Nootherformatwillbeacceptedorgraded.AllassignmentsmustbereferencedusingAPAformatting.OWLOnlineWritingLabisausefulresource.
https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_style_introduction.html
Studentsarerequiredtoadheretotheassignmentguidelinesforstyle,lengthandformat.Assignmentsrequiredtobeintableformatmustbesubmittedintableformat.
Assignmentsfoundtobeinvariancetotherequestedformator10%longerthantheguidelineswillnotbemarkedandwillbereturnedtothestudentasafailedassignment.Thestudentwillbeallowedtwoweekstoresubmittheassignment.Themaximumgradepossibleforafailedassignmentis70%.
Extensions
NOTE:Onlyone(1)extension(seebelow)maybegrantedperacademiccourse,atthesolediscretionoftheAcademicAdvisorinconsultationwithWOCInstituteChair.Anextensionwillnotbegrantediftherehasalreadybeenanextensiongrantedforthecourse.
Thedatesforsubmissionofassignmentsarespecifiedinthecourseschedule.ExtensionsmayonlybegrantedbytheAcademicAdvisor.Arequestforan
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extensionmustbesubmittedatleastone(1)weekinadvanceoftheassignmentduedate.Lastminuteextensionsarerarelygrantedexceptinexceptionalcircumstances.
DelayinSubmittinganAssignment
Forunauthorizeddelaysinsubmittinganassignmentthestudentwillreceivea10%penaltydeductionforeachday(24-hourperiod)lateupto120hours(5days).After120hours,thegradewillautomaticallybe0%andthestudentwillbeinthepositionofhavingfailedtosubmitanassignment.See“FailuretoSubmitanAssignment”below.
FailuretoSubmitanAssignment
Allassignmentsaremandatory.Therearenoexceptionstothisrule.Thefailuretosubmitanassignmentwillresultinautomaticzeroontheassignmentandresultinfailureofthecourse.
FailureofanAssignment
Studentswhoachievelessthan70%onanassignmenthavefailedtheassignment.Ifstudentsfailanassignmenttheyhaveseveraloptions:
• Studentsmaychoosetoletthegradestandasisandmaycontinuewiththecourse.Inordertopassthecourse,thestudentmusthaveanoverall70%averageinboththetheoryandclinicalpreceptorshipportionsofthecourse.
• Studentsmayre-writeuptooneassignmentpercourse.Studentsmaynotobtainmorethan70%onare-writtenassignment.Ifastudentchoosestore-writeanassignment,theywillnolongerbeeligibleforacademicachievementawardsrelatedtothecourse.
• Studentsmustdecideimmediatelyafterreceivingafailinggradeiftheywishtore-writetheassignment.Requeststore-writetheassignmentmustbesubmittedinwritingtotheAcademicAdvisorpriortothereturnofassignments.
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Failedassignmentswillnotbereturnedifthestudentoptstore-writetheassignmentuntilaftertheassignmenthasbeenre-submitted.TheAcademicAdvisorwillprovideasummaryofissuesrelatedtotheassignmentandwheremarkswerelostonthegradingrubric.Shouldthestudentchoosetore-writeafailedassignment,theymustadvisetheAcademicAdvisorimmediatelyandwillhavetwoweekstoresubmittheassignment.Theassignmentwillagainbemarkedoutof100.Themaximumgradearewrittenassignmentwillbeawardedis70%.Ifthestudent’sassignmentstillreceiveslessthan70%thestudentmayremaininthecourseandproceedtoclinicalpreceptorshiponlyIFtheymaintainanoverall70%averageinthecourse.Studentsmayonlyrewriteoneassignmentpercourse.
Studentswhofailtoachievea70%averageinacoursewillhavefailedthecourse.Studentswhofailacoursewillhavetheoptiontoredothecourseatalaterdate.Thestudentwillberequiredtoredoallelementsofthecourse(includingpreceptorship)andrepaythetuitionfees.
Thestudentwillneedtoconfirmtheirintenttoredothecoursefourweeksbeforethestartdateofthecourse.Admissiontoacourseisnotguaranteed.Ifthecourseisfull,thestudentwillbenotifiedofthenextpossibleopening.Iftheyareunabletocompletetheprogramwithintwoyearsoftheirstartdatetheywillnotgraduateandwillneedtoreapplytotheprogram.
StudentsareonlypermittedtorepeatacourseONEtime.Asecondfailurewillresultinfailureoftheprogram.
RemarkingofAssignments
Assignmentsmayberemarkedunderexceptionalcircumstances,whenthestudentpresentsalegitimatecaseforremarking.ThedecisiontoallowaremarkingoftheassignmentrestssolelywiththeAcademicAdvisorinconsultationwiththeWOCInstituteChair.
Studentswhowouldliketohaveanassignmentre-marked,mustsubmitawrittenrequestincludingrationaleforthere-mark,totheAcademicAdvisor
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withinoneweekoffailinganassignment.Onlyfailedassignmentsmaybere-marked.
Ifthestudentisgrantedanassignmentre-marktheAcademicAdvisorwillforwardtheassignmentwithoutanypersonalidentificationortheinitialmarkingtotheWOCInstituteChair.TheChairwillforwardtheassignmenttoanewindependentmarkerwithoutthestudent’snameororiginalmark.Thenewmarkprovidedbytheindependentmarkerwillbethefinalmark.
DiscussionForums
AllDiscussionForumsarecompulsory.Therearenoexceptionstothisrule.ThepurposeoftheDiscussionForumistopromoteprofessionalcollaborationbetweenstudentsregardingavarietyoftopicsthatwillbeassignedbytheAcademicAdvisoroneweekpriortotheopeningofthediscussion.DiscussionForumsareheldforfivedays.
Thestudentisexpectedtoparticipatewithintheirassignedtopicthreadthreeoutoffivedays(excludingtheintroductionandsummary),andcontributetootherdiscussiontopicsaminimumof3outof5daysthattheforumisopen.
TheAcademicAdvisorwillassessthecontributionsofeachstudentusingtheDiscussionForumrubricandassignamarkoutof100.EachDiscussionForumcontributesapercentagetothefinalacademicmark.Studentsareexpectedtodemonstratecriticalthinkingthatisevidencebasedandreferenced.PlagiarismwithintheDiscussionForumwillnotbetolerated
Gradingwillbecompletedandpostedinthegradebookwithin4weeksoftheclosureoftheDiscussionForum.
ExemptionfromaDiscussionForum
ThedatesandtimesfortheDiscussionForumarespecifiedinthecourseschedule.Astudentmay,inspecialcircumstancesbeexemptedfromtheDiscussionForumandrequiredtocompleteanassignmentinlieuofparticipation.ThedecisiontoallowanexemptionisatthesolediscretionoftheAcademicAdvisorinconsultationwithWOCInstituteChairandmustbe
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arrangedatleastoneweekbeforethestartoftheDiscussionForum.Only1exemptionorextensionmaybegrantedpercourse.
FailuretoParticipateintheDiscussionForum
Failuretoparticipateinadiscussionforumormakeprearrangementsforanexemptionwillresultinautomaticzeroontheforum.Studentsareencouragedtopayattentiontothedateandtime(hourandtimezone)forumswillopenandclose.Studentsmustmaintaina70%inacourseinordertopassthecourseandcontinuetotheclinicalpreceptorship.
FailureoftheDiscussionForum
StudentswhofailaDiscussionForumwillbepermittedtocontinueinthecoursebutmustachieveanaverageof70%fortheoreticalpartofthecoursetopassthecourse.Theywillnothavetheoptiontocompleteanassignmentinlieuofafaileddiscussionforum.
FinalCourseQuiz
EachcourseincludesaFinalCourseQuiz.ThepurposeoftheFinalCourseQuizistoconfirmthatthestudenthaslearnedkeyprinciplesandcontentofthecourse.
CompletionoftheFinalCourseQuiziscompulsory.Therearenoexceptionstothisrule.EachstudentmaymakeonlyoneattemptattheFinalCourseQuiz.Studentsareencouragedtopayattentiontothedateandtime(hourandtimezone)quizwillopenandclose.
FailuretoAttempttheFinalCourseQuiz
ThedatesfortheFinalCourseQuizarepostedinthecourseschedule.ThefailuretoattempttheFinalCourseQuizmayresultinautomaticdismissalfromthecourse.
Studentsdismissedfromthecoursehavetheoptiontoredothecourse.Thestudentwillberequiredtoredoallelementsofthecourseandrepaythefee.Thestudentwillneedtoconfirmtheirintenttoredothecourse4weeksbeforethestartdateofthecourse.Readmissiontoacourseisnotguaranteed.Ifthecourseisfull,thestudentwillbenotifiedofthenext
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possibleopening.Iftheyareunabletocompletetheprogramwithintwoyearstheywillnotgraduateandwillneedtoreapplytotheprogram.
FailuretoCompletetheFinalCourseQuizDuetoaSystemsIssue
IntheeventofasystemfailureintheWOCInstituteEducationPlatformduringthetimethestudentisattemptingtheFinalCourseQuiz,thestudentmustimmediatelynotifytheAcademicAdvisorandtheWOC-EPChairchair@wocinstitute.cawhowillevaluatethesituationanddeterminetheproblem.ArewritemaybepermittedatthesolediscretionoftheAcademicAdvisorinconsultationwiththeWOCInstituteChair.
FailureoftheFinalCourseQuiz
Studentswhofailthecoursequizwillnotfailthecourse,buttheymustachieveanoverallcourseaverageof70%.Ifthequizfailurereducestheircourseaveragebelow70%theywillhavefailedthecourseandwillhavetore-takethecourseinordertocompletetheprogram.
Readmissiontoacourseisnotguaranteed.Ifthecourseisfull,thestudentwillbenotifiedofthenextpossibleopening.IftheyareunabletocompletetheprogramwithintwoyearstheywillnotgraduateandwillIfastudentwishestochallengetheirmarkonaquizquestionthismustbedonewithin5businessdaysoftheendoftheQuizweek.TheymustsendanemailtotheWOCInstituteChairandAcademicAdvisorstatingthequestionandidentifyingthechapterandpageofthetextorjournalarticlefromwhichtheirchallengestemsneedtoreapplytotheprogram.
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ClinicalPreceptorshipExperiencePurpose
Toassistthestudenttoplanaclinicalpreceptorshipthatwillmeettheirlearningneedsandprogramrequirements.
CONTACTS:
NicoleDenis,PreceptorshipManager
CanadianPlacementCoordinator[French][email protected]
VictoriaWallace
CanadianPlacementCoordinator[English][email protected]
VictoriaMcCallum
CanadianPlacementCoordinator[English][email protected]
PreceptorshipisanessentialandcompulsorycomponentoftheWOCInstitute,Wound,Ostomy&ContinenceEducationProgram.
Eachclinicalcourse:OstomyManagement,ContinenceManagement,andWoundManagementrequire10days(75hours)ofpreceptorship(225hourstotal).Thepreceptorshipandassociatedlearningactivitiesareworth20%ofyourfinalmarkpercourse.
Therearenoexemptionspossibleforpreceptorships.TheclinicalpreceptorshipisMANDATORYandstudentsmustPASSthepreceptorship(achieveatleasta70%)inordertopassthecourseeveniftheyobtaingreaterthan70%inthecourse.
Theclinicalpreceptorshipallowsthestudenttointegratenewlyacquiredknowledgeandapplyittotheclinicalsetting.Theoverallgoaloftheclinicalpreceptorshipistofacilitatetheapplicationofknowledgeintopractice.ThePreceptorshipis225hoursinlength,whichisdividedinto75-hourblocks,tobetakenattheendofeachclinicalcourse(Ostomy,ContinenceandWound).
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ThePreceptorManagermustapproveallplansforpreceptorshipspriortothebeginningofeachclinicalplacement.Anunauthorizedpreceptorshipwillnotbevalid.
AllpreceptorshipplacementsmustbesupervisedbyaNurseSpecializedinWound,Ostomy&Continence(NSWOC)oranotherclinicalexpertapprovedbytheWOCInstitutetobeaPreceptor.ThePreceptorManagerhassoleauthorityfortheapprovalofpreceptorshipplans.
PreceptorsareexperiencedNSWOCs,othernursespecialistsoralliedhealthcareprofessionalswhomeettheestablishedcriteriaarticulatedbytheWOCInstitute.TheymusthavecompletedaWCETaccreditedEnterostomaltherapy/WOCnursingprogram,orotherspecialistcertificationsandhaveaminimumof2yearsrecentclinicalexperience.PreceptorsincludeclinicalexpertssuchasNurseContinenceAdvisors,Physiotherapists,andAdvancedPracticeNursesinWoundManagement.
Preceptorsworkinavarietyofsettingsincludingteachinghospitals,communityhospitals,clinics,long-termcarefacilitiesandhomehealthsettings.Tobeapprovedasapreceptortheymustbeabletoprovidespecificlearningopportunitiesforstudents.
Itisstronglyrecommendedthatatleast100/225hoursbeacquiredinahospitalsetting.Notalllearningopportunitieswillbeavailableineachsettingandstudentsareencouragedtoplanavarietyofexperiencesthroughouttheprogram.Studentsmayarrangetohaveseveraldifferentpreceptorsforeachcoursetoallowforagreaterdepthofclinicalexperienceandtoexperienceworkingwithvariousexpertsinthefield.
AllpreceptorsMUSTbeapprovedbythePreceptorManagerwithNOexceptions.FailuretoobtainapprovalfromthePreceptorManagerwillresultintheneedtorepeatthepreceptorship.TheWOCInstituteinsurancewillnotcoverstudentswhodonothaveapprovalfromthePreceptorManagerfortheirpreceptorplacement.
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Studentswhofailtomaintainanaverageof70%forthetheoryinthecoursemaynotbeallowedtostarttheirPreceptorship.Ifastudentwishingtostartaclinicalpreceptorshiphasacourseaverageofbelow70%,theAcademicAdvisorinconsultationwiththePreceptorManagerandtheClinicalPreceptorwilldetermineifthestudentmaybegintheirclinicalpreceptorship.
TheWOCInstitutehasalegalresponsibilitytoensurethatallstudentsmeetthefollowingpre-requisitespriortoanyplacements,byhavingthesedocumentsineachWOCstudent’sfile.Thisholdstrueevenifyouaredoingyourclinicalplacementinyourplaceofemployment.
YoumustdownloadthefollowingWOCInstitutepre-requisitesinyourstudentfilePRIORtorequestingaplacement.
Youareresponsibleforanycostsassociatedwithanypre-requisites.
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OccupationalHealthandInfectiousDiseaseRequirements
PreclinicalPlacementRequirementsforWOC-EPStudents(AppendixA)outlinesimmunizationandotheroccupationalhealthrequirementsthatWOC-EPstudentsneedbeforetheybeginanyclinicalplacementinahealthfacilitythroughouttheWOC-EPprogram.
Themedicalliteraturedocumentsthepotentialforhealthcareworkerstoacquireinfections,bothinandoutsidetheworkplace,andforthemtotransmitinfectiontopatients,co-workers,andfamilymembers.1,2,3,4Theseinfectionsmaybespreadthroughtheairborneroute(e.g.tuberculosis,varicella,measles),droplets(e.g.respiratorysyncytialvirus,influenza,rubella,pertussis),contact(e.g.hepatitisA,groupAstreptococcus),andmucosalorpercutaneousexposure(e.g.hepatitisBandC,HIV).5Themajorityofthesevaccinepreventableinfectionsmaybetransmittedfromperson-to-person.Withthatinmind,boththeSteeringCommitteeonInfectionControlGuidelinesandtheNationalAdvisoryCommitteeonImmunizationhaveprovidedrecommendationsforhealthcareworkerimmunization.5
Thefollowingforms(AppendixB)(WOC-EPStudentImmunizationRecordandMandatoryTuberculosisSkinTest)aretobecompletedbyahealthcareprofessional(physician,nursepractitioner,publichealthnurseorpharmacist)priortocommencementofclinicallearningexperiences(WOC-EPpreceptorships).Itisadvisedthatallimmunizationsbeup-to-datebeforestartingtheprogramassomeimmunizationschedulestakeseveralmonthstocomplete.Pleasereadtheformcarefullyastherearedifferentdocumentationrequirementsforsomeofthediseases.Studentswillberequiredtocomplywithallrequestsfordocumentation.Studentsmustpresentthecompletedforms(AppendixB)totheWOCInstituteadministrativeassistantpriortostartingtheprogram.Itisthestudent’sresponsibilitytoensurethatthroughouttheprogramrecordsarekeptuptodate.1. HealthCanada.Preventionandcontrolofoccupationalinfectionsinhealthcare.CCDR2002;28S1.2. SepkowitzK.A.Occupationallyacquiredinfectionsinhealthcareworkers.Part1.AnnInternMed1996;125:826-34.3. SepkowitzK.A.Occupationallyacquiredinfectionsinhealthcareworkers.PartII.AnnInternMed1996;125:917-28.4. PattersonW.B.,CravenD.E.,SchwartzD.A.,NardellE.A.,KasmerJ.,NobleJ.Occupationhazardstohospitalpersonnel.AnnInternMed1985;102:658-80.5. HealthCanada.Routinepracticesandadditionalprecautionsforpreventingthetransmissionofinfectioninhealthcare.CCDR1999;25S4.
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MandatoryImmunizationrecords
TuberculosisScreeningRequirementswithinthePAST12MONTHSScenarioA:Providerecordsof2-stepTuberculinSkinTest(TSTorMantoux)
onboardingandsubsequentannualuninterrupted1-stepmaintenancetests.Ifunabletoprovidepartoralloftheserecords,proceedtoPartA.
ScenarioB:ProviderecordsofapreviousBCGvaccine(priorto2007).Ifyoureceivedthisvaccine,youdonotrequireanyadditionalscreening.
ScenarioC:Ifyouhadadocumentedseverereaction(e.g.necrosis,blistering,anaphylacticshock,orulcerations)totheTuberculinSkinTest(TSTorMantoux),adocumentedpositiveresult,orhavereceivedprevioustreatmentforactiveorlatentTuberculosis,proceedtoPartB.
PARTA-A2-steponboardingTuberculinSkinTest(TSTorMantoux)isrequiredifarecordofaprevious2-steponboardingisnotavailableorsubsequentannual1-stepmaintenancedoseshavebeenmissed.
PARTB-ProvidereportofachestX-Raytakenwithinthepast12months.
MANDATORYMeasles,Mumps,RubellaRequirements
Pleasenotethemandatory2-stepTuberculinSkinTestshouldbedone4-6weeksbefore/aftertheadministrationofanMMR.
ProvidedocumentationrecordoftwoMMRvaccinationsatleastonemonthapartreceivedwithinthePASTTWENTYYEARS.
OR
Ifyouareunabletodocument2MMRvaccinations,documentationofaboosterisrequired.
OR
Provideaserologyreportdemonstratingimmunity.
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MANDATORYVaricella(ChickenPox/Shingles)Requirements
withinthePASTTWENTYYEARS
Providedocumentedhistory,byaphysician,ofVaricella(ChickenPox/Shingles).
OR
Ifhistoryisuncertain,provideaSerologyreportdemonstratingimmunitytonaturallyacquiredVaricella.Pleasedonotorderserologyifyouarevaccinatedorwillbevaccinated.
OR
ProvidedocumentationrecordoftwodosesofVaricellavaccinationgivenatleastonemonthapart.Pleasedonotorderserologyaftervaccination.
MANDATORYHepatitisBRequirements(PARTA)withinthePASTTWENTYYEARS
ProvidedocumentationofHepatitisBvaccinationseries(3Doses).AND
HBsAb(Anti–HBs)Serologyreportdemonstratingimmunitytakenatleast4-8weeksafterimmunization.
IfSerologyresultsaboveshowyouarenotimmunetoHepatitisB,itismandatorytocompletePartBbelow.
HepatitisBRepeatSeries(PARTB)
TobecompletedifserologyresultsinPARTAsignifynon-immunity
ProvidedocumentationofDose1RepeatSeries
Serologymaybetakenonemonthafterfirstdoseofrepeatseriestoassessimmunityiforiginalserieswascompletedmorethan6monthsbeforeanegativeHBsAbserology.
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Ifserologyresultsstilldemonstratenon-immunity,providedocumentationofDose2andDose3oftheRepeatSeries.
AND
RepeatHBsAbSerologyreporttodemonstrateimmunity;takenatleast4-8weeksafterimmunization.
MANDATORYTetanus,PertussisandDiphtheriaRequirementswithinthePASTTENYEARS
Providedocumentationoftetanus,diphtheriaandpertussisvaccine,(e.g.Adacel™orBoostrix™).
RECOMMENDEDFLUVaccinationwithinthePAST12MONTHS.Ifyoudeclinethefluvaccine,thereisnoguaranteethatyouwillbeaccommodatedforplacementduringfluseason.
Providedocumentationofmostrecentannualfluvaccination.
REQUIREDPolio
MANDATORYifyoulivedorvisitedacountryinwhichtherehasbeenarecentPoliooutbreak.ProvidedocumentationofPrimarySeries.
PolicerecordCheckandVulnerableSectorCheck
APoliceRecordCheck(PRC)willdetermineifyouwerechargedandconvictedofacrime.AVulnerableSectorCheck(VSC)willdetermineifyouhavearecordorsuspension(pardon)foroffensesrelatedtoavulnerablepopulation.
Avulnerablepersonisdefinedasaperson(childoradult)who,becauseoftheirage,disability,orothercircumstances,whethertemporaryorpermanent,are(a)inapositionofdependenceonothersor(b)areotherwiseatagreaterriskthanthegeneralpopulationofbeingharmedbyapersoninapositionorauthorityortrustrelativetothemWOC-EPstudentswillprovidebothaPRCandaVSC.
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APRCandVSCarevalidfor12months.Ifyouhavenotcompletedallyourpreceptorshipswith12monthsoriftheplacementsiterequiresanupdatedcheckwithin6months,youmustsignawaiverprovidedbyyourPlacementCoordinator.
APRCandVSCareavailablefromtheRCMP,ProvincialandLocalPoliceDepartment.
Atsomeplacementlocations,studentsmustsubmitaletterofgoodstanding.ThisisavailablefromWOCI’[email protected].
StudentsrequestingaPRCandVSCfromtheTorontoPoliceDepartmentrequireaspecialformwhichcanbeobtainedfromaplacementcoordinator.
StudentsareresponsibleforthecostofthePRC/VSC.
CardiopulmonaryResuscitation
YoumustprovideacertificateshowingyouhavecompletedtheCardiopulmonaryResuscitation[CPR]trainingwithinthepast24months.Ifthecertificateexpiresduringyourstudies,youareresponsibletoprovideanupdatedcertificateuponrequest.
Mask-fitTesting
YoumustprovideacertificateshowingacompletedMask-FitTestingwithinthepast24months.Ifthecertificateexpiresduringyourstudies,youareresponsibletoprovideanupdatedcertificateuponrequest.
PlacementApprovalProcess
YourPlacementCoordinatormustapproveALLplacementsbeforethestartdate.Placementsmaytake3monthsormoretofinalize.Delayedpre-requisiteswillrestrictyoufromcompletingyourplacementsinatimelyfashion.
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Therecommendedpreceptorshipdatesforeachsessionareinyourcourseschedulehowever,thepreceptorshiptimelinesareflexible.TheWOC-EPallows2calendaryears[24months]fromyourstartdatetocompleteallprogramrequirements–theoryandpreceptorship.
However,youmustcommunicateanyplanstodeferapreceptorshiptoyourPlacementCoordinatoratleast1weekbeforetheendofthatclinicalcourse.
Westronglyrecommendthatyouattendthepreceptorshipinformationsessionsatthestartoftheprogramandeachcourse.
Studentshouldselecttheirplacements(andpreceptors)fortheentreWOC-EPinthefirstfewweeksoftheOstomycourseandsubmittheplanetotheirplacementcoordinator.Datescanbeflexibleand/orchangedasyouprogressthroughtheprogram,butifplacementsandaffiliationagreementsarearrangedwellinadvance,mostdelaysanddisappointmentscanbeavoided.
AppropriatePreceptorsbyCourse
Ostomy
AppropriatepreceptorsfortheOstomyManagementcourseareNSWOCswhohaveanostomycomponentintheirpractice.Considerationmaybegiventospendingonetotwodaysintheoperatingroomviewinganostomyrelatedsurgeryand/oronetotwodaysinaGIUnitviewingproceduresand/oronedaywithasupplier/distributorofostomyrelatedproducts.
Continence
AppropriatepreceptorsfortheContinenceManagementcourseareNSWOCswhohaveacontinencecomponentintheirpractice,NurseContinenceAdvisors(NCA)orPhysiotherapistswhospecializeinpelvicfloorrehabilitation.Considerationmaybegiventospendingonetotwodaysintheoperatingroomviewingcontinencerelatedsurgeryand/oronetotwodaysintheurodynamicslaborspecializedurologyclinicviewingproceduresand/oronedaywithasupplier/distributorofcontinencerelatedproduct.
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Wound
AppropriatepreceptorsfortheWoundManagementcourseareNSWOCswhohaveawoundcomponentintheirpractice,AdvancedPracticeNursesorClinicalNurseSpecialistswhosefocusiswoundcareandwhohaveadvancededucationinthisarea,Physicianswhospecializeinwoundcare(e.g.dermatologists,plasticsurgeons,vascularsurgeons).Considerationmaybegiventospendingonetotwodaysintheoperatingroomviewingwoundrelatedsurgeryand/oronetotwodaysdayinavascularlaborspecializedwoundrelatedclinicviewingproceduresand/oronetotwodaysinaspecializedchiropodyclinicand/oronedaywithasupplier/distributorofwoundrelatedproduct.
StudentResponsibilities
Thestudentisresponsibleto:
• FindanappropriatePreceptor.PreceptorsarevolunteerClinicalFacultyanddonotreceivecompensationfromtheWOCInstitute.InviewofthistheWOCInstitutecannotguaranteetheiravailabilityatanyspecifictime.TheprocessofapprovalrequirescontactwiththePreceptorManagerandthecompletionofapplicationpaperwork.
• Developapreceptorshipplanbaseduponindividualidentifiedlearningneeds.
• Meettherequirementsofthepreceptor’spracticefacility.
TheStudentWill:
• Arrangetobeavailableforthedatesandtimesarrangedforthepreceptorship.
• Assumeallcostsassociatedwiththepreceptorship.
• Communicatethenames&datestothePreceptorManager.
• Arriveontimeandpreparedfortheclinicalday,ifthestudentislatetheymaybesenthomeandwillhavetomakeupthetimelost.
• WearandkeepvisibletheirWOC-EPstudentIDatalltimes
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DressCode
• Studentswilldressinanappropriateandprofessionalmanner.• Studentsareexpectedtoverifysitespecificdresscodewithpreceptors
priortostartingpreceptorship.• Yogapants,jeans,sweatpants,shortshortsareNOTappropriateattire.If
thestudentarrivesinappropriatelydressedtheymaybesenthomeandwillhavetomakeupanytimelost.
• StudentsmustweartheirWOC-EPnametagatalltimesduringclinicalpreceptorships.Studentsarediscouragedfromwearingexcessivejewelry.
CostofPreceptorship
ThecoursetuitionfeedoesNOTcoveranycostsassociatedwiththepreceptorship.Studentsareresponsibletoensurethatallpreceptorshipfeesarepaidinfull.Thecostvariesandisdeterminedbytheclinicalsettingandtheavailabilityofanapprovedpreceptor.
TheWOCInstitutemakesnoguaranteeofapreceptorbeingavailableinthestudent’sgeographicalarea.Studentsmayhavetotraveloutsidetheirgeographicalareaandareresponsibleforallcostsassociatedwiththepreceptorship.InabilitytotraveloutsidetheirowngeographicalareamaybegroundsforinadmissibilitytotheWOC-EP.
AdditionalRequirementsofthePreceptorship
ThePreceptorManagerwillassistthestudentwiththenegotiationofthecontractwiththeclinicalsetting(s).However,theclinicalsetting(s)mayhaveadditionalrequirementssuchasproofofnursingregistration,extramalpracticeinsurance,evidenceofrecentcriminalscreeningandcurrentimmunizations.TheserequirementsarenotwithinthejurisdictionorcontroloftheWOCInstituteandstudentsareadvisedtocheckfortheserequirementscarefullysoasnottolosetheireligibilityforplacement.Theclinicalsettinghastherighttoterminatethepreceptorshipforanyreason.
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Insurance
TheWOCInstituteprovidesliabilityinsuranceforstudents.ThePreceptorManager,uponrequestfromthefacilityorstudent,willprovideproofofinsurance.
WorkplaceSafetyandInsuranceBoard
Asanot-for-profitorganizationlocatedinOntario,NSWOCCandtheWOCInstitutecanofferWSIBcoveragefortheprovinceofOntarioonly.StudentsfromoutsideofOntariomustprovidetheirownWSIBcoverageandsignawaiverexemptingtheNSWOCCandtheWOCInstitutefromanyliabilityrelatedtoworkplacesafety.
ExemptionfromClinicalPreceptorship
Therearelimitedandspecificsituationsinwhichastudentisexemptfromclinicalpreceptorship.PleaseseeRecognitionofPriorlearningrequirements(AppendixD).
ClinicalPreceptorshipEvaluation,GradingandExtensions
Theclinicalpreceptorshipiscompulsory.Therearenoexceptionstothisrule.Thepreceptorevaluatesthestudent’sintegrationofknowledgeintopracticeandthestudent’sclinicalperformanceduringtheclinicalpreceptorship.Theclinicalevaluationformwillbecompletedbythepreceptorinconsultationwiththestudentandsubmittedonlinebythepreceptor.Itisthestudent’sresponsibilitytoensurethisisdoneinatimelyfashion,asfailuretoreceivethisevaluationwillimpactthetimelinessofcoursecompletionandthepostingofgrades.ThePreceptorManagerusesthisevaluationtocalculateamarkoutof100.Thisgradecontributesapercentagetothefinalacademicmark.
ExtensionorDeferralsoftheClinicalPreceptorship
Insomeinstances,studentsmayrequesttoextendordefertheclinicalpreceptorship.ThestudentmustcontactthePreceptorManageratleast1weekpriortotheendofthesession/coursetomaketherequest.Failingto
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contactthePreceptorManagertomakepriorarrangementsforanextensionorpostponementbeforetheendofthesession/coursewillresultinfailuretocompletethecourse.Studentswhofailacoursehavetheoptiontoredothecourse.Thestudentwillberequiredtoredoallelementsofthecourseandrepaythefee.Thestudentwillneedtoconfirmtheirintenttoredothecourse4weeksbeforethestartdateofthecourse.
FailureoftheClinicalPreceptorship
Shouldtheclinicalevaluationsubmittedbythepreceptor(s)belessthan70%thestudentmayberequiredtospendanadditionalamountofsupervisedclinicaltimeorrepeattheentireclinicalexperiencewithanotherpreceptor.ThisdecisionisatthesolediscretionofthePreceptorManagerinconsultationwiththeWOCInstituteChair.
Studentswhofailthepreceptorshiphavetheoptiontoredothepreceptorship.Thestudentwillberequiredtoredoallelementsofthepreceptorshipandrepaypreceptorshipfees.TheclinicalpreceptorshipisMANDATORYandstudentsmustPASSthepreceptorshipinordertopassthecourseeveniftheyobtaingreaterthan70%inthecourse.
Ifthestudentfailsthepreceptorshipasecondtime,thestudentmustrepeattheentirecourse.Thestudentwillberequiredtoredoallelementsofthecourseandrepaythetuitionfee.Thestudentwillneedtoconfirmtheirintenttoredothecourseandpayapplicabletuition4weeksbeforethestartdateofthecourse.Readmissiontoacourseisnotguaranteed.Ifthecourseisfull,thestudentwillbenotifiedofthenextpossibleopening.Iftheyareunabletocompletetheprogramwithintwoyearstheywillnotgraduateandwillneedtoreapplytotheprogram.
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ClinicalJournal
ThestudentwillcompleteaclinicaljournalthatwillbeevaluatedbythePreceptorManagerordelegate.Eachclinicaljournalisgradedoutof100.Thisgradecontributesapercentagetothefinalacademicmark.Passmarkis70%.
LengthandFormatofClinicalJournal
Studentsarerequiredtoadheretotheclinicaljournalguidelines.Theclinicaljournalhas2sections.Thefirstsectionisasummaryofclinicalactivitiesandmustbecompletedusingthelegendprovided.ThesecondsectionisapersonalreflectionandstudentsmustrespecttheWOCInstitute’sstyle,lengthandtableformat.Apersonalreflectionthatisfoundtobeinvariancetotherequestedformator10%longerthantheguidelineswillnotbemarkedandwillbereturnedtothestudent.ThestudentwillbeallowedoneweektoresubmittheClinicalJournal.Ifnotresubmittedwithinoneweekthestudentwillbegiven0%ontheClinicalJournalmark.
ExtensionsforSubmittingtheClinicalJournal
ThedateforsubmissionoftheClinicalJournalis2weeksafterthecompletionofthepreceptorship.Inextenuatingsituations,anextensionmaybegranted.Sinceeachstudentwillhaveavariablescheduledependingonthepreceptorshipdates,thestudentshouldcontactthePreceptorManageratleastone(1)weekbeforetheendofthepreceptorshiptonegotiateanextension.Lastminuteextensionsarerarelygrantedotherthaninexceptionalcircumstances.
DelayinSubmittingClinicalJournals
ForunauthorizeddelaysinsubmittingaClinicalJournal,thestudentwillreceivea10%penaltydeductionforeachdaylateupto120hours(5days).After120hours,thegradewillautomaticallybe0%andthestudentwillbeinthepositionofhavingfailedtheClinicalJournal.See“FailureofaClinicalJournal”below.
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FailuretoSubmitaClinicalJournal
ThefailuretosubmitaClinicalJournalortomakepre-arrangementsforanextensionwillresultinautomaticfailureoftheclinicaljournal.StudentsMUSTsubmitaclinicaljournalinordertopassthepreceptorshipportionoftheircourse.
FailureofaClinicalJournal
Ifastudentfailstoachievea70%ontheclinicaljournaltheywillhavetheopportunitytocompleteasecondjournalbutwillonlybeawardedamaximumof70%forarewrite.Studentsmayfailtheclinicaljournalandstillpassthecourseiftheirtotalpreceptorshipgradeisgreaterthan70%includingthejournalmark.
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WorkshopsinlieuofClinicalPreceptorship
StudentshavetheopportunitytocompleteWOC-Instituteapprovedworkshopsinlieuofclinicalplacementhours.Studentsmaycompleteamaximumofone(1)workshopandtheaccompanyingassignmentinlieuofclinicaldayspercourse(wound,ostomyorcontinence).
• Studentsmusthavecompletedaminimumofthreeweeksoftheorytoattendtheworkshops.Example:Toattendawoundrelatedworkshopthestudentmusthavecompleted3weeksofwoundtheory.
• StudentsmustcontactNicoleDenis([email protected])indicatingwhichworkshopstheywilltoattend,atwhichpoint,uponfeepayment($50.00perworkshop)theywillbegivenasectioninMoodlecontainingthepre-readings,assignmentsandfurtherinstructions.
• Studentsmustcompletethepre-readingpackagepriortoattendingtheworkshop.
• InordertoreceivethepreceptorcreditsstudentsMUSTcompletetheassociatedassignment.Assignmentswillbegradedoutof100andstudentswillneedtoachievegreaterthan70%ontheirassignmentinordertoreceivethepreceptorcredits.
• StudentsMUSTaccountfortheworkshopsintheirclinicaljournals
TheworkshopsinlieuofpreceptorshipisNOTcompulsory.Studentsmustcompletethepre-readings,attendtheworkshopandcompletetheaccompanyingassignmentinordertoreceivecreditforthetwo(2)daysofclinical.ThePreceptorManagerortheirdelegatewillmarkassignmentsoutof100.Thisgradecontributesapercentagetothefinalacademicmark.
Studentswhoachievelessthan70%willhavefailedtheassignment.Ifstudentsfailtheassignment:
• Studentsmayre-writeuptheassignmentonce.Studentsmaynotobtainmorethan70%onare-writtenassignment.Ifastudentchoosestore-writeanassignment,theywillnolonger
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beeligibleforacademicachievementawardsrelatedtothecourse.
• Studentsmustdecideimmediatelyafterreceivingafailinggradeiftheywishtore-writetheassignment.Requeststore-writetheassignmentmustbesubmittedinwritingtothePreceptorManagerpriortothereturnofassignments.
Failedassignmentswillnotbereturnedifthestudentoptstore-writetheassignmentuntilaftertheassignmenthasbeenre-submitted.ThePreceptorManagerwillprovideasummaryofissuesrelatedtotheassignmentandwheremarkswerelostonthegradingrubric.
Shouldthestudentchoosetore-writeafailedassignment,theymustadvisethePreceptorManagerimmediatelyandwillhavetwoweekstoresubmittheassignment.Theassignmentwillagainbemarkedoutof100.Themaximumgradearewrittenassignmentwillbeawardedis70%.
Ifthestudent’sassignmentstillreceiveslessthan70%thestudentmayremaininthecourseandproceedtoclinicalpreceptorshiponlyIFtheymaintainanoverall70%averageinthecourse.Studentsmayonlyrewriteoneassignmentpercourse.
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Wound,OstomyandContinenceInstituteCOMPASSStudentPortal
Beginningfallof2019,priortothestartoftermstudentswillbeprovidedwithausernameandpassword.ThiscanbeutilizedtoaccesstheWOCInstitutestudentportalavailableatwww.wocinstitute.ca.Thisportalprovidesstudentswithaccesstoimportantprograminformation,[email protected],easyaccesstotheinstitutelearningplatformforcourses,MicrosoftTeams,aswellasaccesstoonlineversionsofsoftwarewhichcanbeutilizedforcoursessuchasWord,PowerPoint,andExcel.
ItisthepolicyoftheWound,OstomyandContinenceInstitutethatstudents,onceprovidedwithausernameandpassword,accessthestudentportalthroughthewww.wocinstitute.cawebsitethroughthe“CurrentStudents”tab.Studentsshallthenlogintotheiraccountwiththetemporarypasswordprovidedandupdateittotheirownpersonalpasswordthattheyaretokeepinasecurelocation.Itisthestudent’sresponsibilitytofamiliarizethemselveswiththeCOMPASSportalandreviewtheOffice365TrainingCentertolearnmoreaboutanyprogramstheymaybeunfamiliarwithwhichcanbeaccessedat:https://support.office.com/en-ca/office-training-center.
Oncestudentshavebeenprovidedwithlogininformationforthestudentportalitisthepolicyoftheinstitutethat:
1. Studentsshallchecktheirstudentassignedemailaccountsregularlyasallofficialemailfromtheinstitutewillbesenttothestudents@wocinstitute.caemailwhichcanbeaccessedthroughthestudentportal.
2. Studentsshallsendallemailstoinstitutefacultythroughtheirstudent@wocinstitute.caemailaccounts.
Shouldthestudentwishtoaccesstheir@wocinstitute.caemailaccountwithoutaccessingthestudentportalandselectingthetiletotherightofthescreentitled“AccessCOMPASSWebmail”,theymayalsologindirectlybygoingtohttps://outlook.office.com/owa/intheirwebbrowserandloginusingtheirprovidedstudentcredentials.Studentsmayalsoaddtheiremail
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accountstotheirdevicessuchascellphones,throughaddinga“MicrosoftExchange”profileandutilizingyourstudentprovidedusernameandpasswordforthestudentportal.PleasenotethatyoumaywishtorefertoyourcellphoneprovidedforaddingaMicrosoftOutlookemailaccounttoyourdeviceasspecificsupportforthiscannotbeprovidedbytheinstitute.Forfurtherinformationonutilizingthe@wocinstitute.caemailaccountpleaserefertohttps://support.office.com/en-ca/office-training-centerandselectthe“outlook”iconintheleftcenterofthepage.
TheuseofMicrosoftTeamsisalsoencouragedtocontactAcademicAdvisorsandschedulemeetingstodiscusscoursecontentifrequired.StudentsmayalsoutilizeMicrosoftteamstodiscusscoursecontentwiththeirpeersandthesoftwarefeaturesprovideimprovedgroupprojectcollaboration,includingdocumentdevelopment,filesharing,teleconferencing,videoconferencing,whiteboardfeatures,etc.Shouldastudentbeinvitedtoavirtualmeetingeitheravideoorteleconference,throughMicrosoftTeamstheywillreceiveaninvitationintheirstudentemail.StudentsmaythenaccessMicrosoftTeamsforthemeetingthroughthestudentportalbyselectingthe“CommunicationandTeamwork”tile,clickingthelinkprovidedintheemailinvitation,orbydownloadingtheDesktopapplicationofTeamsat:https://products.office.com/en-us/microsoft-teams/download-app.
Shouldthestudenthaveatechnicalquestionrelatedtothestudentportal,orothertechnicalissuerelatedtotheWOCInstitutesuchasMoodle,courseregistration,etc.,theymayenteraHelpDeskTicketathttps://wocinstitute.freshdesk.comorrefertotheknowledgebase.
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GrievanceStudentsmayformallygrievemarks,penaltiesorotheracademicorclinicaloccurrences.Everyeffortwillbemadetoresolvethegrievancetothesatisfactionofbothparties.
ProcessStep1
ThestudentmustdiscusstheissuewiththeAcademicAdvisororPreceptorManager.
Step2
Ifthegrievanceisnotresolved,thestudentmaysubmitthegrievanceinwritingtotheWOCInstituteChair.Acleardescriptionofthegrievanceandofalltheattemptstoresolveitisrequired.TheWOCInstituteChairwillreviewthestudent’scasewiththeAcademicAdvisororPreceptorManager.
Step3
IftheWOCInstituteChaircannotresolvethegrievance,thestudentmayasktheWOCInstituteChairtosubmitthecomplaint,inwriting,totheWOCInstituteGrievanceCommittee.Thiscommitteewillnotreviewthecomplaintunlesstheprevioustwo(2)stepshavebeenfollowed.ThedecisionoftheGrievanceCommitteeisfinal.ThechairofthecommitteewillsubmitthedecisioninwritingtotheWOCInstituteChair.TheChairwillinformthestudentofthedecision.
TheWOCInstituteGrievanceCommitteeiscomprisedofthreeNSWOCCboardmembers,theNSWOCCExecutiveDirectorandanindependenthealthcareprofessionalwithexperienceinadulteducationattheuniversitylevelwhoisexteriortotheNSWOCCandWOCInstitute.
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DismissalfromtheProgram
Astudentmaybedismissedfromtheprogramifthestudent:
• Doesnotabidebytherulesofconductestablishedbytheprogram• Doesnotmeettheacademicexpectationsoftheprogram• Doesnotmeettheclinicalexpectationsoftheprogram• Failstocompletetheprogramwithintheestablishedtimeframes(2
yearsfromstartdate)• IsunabletoprovideproofofNursingLicensure.
Astudentmayonlyfailandrepeatonecourse(ostomy,continenceorwound).Iftheyfailmorethanonecoursetheywillbedismissedfromtheprogram.Theywillneedtoreapplytotheprogramandnocreditwillbegivenforworkpreviouslycompleted.Studentscanonlyrepeatacourseonetime.
Ifastudentistobedismissedfromtheprogram,theywillreceivealetterfromtheWOCInstituteChairoutliningthereasons.
Astudentdismissedfromtheprogramwillnotreceiveacertificateofcompletionorrefund.Theofficialtranscriptwillreflectthedismissalfromtheprogram.
WithdrawalfromtheProgramPurpose
Tooutlinetheprocessforwithdrawalfromtheprogram
Astudentingoodstandingwhowithdrawsfromtheprogrammayre-applywithintwo(2)calendaryearsfromtheoriginaladmissiondateandreceivecreditforcompletedcoursesoftheprogram.Studentsmustreapplyintotheprogram.
Studentsareexpectedtocompletetheprogramwithintwo(2)calendaryearsfromtheiroriginalstartdate.Coursesemestersareapproximatelythirteen(13)tosixteen(16)weeks.
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Astudentingoodstandingmaywithdrawfromacoursebutwillhavetoredotheentirecourseandrepaythetuitionfeesforthecourse.StudentsmustadvisetheWOCInstitute’sadministrationandtheAcademicAdvisorofthisdecision.Theymustalsoconfirmtheirintenttoenrollandpayallcoursefeesinthenextcourse4weeksbeforethestartdateofthecourse.
Spaceincoursesislimitedandthereisnoguaranteethatspacewillbeavailableinthenextavailablecourse.Studentsareencouragedtoapplyearlyiftheyarerepeatingordeferringacourse.
RefundsPurpose
Tooutlinetheprocessforrefunds
RefundsBeforetheProgramStarts
WrittennotificationofintenttowithdrawmustbereceivedbytheWOCInstituteAdministrator(email:[email protected])atleastfifteen(15)workingdayspriortothestartoftheprogramorcourse.
If15workingdaysnoticeareprovided,theWOCInstitutewillretaina$300.00administrativefeefromthecoursetuitionfeesandrefundthebalanceexcludingcostoftextbooks.
Ifwritten(email:[email protected])notificationofwithdrawalisreceivedlessthan15workdaysbeforethecommencementofanycourse,therewillbeNOrefunds.
RefundsaftertheProgramStarts
NOrefundswillbeissuedaftertheprogramstarts.
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RecognitionofPriorLearning
TheWOCInstituterecognizesthateducationattheleveloftheNSWOCgraduatecanoccuroutsideoftheWOC-EP.Recognitionofpriorlearning(RPL)isaprescribedprocesswhereinastudentacceptedintotheWOC-EP,whohasanextensivetheoreticalandclinicalbackgroundpriortostartingtheprogram,candemonstratethattheyhavealreadyachievedadvancedbeginnerlevelconsistentwithcompletionofaWOC-EPcourse(Ostomy,ContinenceorWound).ForfurtherinformationregardingtheRecognitionofPriorLearningprocesspleasecontacttheWOCInstituteChairchair@wocinstitute.ca
Itisarigorousassessment.IfsuccessfulindemonstratingthatthisleveloflearninghasbeenachievedoutsideoftheWOC-EP,theapplicantwillbegivencreditforthislearning,inthetheoreticaland/orclinicalportionofthecourse.
StudentsmustapplyforRPLpriortostartingtheWOC-EP.StudentsmustapplyandbeacceptedintotheWOC-EPandpayallapplicablefeespriortofilereview.Afeeof$250percoursebeingchallengedmustbepaidpriortofilereview.StudentswhoobtainRPLwillNOTbeeligibleforeducationalawards.
StudentswhoachieveRPLforthetheoryportionofthecourseandnottheclinicalcomponentmustcompleteaclinicalpreceptorshipandanadditionalfeeof$250percoursewillbeapplied.Studentswishingtoapplyforrecognitionofpriorlearningmustmeetthepre-determinedcriteriaSeeAppendixD.
AllindividualswishingtochallengeforRPLinanyWOC-EPcoursemustsubmitacurrentresumewhichincludesrelevantclinicalexperience,publications,presentationsatconferencesandanyotherleadershipactivities.
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LettersofReferenceTheWOC-Institutedoesnotprovidereferencesforstudents.
Academicinformationcanbeobtainedbythestudentintheformoftranscripts.Studentsrequestingtranscriptspost-graduationmustdosoinwriting,includingstudentnumberandyearofgraduationtotheWOCInstituteadministrationregistrar@wocinstitute.ca
StudentResponsibilityforPersonalInformationItisthestudent’sresponsibilitytoensurethatinformationprovidedtotheWOC-Instituteisuptodate,legibleandaccurate.Addressornamechangesmustbemadeassoonaspossible.TheWOC-Institutetakesnoresponsibilityforlost,stolenorotherwisedelayeddocumentsorcorrespondenceduetoincompleteorinaccurateinformationprovidedbythestudentordelegate.
NationalHealthcareDisastersInresponsetotherecentcoronavirusendemic,learninginstitutionsacrossOntariohaveinstitutedthepolicythatstudents(Nursing,Medical,andallotherHealthProviderstudents)willhaveNOcontactwithpresumedorconfirmed2019-nCoVpatients.
DespitethefactthatWOC-Institutestudentsarelicensedregisterednurses,theWOC-institutehastakenthedecisionthatwewillfollowtheOntariolearninginstitutionpolicyandincludeourstudentsinthe“nursingstudent”category.Thismeansthatourstudentsarenottobeinvolvedinthecareofpatientswithpresumedorconfirmed2019-nCoVpatients.
ThisincludesWOC-institutestudentswhoaredoingtheirclinicalplacementsattheirplaceofemployment.DuringthetimeoftheirplacementsthesenursesareWOC-institutestudentsandmustfollowtheWOC-institutepolicies.
TheWOC-institutewillcontinuetomonitorallhealthcaredisasters(epidemics,nationalhealthcareemergenciesetc.)andwillre-evaluatepoliciesasrequired.
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APPENDIXAppendixA:AdmissionsRubric
Student Name:
Requested Recognition of prior learning Yes or No
Wound Osotmy Continence
1. References
Appropriate References Yes /No
2. References: Scoring by referees (1) Scoring Rubric
Academic Potential 0= No basis for judgment
Writing Skills 1= Below Average
Computer and technology 2= Average
Leadership 3= Good(above average)
Judgement 4= Excellent top 10%
Ability to work independently 5= Best Known top 5%
Adaptability
Interpersonal relationships
Rapport with patients/clients/residents
Oral communicational and presentation skills
Overall rating
2. References: Scoring by referees (2)
Academic Potential Scoring Rubric
Writing Skills 0= No basis for judgment
Computer and technology 1= Below Average
Leadership 2= Average
Judgement 3= Good(above average)
Ability to work independently 4= Excellent top 10%
Adaptability 5= Best Known top 5%
Interpersonal relationships
Rapport with patients/clients/residents
Oral communicational and presentation skills
Overall rating
3. GPA (Grade Point Average)
0= < 2.00
1= 2.00 - 2.50 (C)
2= 2.51 - 3.00 (B)
3= 3.01 - 3.40 (B+)
4= 3.41 - 3.70 (A)
5= 3.71 - 4.00 (A+)
4. University Educational Background / Level
0= none provided
1= Bachelors, unrelated to nursing
2= Bachelors of nursing
3= Masters, unrelated to nursing
4= Masters of nursing
5= Doctorate (any)
5. Ostomy, Continence, Wound-related continuing education
0= None
1= Industry sponsored
2= Facility based in-services
3= Conferences
4= Certificate based programs
5= University based programs (IIWCC, Masters of Wound Healing Western etc)
6. Professional Memberships/Certifications in other practice areas
0= None
1= Non- Ostomy, Continence, Wound-related memberships
2= Non- Ostomy, Continence, Wound-related certifications
3= Ostomy, Continence, Wound-related memberships; local level
4= Ostomy, Continence, Wound-related memberships; provincial level
5= Ostomy, Continence, Wound-related memberships; national level
7. Volunteer Work-related to Ostomy, Continence, Wound
0= None
1= Non- Ostomy, Continence, Wound-related volunteer work
2= Ostomy, Continence, Wound-related volunteer work; local level
3= Ostomy, Continence, Wound-related volunteer work; provincial level
4= Ostomy, Continence, Wound-related volunteer work; national level
5= Ostomy, Continence, Wound-related volunteer work; international level
8. Publications
0= None
1= Non- Ostomy, Continence, Wound-related publications; non-peer reviewed
2= Ostomy, Continence, Wound-related publications; non-peer reviewed
3= Ostomy, Continence, Wound-related publications; peer reviewed (1 - 3 publications)
4= Ostomy, Continence, Wound-related publications; peer reviewed (4 - 6 publications)
5= Ostomy, Continence, Wound-related publications; peer reviewed (> 6 publications)
9. Conference Presentations (pick highest applicable level)
0= None
1= Non- Ostomy, Continence, Wound-related conference presentations
2= Ostomy, Continence, Wound-related conference presentations; local level
3= Ostomy, Continence, Wound-related conference presentations; provincial
4= Ostomy, Continence, Wound-related conference presentations; national
5= Any conference presentation; international
10. Awards and Recognitions
0= None
1= Industry sponsored
2= Facility-based / Local
3= University
4= Other Competitive Awards (e.g. Ostomy Canada, RNAO, Research Grants)
5= International
11. Supplemental Questionnaire/ Professional Goals
0= Poor
1= Below Average
2= Average
3= Good (above average)
4= Excellent
5= Highest
12. Demonstrated leadership in Ostomy, Continence, Wound (derived from
resume)
0= Poor
1= Below Average
2= Average
3= Good (above average)
4= Excellent
5= Highest
13. Relevant work experience with Ostomy, Continence, Wound (derived from
resume)
0= Poor
1= Below Average
2= Average
3= Good (above average)
4= Excellent
5= Highest
14. Letter of confirmation ETN/WOC job offer ** 20 points for guaranteed ETN / WOC employment
0= None
20 = Yes
15. Language proficiency (English or French)
0 = Neither
1 = Either
2 = Both
Overal impression score
Scoring Rubric
0= No basis for judgment
1= Below Average
2= Average
3= Good(above average)
4= Excellent top 10%
5= Best Known top 5%
Total Score:
Recommendation:
Completed by: Date:
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AppendixB:PreclinicalPlacementRequirementsPreclinicalPlacementRequirementsforWOC-EPStudents
ThisdocumentoutlinesimmunizationandotheroccupationalhealthrequirementsthatWOC-EPstudentsneedbeforetheybeginanyclinicalplacementinahealthcarefacilitythroughthecourseoftheprogram.
Themedicalliteraturedocumentsthepotentialforhealthcareworkerstoacquireinfections,bothinandoutsidetheworkplace,andforthemtotransmitinfectiontopatients,co-workers,andfamilymembers.7,8,9,10Theseinfectionsmaybespreadthroughtheairborneroute(e.g.tuberculosis,varicella,measles),droplets(e.g.respiratorysyncytialvirus,influenza,rubella,pertussis),contact(e.g.hepatitisA,groupAstreptococcus),andmucosalorpercutaneousexposure(e.g.hepatitisBandC,HIV).11Themajorityofthesevaccinepreventableinfectionsmaybetransmittedfromperson-to-person.Withthatinmind,boththeSteeringCommitteeonInfectionControlGuidelinesandtheNationalAdvisoryCommitteeonImmunizationhaveprovidedrecommendationsforhealthcareworkerimmunization.12
Thefollowingforms(WOC-EPStudentImmunizationRecordandMandatoryTuberculosisSkinTest)aretobecompletedbyahealthcareprofessional(physician,nursepractitioner,publichealthnurseorpharmacist)priortocommencementofclinicallearningexperiences(WOC-EPpreceptorship).Itisadvisedthatallimmunizationsbeup-to-datebeforestartingtheprogramassomeimmunizationschedulestakeseveralmonthstocomplete.Pleasereadtheformcarefullyastherearedifferentdocumentationrequirementsforsomeofthediseases.Studentswillberequiredtocomplywithallrequestsfordocumentation.StudentsmustpresentthecompletedformstotheWOC-EPadministrativeassistantpriortostartingtheprogram.Itisthe
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student’sresponsibilitytoensurethatthroughouttheprogramrecordsarekeptuptodate.
PleaseseebelowthelistofimmunizationrequirementsforWOC-EPstudents.Pleasehaveahealthcareprofessional(physician,nursepractitioner,publichealthnurseorpharmacist)completetheformindicatingyourpresentimmunizationstatus.PleasedoublecheckthattheformisfullycompletepriortosubmittingtotheWOC-EPadministrativeassistant.
Failuretocompletethisformwilldelayentranceintopreceptorshipsandpossibledelayyourcompletionoftheprogram.StudentsmayNOTenterclinicalpreceptorshipwithoutcompletionofthisform.Studentsareresponsibleforthecostsofvaccines,TBandbloodtests,ifapplicable.
1. HealthCanada.Preventionandcontrolofoccupationalinfectionsinhealthcare.CCDR2002;28S1.2. SepkowitzK.A.Occupationallyacquiredinfectionsinhealthcareworkers.Part1.AnnInternMed1996;125:826-34.3. SepkowitzK.A.Occupationallyacquiredinfectionsinhealthcareworkers.PartII.AnnInternMed1996;125:917-28.4. PattersonW.B.,CravenD.E.,SchwartzD.A.,NardellE.A.,KasmerJ.,NobleJ.Occupationhazardstohospitalpersonnel.AnnInternMed1985;
102:658-80.5. HealthCanada.Routinepracticesandadditionalprecautionsforpreventingthetransmissionofinfectioninhealthcare.CCDR1999;25S4.6. HealthCanada.CanadianImmunizationGuide.https://www.canada.ca/en/public-health/services/canadian-immunization-guide.htmland
https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-3-vaccination-specific-populations/page-11-immunization-workers.html
First Name (please type or print) Last Name (please type or print)
Date of Birth DD/MM/YY MANDATORY MMR Requirements Please note the mandatory 2-step TB skin test should be done 4-6 weeks before/after the administration of an MMR.
Documentation record of two MMR vaccinations at least one month apart
OR
DD/MM/YY
DD/MM/YY
If you are unable to document 2 MMR vaccinations a booster is required DD/MM/YY
MANDATORY Varicella (Chicken Pox/Shingles) Requirements
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Documented history of Varicella (Chicken Pox/ Shingles)? OR
If history is uncertain, attach serology report demonstrating immunity to naturally acquired Varicella. Please do not order serology if student is vaccinated or will be vaccinated. Documented record of two doses of Varicella vaccination given at least one month apart. Please do not order serology after vaccination.
DD/MM/YY DD/MM/YY
MANDATORY Tetanus, Pertussis and Diphtheria Requirements Documentation of dose of tetanus, diphtheria and pertussis vaccine, administered within the PAST TEN YEARS (e.g. Adacel™ or Boostrix™). Please provide a booster if needed.
DD/MM/YY
MANDATORY Hepatitis B Requirements (PART A) Documentation of Hepatitis B vaccination series (3 Doses)
AND
DD/MM/YY DD/MM/YY DD/MM/YY
HBsAb (Anti –HBs) Bloodwork Titre Level Result -taken at least 4-8 weeks after immunization. (Please attach copy of Serology lab report results)
Results DD/MM/YY
If titre results above show you are not immune to Hepatitis B, it is mandatory to complete Part B (see below Hepatitis B Repeat Series (PART B) To be completed if tire results in PART A signify non-immunity Dose of 1 Repeat Series DD/MM/YY Serology may be taken one month after first dose of repeat series to assess immunity if original series was completed more than 6 months prior to a negative HBsAb test. Dose of 2 Repeat Series DD/MM/YY Dose of 3 Repeat Series DD/MM/YY Repeat HBsAb (Anti –HBs) Bloodwork Titre Level Result – taken at least 4-8 weeks after immunization. (Please attach copy of Serology lab results)
Results DD/MM/YY
RECOMMENDED Annual FLU Vaccination Date of most recent annual flu vaccination DD/MM/YY Polio MANDATORY if lived/ visited a country in which there has been a recent Polio outbreak. Documentation of Primary Series DD/MM/YY NameofHealthcareProfessionalorPublicHealthOfficial PhoneNumber
DD/MM/YYSignature Date
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https://cdn.dal.ca/content/dam/dalhousie/pdf/healthprofessions/School%20of%20Nursing/Clinical/Immunization%20Form%20Updated%202018.pdf
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AppendixC:ApplicationtoGraduateYoumayhavecompletedyourstudies,butyouwillstillhavetomakeaformalapplicationtograduate.OnthispageyouwillfindinstructionsonhowtosuccessfullycompletetheApplicationtoGraduate(A2G)process.Itisimportanttofolloweachsteplistedinorderonthispage.CompletionofanApplicationtoGraduatedoesnotguaranteetheawardingofadiploma/certificate.***New***StartingwithCOHORT25.InordertograduatestudentsmustprovideproofofregistrationfortheCanadianNursesAssociation(CNA)Wound,OstomyandContinence(WOCC(C))certificationexam.Allapplicationsaresubjecttoacademicreviewbythefacultyorschool,andapprovalbytheWOC-EPChair.***InordertoattendtheconvocationgraduatesmustregisterfortheNSWOCCconference.Fullconferenceorone-daySaturdayregistrationisrequired.Astudent/newgraduatediscountwillapply.Graduatesmaypurchaseadditionalbanquetticketsiftheywouldlikefamilymemberstoattendthebanquet/convocation.***Step1:Applicationtograduateapplicationwindow:StudentswillemailtheircompletedformnolaterthanMarch1steachyeartotheWOCInstitute’[email protected]:Tosuccessfullyapplyforgraduation,youwillneedtohavemetalloftheacademicrequirementsfortheprogram.Ifyourequireassistanceinmeetingtheserequirements,youwillneedtospeaktotheWOCInstitute’sExecutiveAssistantSuzanneSardaregistrar@wocinstitute.caorWOCInstitute’sChairKimberlyLeBlanc([email protected]).
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Onceyouareconfidentthatyouhave,orwill(byMay1,2019),satisfytherequirementsforthediploma/certificateyouwishtoreceive,youcanbegintheApplicationtoGraduateprocess.Step3:Studentswillcompleteandsignthe“ApplicationtoGraduate”form.EnsurethatyournameisspeltEXACTLYhowyouwantittoappearonyourgraduationdiploma/certificate.Step4:StudentswillemailtheircompletedformandindicateiftheywillattendconvocationnolaterthanMarch1,totheWOCInstitute’sExecutiveAssistantatregistrar@wocinstitute.ca.ConvocationwilltakeplaceSaturdayevening,oftheannualNSWOCCconference.Step5:Ifyouareonthefinalconvocationlist,andselected‘maildiploma’whenyouappliedtograduate,yourdiplomawillbeshippedtoyourprimaryaddressaslistedwiththeWOCInstitutethreetofourweeksafteryourceremony.Pleaseensureyouraddressisup-to-date(includingyourphonenumberasthisisamailingrequirement).ImportantNotice:AspertheWOCInstitutespolicyonStudentDebtors;ifyouhaveanoutstandingdebttotheWOCInstituteorNSWOCCyourdiploma/Certificatewillnotbeprinted.Onceyouclearyourdebt,youmaycontacttheWOCInstitute’sExecutiveAssistantatregistrar@wocinstitute.catorequesttohaveitprinted.SeetheApplicationtoGraduate(APG)formbelow
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ApplicationtoGraduate(APG)NameEXACTLYasyouwouldliketoittoappearonyourdiploma/certificateFirstName: FamilyName: StudentID#: MailingAddress: City,Province: PostalCode: Telephone#: EmailAddress: WillyoubeattendingconvocationduringtheannualNSWOCCConference?Yes NoSignature: Date:***InordertoattendtheconvocationgraduatesmustregisterfortheNSWOCCconference.Fullconferenceorone-daySaturdayregistrationisrequired.Astudent/newgraduatediscountwillapply.Graduatesmaypurchaseadditionalbanquetticketsiftheywouldlikefamilymemberstoattendthebanquet/convocation.Pleasenote,thisapplicationformwillnotbeconsideredcompleteuntilyouhavereceivedaconfirmationemailfromtheExecutiveAssistant.PleasesendproofofregistrationfortheCNACertificationExamwiththeletterofintent.
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AppendixD:RecognitionofPriorLearningTheWOCInstituterecognizesthateducationattheleveloftheNSWOCgraduatecanoccuroutsideoftheWOC-EP.Recognitionofpriorlearning(RPL)isaprescribedprocesswhereinastudentacceptedintotheWOC-EP,whohasanextensivetheoreticalandclinicalbackgroundpriortostartingtheprogram,candemonstratethattheyhavealreadyachievedadvancedbeginnerlevelconsistentwithcompletionofaWOC-EPcourse(Ostomy,ContinenceorWound).ForfurtherinformationregardingtheRecognitionofPriorLearningprocesspleasecontacttheWOCInstituteChairchair@wocinstitute.ca
Itisarigorousassessment.IfsuccessfulindemonstratingthatthisleveloflearninghasbeenachievedoutsideoftheWOC-EP,theapplicantwillbegivencreditforthislearning,inthetheoreticaland/orclinicalportionofthecourse.
StudentsmustapplyforRPLpriortostartingtheWOC-EP.StudentsmustapplyandbeacceptedintotheWOC-EPandpayallapplicablefeespriortofilereview.Afeeof$250percoursebeingchallengedmustbepaidpriortofilereview.StudentswhoobtainRPLwillNOTbeeligibleforeducationalawards.
StudentswhoachieveRPLforthetheoryportionofthecourseandnottheclinicalcomponentmustcompleteaclinicalpreceptorshipandanadditionalfeeof$250percoursewillbeapplied.Studentswishingtoapplyforrecognitionofpriorlearningmustmeetthepre-determinedcriteria.
AllindividualswishingtochallengeforRPLinanyWOC-EPcoursemustsubmitacurrentresumewhichincludesrelevantclinicalexperience,publications,presentationsatconferencesandanyotherleadershipactivities.
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WoundCareDidacticWoundCourseRPLcouldbegivenfortheTHEORETICALportionofacoursetothosewhohavecompletedoneoftheprogramslistedbelow.OthernationalorinternationalwoundcareprogramsmaybeconsideredifthestudentisabletodemonstratethatthekeyNSWOCcompetenciesandlearningobjectivesweremetintheprogram.Transcriptsfromtheprogramcompletedarerequired.Ifsuccessful,studentswouldbegivencreditforthedidacticportionoftheWOC-EPWoundCourse,howevertheywouldberequiredtocompletethepreceptorshipprogram.
1. MasterofClinicalScienceinWoundHealing,WesternUniversity(MClSc-WH)
2. InternationalInterprofessionalWoundCareCourse(IIWCC–CAN)(IIWCCmodulesmustbemarkedatthemaster’slevel)
3. MastersinCommunityHealthWoundPreventionandCareUniversityofTorontoFacultyofPublicHealth
4. WoundManagementGrantMcEwanEdmonton,Alberta5. QuebecPost-GraduateProgramUniversitédeSherbrooke
WoundCoursePreceptorshipTochallengethepreceptorshipthestudentmust:
1. Provideprooffromtheiremployerthattheyarecurrentlyworkinginawoundcarespecialtypositionandhavedonesoforaminimumof2yearsfulltimeor3yearsparttime(overthepast3years).
2. Havetheclinicalevaluationchecklist(seebelow)completedindependentlybyarefereesuchasanadvancedpracticewoundcarespecialistand/oraphysicianspecializinginwoundcare(example:dermatology,vascularsurgeonetc)(seechecklistbelow).ThisevaluationshouldbecompletedandsignedbytherefereeandsentdirectlytotheWOC-Instituteadministrationbytheadvancedpracticewoundcarespecialist.
3. Completetheclinicalevaluationchecklistindependently.Submitacurrentresumewhichincludesrelevantclinicalexperience,publications,presentationsatconferences,researchactivities,evidencedcommitmenttocontinuingeducationinwoundcareandotherleadershipactivities.
ClinicalEvaluationChecklistHowtoUsetheClinicalEvaluationChecklistThisChecklistwillbeusedtwice:
1. BytheapplicanttodetermineiftheyareasuitablecandidatefortheRPLprocess.
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2. BytheReferee(s)toattesttothecompetencyoftheapplicant.Step1:
Readthroughthechecklistcompletelytogetasenseofthebreadthofknowledgerequired.
Step2:
WorkthrougheachlearningoutcomeincludingtheelementsofperformanceandreferringtotheLikertscaleprovidedrateyourselforyourcandidateintermsofthelevelofcompetencyyoufeelyou/theyhave.Foreachelementofperformanceplaceacheckintheappropriatecolumn.
Step3:
TobeeligibletoreceiveRPLfortheclinicalcomponentoftheWoundManagementCourse,individualsmustachieveatleast70%(ascoreequaltoorgreaterthan486)ontheskillschecklist.
ClinicalEvaluationChecklist:WoundCareManagement
CompletedBy:Date:Signature:ElementsofPerformanceLikertScale
1=Noexperience/Cannotassess2=Beginner3=Competent4=Advanced5=Expert LearningOutcome#1 Discusstheanatomyandphysiologyoftheskinandaccessoryorganstoeffectivelyrecognizeriskfactorsforskinbreakdown
LevelofPerformance–CheckOne 1 2 3 4 51.1Describethestructureandfunctionoftheskinincluding:Thelayersoftheepidermis,thelayersofthedermisanddermalproteins,
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1.2Describethestructureandfunctionoftheskinaccessoryorgansandstructures,including:Melanocytes,hair,arrectorpilimuscle,nails,sebaceousglands,sudoriferousglands,merocrineglandsapocrineandeccrineglands.
1.3Explainthefunctionsoftheskinincluding:Protection,immunity,thermoregulation,sensation,metabolismandcommunication
1.4Explainthefactorsthatalterthenormalcharacteristicsoftheskinincluding:Age,sun,hydration,soaps,nutrition,medicationsandpressure.
LearningOutcome#2
Discussnormalwoundhealingprocessestoeffectivelydifferentiatenormalwoundhealingfromabnormalwoundhealing.
LevelofPerformance–CheckOne 1 2 3 4 5
2.1Explaintheprocessandfunctionofthefivephasesofthenormalwoundhealingprocessandidentifycellsandsubstancesactiveduringeachphaseincluding:Hemostasis,inflammation,granulation,epithelializationandmaturation.
2.2Differentiatepartialthicknesswoundsfromfullthicknesswoundsintermsoftissuedamageanddestruction.
2.3Describehealingdifferencesbetweenpartialandfullthicknesswoundsincluding:Epidermalanddermalrepair.
2.4Explainthedifferencebetweenacuteandachronicwoundsincluding:Thehealingtrajectory,cellularcomponents,scarring,requirementsforhealing,intrinsicandextrinsicwoundhealingfactors,riskofinfection,woundbedcharacteristicsandbioburden.
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2.5Describethecellularcomponents(cellsandsubstances)andtheiractivitiesinawoundduringthehealingprocessincluding:Platelets,endothelialcells,macrophages,fibroblasts,neutrophils,leukocytes,Tlymphocytes,proteases(MMPSandTIMPS),keratinocytes,growthfactors,collagen,extracellularmatrix,proteases,cytokines,
2.6Explainthefunctionofchemical,environmentalandmolecularwoundhealingmediatorsincluding:Nitricoxide,calcium,extracellularmatrix,pH,regulatorysubstances,cellreceptorsandcellactivationmechanisms.
LearningOutcome#3
Explainhowtoconductaskinassessmenttodifferentiatenormalfromabnormalpresentations,inthepersonatriskfor,orlivingwith,skinbreakdown.
LevelofPerformance–CheckOne 1 2 3 4 5
3.1Describethecomponentsofaskinassessmentincluding:Integrity,colour,pigmentation,moisture,temperature,olfaction,mobility,texture,turgor,lesions,injury,xerosis,nailsandhair.
3.2Describeprimaryandsecondaryskinlesionsincluding:Location,shape,arrangement,andborders/marginsandassociatedchangeswithinthelesionthatareremarkable.
3.3Discusstraumatotheskinincluding:Intrinsicdiseases,maceration,pressure,shear,friction,stripping,tearing,lacerations,chemical,allergic,infectious,inflammatoryandvasculardamage.
3.4Discussinterventionstooptimizetheintegumentaryenvironmenttomaintainskinintegrityincluding:Strategiestopreventmoisturedamage,chemicaldamageandburns.
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3.5Discusstheconstituentsof,indicationsfortheuseandapplicationofskinproductsincluding:Moisturizers,emollients,hydrators,creams,no-rinsecleansersandprotectivebarriers.
LearningOutcome#4
Explaintheprocessusedtocompleteacomprehensivepatientassessmentusingavarietyofassessmenttoolstoprovidethebasisforappropriatetherapeuticregimens.
LevelofPerformance–CheckOne 1 2 3 4 5
4.1Explaintheimportanceofthekeyhistoricaldatacollectedduringapatientassessmentincluding:Thereasonfortheassessment,patient’scultural,medical,nutritional,psychologicalandsocialhistory.
4.2Explaintheimportanceofsystemsassessmentsmadeduringthepatientassessmentincluding:Respiratorysystem,cardiovascularsystem,gastrointestinalsystem,genitourinarysystem,peripheralvascularsystem,neurologicsystem,musculoskeletalsystem,hematologicsystemandendocrinesystem.
4.3Discusstheimpactofmedicationsonwoundmanagementincluding:Vasodilators,rheologicagents,immunosuppressants,diuretics,anticoagulationtherapy,antiplatelettherapy,herbal/naturopathicagents,analgesicsanddiuretics.
4.4 Interpret laboratory tests including:Hemoglobin, hematocrit, cholesterol,triglycerides, homocysteine, prothrombin times,InternationalNormalizedRatio(INR)iftakingWarfarin.
4.5Describethecomponentsofanutritionalassessmentincluding:Weight,height,bodymassindex, mid armmuscle circumference, skin foldmeasurementsandheadcircumference.
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4.6Explaintheimportanceofmacroandmicronutrientsinwoundhealingincluding:Fat,Protein,Carbohydrates,VitaminA,VitaminB,VitaminC,VitaminD,VitaminE,VitaminK,Copper,Zinc,Magnesium,IronandCalcium.
4.7Describetheaccommodationsthatmustbemadewhenmanagingthemorbidlyobesepersonincluding:Surgicalconsiderations,transportation,equipment,dietaryandhealthprofessionalhumanresources.
4.8DiscussQualityofLifemeasurementsandwhytheyareimportanttothepatientwithskinbreakdownincluding:Pain,costofcare,disfigurement,lossofincomeandtimefortreatment.
LearningOutcome#5
Explaintheprocessusedtocompleteacompressivelowerlimbassessment(legsandfeet)todifferentiatelowerlimbpathologies.
LevelofPerformance–CheckOne 1 2 3 4 5
5.1Explainthesignificanceoftheelementsofthebilaterallimbassessmentincluding:Skinassessment,hemosiderinstaining,lipodermatosclerosis,woodyfibrosis,invertedbottleshapedlimb,ankleflareanddermatitis,elevationalpallor,dependentrubor,venousfillingtime,capillaryrefilltime,auscultationforbruits,assessmentofpulses,AnkleBrachialPressureIndex,ToeBrachialPressureIndex,segmentalanddigitalplethysmography,CTScan,transcutaneousoxygenpressuremeasurements(TcPO2),magneticresonanceimaging,Duplexultrasound,MRI,contrastcatheterangiography,arterialimagingandvenousimaging.
5.2ExplainthesignificanceoftheAnkleBrachialPressureIndex
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5.3DemonstratetheabilitytoconductanABPI.
5.4ExplainthesignificanceoftheToePressureTest
5.5DemonstratetheabilitytoconductaToePressureTest(ABPI).
5.6DemonstratetheabilitytocompleteafocusedVLUpatientassessment.
LearningOutcome#6
Describehowtoeffectivelymanageedematopromotepatientcomfortandsymptommanagement.
LevelofPerformance–CheckOne 1 2 3 4 5
6.1Explainthepathophysiologyandsignificanceofedemaincluding:TypesofedemaincludingLymphedema,Lipidema,obesityrelatededema,ascites,oncologyrelatededema,brawnyedema,location,measurement,evidenceorabsenceofpitting,Stemmer’ssign,capillarypermeability,blockageoflymphaticdrainage,symmetryofedema,effectofmedicationsonedema,evidenceofinfection.
6.2Describetheanatomyandphysiologyofthelymphaticsystemincluding:Lymphaticfluidconstituents,lymphtransportandlymphnodefunction.
6.3Explaintheetiologyofedemaincluding:Specificconditions,abnormallymphaticstructures(congenital),surgery,bacterial,radiationandtrauma.
6.4ReviewtheclassificationofLymphedemabasedoncausalityincluding:Primary:CongenitalandPraecox.Secondary:Filariasis,lymphnodeexcision,
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tumorinvasion,infectiontraumaorothers.
6.5DescribethestagesofLymphedemaincluding:Themanifestationsofeachofthe3stages.
6.6DiscussthediagnostictestsusedforLymphedemaincluding:Observationforchangesinedematexture(nonpittingtopitting),colourchangesandfibroticchanges,lymphoscintigraphyandotherimagingstudies.
6.7Describethepresentationofedemaincluding:Consistency,distribution,effectofelevation,bilateralism,painandskincondition.
6.8DistinguishLymphedemafromLipidemaincluding:Etiology,presentationandmanagement.
6.9DiscussthenursingmanagementofLymphedemaincluding:TheroleoftheLymphedemaspecialist,manuallymphaticdrainage,compressionwrapsandgarments,compressionpumps,skincare,surgery,medicationsandexercise.
LearningOutcome#7
Explainhowtocompleteacomprehensivewoundassessmentusingavarietyofassessmenttoolstodetermineappropriatetherapeuticregimens.
LevelofPerformance–CheckOne 1 2 3 4 5
7.1Explainthepurposesofwoundassessmentincluding:Etiology,woundseverity,woundstatus,healability,establishingawoundprogressionbaseline,careplanningandthemonitoringofwoundchangesovertime.
7.2Describethesignificanceoftheelementsofacomprehensivewoundassessmenttoolincluding:Location,woundage,woundsize,woundstageortissuedepth,presenceofunderminingor
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tunneling,presenceofnecrotictissue,presenceofswelling,presenceofinflammation,presenceofperiwoundinflammation,crepitus,friabilityoftissues,absenceofgranulation,absenceofanadvancingedge,absenceofepithelialization,exudatequalityandquantity,macerationandcharacteristicsofadjacenttissues.
7.3Differentiatewoundassessmenttoolsincluding:ThePressureSoreStatusTool,theBatesJensenWoundAssessmentTool,theSussmanWoundHealingTool,theAsepsisIncisionAssessmentTool,thePhotographicWoundAssessmentToolandtheLegUlcerMeasurementTool.
7.4Explainwoundmeasurementmethodsincluding:Linear,volumetric,photography,planimetry,tracings,woundmolds,fluidinstillation,structuredlightandcomputerbasedmeasurementsystems.
7.5Describewoundclassificationsystemsincluding:TheNationalPressureAdvisoryPanelStagingSystem(NPUAP),WagnersystemforstagingDiabeticFootUlcers,TheUniversityofTexasTreatmentBasedDiabeticFootClassificationSystemandclassificationbycolour.
7.6ExplainwhyreversestagingisincorrectwhenusingtheNPUAPStagingSystem.
LearningOutcome#8
Describehowtorecognizeincreasedbacterialburdenandinfectioninwoundstorecognizesymptomsearlyinthewoundmanagement.
LevelsofPerformance–CheckOne 1 2 3 4 5
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8.1Explaintheconceptofincreasedbacterialbioburdenincluding:Contaminated,colonized,criticalcolonizationandinfection.
8.2Explainthesignificanceofsignsandsymptomsofincreasedbacterialburden/infectioninchronicwoundsincluding:Nonhealing,brightredgranulationtissue,friablegranulationtissue,palegranulationtissue,newareasofbreakdown,increasedexudate,foulodor.
8.3Reviewtheliteratureonthediagnosisofinfection,including:WorkbySibbaldandWooandworkbySusanGardner
8.4Explaintheclinicalsignificanceofinflammationinchronicwounds.
8.5Distinguishinflammationfrominfection.
8.6DiscussthesignificanceandpresentationofinflammationinpatientswithDiabetes.
8.7Discusstheindicatorsofinfectioninischemicwoundsincluding:Increasedpain,edema,necrosis,fluctuanceoftheperiwoundtissues,halooferythemaaroundwound,diminishedsignsofinfection,odorandmoisture.
8.8Describewoundswabbingandculturetechniquesincluding:Levinemethod,ZTechnique,woundlavageandpunchbiopsy.
8.9Describetheprosandconsofwoundswabbinginthediagnosisofinfectioninchronicwounds.
9.10Describetheetiologyandsymptomsofgangreneincluding:Wetgangreneanddrygangrene.
8.11Discussosteomyelitisinthediabeticfoot.
LearningOutcome#9
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Describehowtoeffectivelymanagewoundrelatedpaintoensurethatpatient’spainiscontrolledtotheirexpectations.
LevelofPerformance–CheckOne 1 2 3 4 5
9.1 Explain the physiological elements of painthat impact wound healing including:Vasoconstriction, change in cortisol andepinephrinelevels,cytokinelevels,inflammatorymediatorsandimmunesystemfunction.
9.2 Describe the differences between types ofwound pain including: Nociceptive, somatic,visceral,referredandcutaneous.
9.3Differentiatethetypesofpainincluding:Chronic,cyclic,noncyclic,andprocedural.
9.4Describenonpharmacologicalinterventionstoreducepainincluding:Positioning,dressings,transcutaneouselectricalnervestimulation,surgery,dressingfrequency,dressingremoval,applicationsofcoldorwarmth,woundcleansing,distraction,hypnosis,reframing,relaxation,visualimageryandbiofeedback.
9.5Describepharmacologicalinterventionstomanagewoundrelatedpainincluding:Non-narcoticanalgesics,theuseofadjuvantanalgesics,anti-inflammatoryanalgesics,narcoticanalgesics,theWorldHealthOrganizationanalgesicladder,topicalanalgesicsandnerveblock.
9.6Describetheelementsofapainassessmentincluding:Painhistory,description,exacerbatingfactors,intensityandcharacter,location,durationandeffectonfunctionalcapacity.
9.7Describepainassessmentscalesincluding:Faces,numericandanaloguescales.
LearningObjective#10
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Discusstheprinciplesofwoundbedpreparationtoeffectivelyselectdressingsandtherapiestomanagewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
10.1Discussthenecessaryelementsrequiredforthebodytohealincluding:Bloodsupply,hemoglobin,oxygensaturation,albumin.
10.2Explaintheclinicalsignificanceoftheparadigmof“woundbedpreparation”including:Theconceptsoftreatthecause,patientcenteredconcerns,localwoundcare,debridement,bacterialbalance,infection,inflammation,moisturebalanceandwoundedgeeffect.
10.3Discussdebridementanddifferentiatethevariousmethodsofdebridementincluding:Selectiveandnon-selectivemethods;surgical,conservativesharps,enzymatic,autolytic,biologicandmechanical.
10.4Discusstheprosandconsofvariouswoundcleansingagentsincluding:Sodiumhypochlorite,hydrogenperoxide,crystalviolet,mercuricchloride,chlorhexidine,aceticacid,povidoneiodine,commercialwoundcleansers,tap/wellwater,distilledwaterandnormalsaline,showeringandbathingwithawound.
LearningObjective#11
Describehowtorecognizewoundmanagementproductsandtherapiesbyformandfunctiontobeabletopredicttheireffectonthewoundmanagement.
LevelofPerformance–CheckOne 1 2 3 4 5
11.1Describetheformandfunctionofavarietyofadvancedwoundcareproductsandtherapiesincluding:Films/membranes,non-adherentdressings,adherentdressings,hydrogels,hydrocolloids,calciumalginates,hydrofibres,compositedressings,honey,foams,charcoal,hypertonicdressingsandsolutions,hydrophilic
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films,antimicrobials,proteaseinhibitors,maggots,electricalstimulation,ultravioletlight,laser,hyperbaricoxygen,negativepressurewoundtherapy,growthfactorsandskinsubstitutes,
11.2Describethekindsofdressingsandthegoalsfortheiruseforvariouswoundpresentationsincluding:Drywounds,moistwounds,wetwounds,tunnelingwounds,maceratedwounds,deepwounds,shallowwounds,underminedwounds,infectedwounds,stalledwounds,bleedingwounds,wetnecroticwounds,drynecroticwounds,ischemicwounds,burnsandmalignantwounds.
11.3Describetheformandfunctionofavarietyofadvancedwoundcareproductsandtherapiesincluding:Films/membranes,non-adherentdressings,adherentdressings,hydrogels,hydrocolloids,calciumalginates,hydrofibres,compositedressings,honey,foams,charcoal,hypertonicdressingsandsolutions,hydrophilicfilms,antimicrobials,proteaseinhibitors,maggots,electricalstimulation,ultravioletlight,laser,hyperbaricoxygen,negativepressurewoundtherapy,growthfactorsandskinsubstitutes,
LearningObjective#12
Explainhowtoselecttheappropriatewoundmanagementproductortherapytoensurethatwoundbedcharacteristicsarehandledcosteffectively.
LevelofPerformance–CheckOne 1 2 3 4 5
12.1Discussthecharacteristicsofthehealable,maintenanceandnon-healablewoundforrevisingmanagementplansasthewoundchanges,tosupportwoundmanagementgoals.
12.2Definethehealablewound.
12.3Definethemaintenancewound.
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12.4Definethenon-healablewound.
12.5Definethegoalsofcareforthehealable,maintenance,andnon-healablewoundincluding:Woundbedpreparation,Frequencyofdressingchange,PatientcenteredconcernsandLocalwoundfactors.
LearningObjective#13
ExplaintheelementsofcarerequiredtoeffectivelymanageLowerExtremityVenousDisease(LEVD)andVenousLegUlcers(VLU)topromotethepreventionandmanagementofthesewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
13.1DiscusstheprevalenceincidenceofVLUinCanadianclinicalsettingsincluding:Communitycare,residentialcare,longtermcare,nursinghomesandacutecare.
13.2DiscusstheriskfactorsleadingtoLEVDincluding:Deepveinthrombosis,thrombophlebitis,thrombophilia,obesity,multiplepregnancies,age,sedentarylifestyle,andlossofcalfmusclepumpaction,intravenousdruguse,arthritisandvascularsurgery.
13.3Describetheanatomyandphysiologyofthelegveinsincluding:Thedeeplegveins,thesuperficiallegveinsandtheperforatorveins,
13.4ExplainthepathophysiologyofVLUincluding:Elevatedvenouspressures,calfmusclepumpfailure,incompetentvalves,whitebloodcellinfiltrationoftheskin(thefibrincufftheory),pluggingofthecapillariesbywhitebloodcells(theWhiteCellTheory)andtheentrapmentofgrowthfactorsinthedermis.
13.5DescribemanagementgoalsforthepersonlivingwithVLUincluding:Identification,edema
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reduction,complicationreduction,painmanagement,patientcenteredconcerns.
13.6Explaintheactionofcompressiontherapiesincluding:Longstretchbandages,shortstretchbandages,pneumaticpumps,andstockings.Demonstratetheabilitytousethesesystems.
13.7Describethespecialconsiderationsfortheuseofcompressioninthosepeoplewithmixeddisease.
13.8DiscussthemedicationsandtopicalagentsusedtotreatpeoplewithVLUincluding:Pentoxifylline,growthfactors,chestnutseedextract.
13.9DiscusssurgicaloptionsformanagingVLUincluding:Veinligation,perforatorsurgeryandskingrafting,
13.10DiscussalternativetherapiesforVLUincluding:Skinsubstitutes,whirlpooltherapy,exercisetherapylasertherapy,electromagnetictherapy,electricalstimulation,ultrasound,negativepressurewoundtherapy,hyperbaricoxygentherapy,andsmallintestinalsubmucosatherapy.
LearningObjective#14
ExplaintheelementsofcarerequiredtoeffectivelymanageLowerExtremityArterialdisease(LEAD)andischemiclegandfootulcerstopromotethepreventionandmanagementofthesewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
14.1DiscusstheprevalenceincidenceofLEADinCanadianclinicalsettingsincluding:Communitycare,residentialcare,longtermcare,nursinghomesandacutecare.
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14.2DiscusstheriskfactorsforLEADincluding:Advancedage,sedentarylifestyle,smoking,atherosclerosis,Buerger’sDisease,Diabetes,hypercholesterolemia,dyslipidemia,hypertension,hyperhomocysteinemia,familyhistoryofcardiovasculardisease,ethnicity,ChlamydiaPneumoniae,periodontaldisease,biomarkersassociatedwithischemicheartdisease,CReactiveProteinlevelsandD-dimerscreens,
14.3Explaintheetiologyofischemiculcersincluding:Progressiveischemia,effectoftraumaandexternalpressure.
14.4DiscussthedifferencesinthedevelopmentofLEADintheDiabeticandnon-Diabeticpopulationincluding:Onset,progression,vesselinvolvement,bilateralleginvolvement,andlikelihoodofrequiringsurgery.
LearningObjective#15
ExplaintheelementsofcarerequiredtoeffectivelymanageLowerExtremityNeuropathicdisease(LEND)topromotethepreventionandmanagementofthesewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
15.1DiscusstheprevalenceincidenceofDiabetesinCanadianclinicalsettingsincluding:Communitycare,residentialcare,longtermcare,nursinghomesandacutecare,theprevalenceofamputationandpotentialforamputationprevention.
15.2DiscusstheIncidenceofulcersatvarioussitesofthefootincluding:Incidenceofulcersatvarioussitesofthefootincluding:metatarsalheadsespeciallythethird,forefoot.
15.3Discusstherelationshipbetweenelevatedglucoseandwoundsincluding:Infectionandpoorhealing.
15.4DiscusstheriskfactorsforLENDandulcerationincluding:Historyofpreviousulcers,
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ischemia,skinirritation,inflammation,evidenceofshear,calluselevatedplantarpressures,rigidfootdeformity,durationofdiabetes,diabetescontrol,lifestylefactors,footwear,infection,necrobiosislipoidica,xerosis,anhydrosis,fungalinfections,bacterialfootinfections,temperaturevariancebetweenfeet,edema,adequacyofperfusion,cellulitis.
15.5Discusslaboratoryresultsincluding:Laboratoryresultsincluding:Fastingbloodsugar,2hourpostprandialbloodglucose,HbA1clevels,Glucosetolerancetest,C-reactiveprotein,Bloodureanitrogen,Creatinine,Erythrocytesedimentationrate,SerumB-12levels,Thyroidstimulatinghormonelevels
15.6ExplainNeuropathyTestingincluding:Sensoryneuropathy,Motorneuropathy,Autonomicneuropathy
15.7Explainthestepsinthechainthatleadtoamputationincluding:Neuropathy,ischemia,deformity,callus,swelling,skinbreakdown,infectionandnecrosis.
15.8Explaintheetiologyandsignificanceofcallusformationincluding:Location,indicativeofsheer,indicativeofincreasedpressure,indicativeofbonepathology,indicativeofneuropathy,potentialportalofentryforbacteriaandevidenceofhemorrhage.
15.9DescribemanagementgoalsforthepersonlivingwithLENDincluding:Identificationofpeopleatrisk,regularmedicalfollowup,routineglucosemonitoring,ulcerprevention,earlyrecognitionofCharcotfootdeformitytopreventexacerbation,callusreductionandthenecessityforstrictglucosecontrol.
15.10Discussoffloadingtechniquesincluding:Orthotics,totalcontactcasting,custommadeshoes,
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wedgesoleshoesandwalkingsplints.
15.11DescribethecomponentsofaproperdietforapersonwithDiabetesincluding:ElementsofaCanadianDiabetesAssociateddiet,Micronutrientsandmacronutrients,
15.12Describethecomponentsofapatienteducationprogramincluding:Regularfootscreening,selectionofappropriatefootwear,sizingoffootwear,self-caretechniques,footcleansingandtoenailcare,accesstodiabetesandfootspecialistsandcompensationstrategiesforsensoryorvisualdeficits.
LearningObjective#16
ExplaintheelementsofcarerequiredtoeffectivelymanagePressureUlcerstopromotethepreventionandmanagementofthesewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
16.1DiscusstheprevalenceofpressureulcersinCanadianclinicalsettingsincluding:Communitycare,residentialcare,longtermcare,nursinghomesandacutecare.
16.2Explaintheetiologyofpressurerelatedwoundsincluding:Pressureintensity,durationofpressure,tissuetolerance,nutrition,obesity,mobility,activity,incontinence,cognition,sheer,pressureandfriction.
16.3Describethecellularchangesoftissueasaresultofpressure
16.4DescribetheKennedyTerminalUlcer.
16.5Explaintheconceptsofpressurereductionincluding:Pressuremapping,pressure
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redistribution,pressurerelief,pressurereduction,offloadinganddownloading.
LearningObjective#17
Explaintheelementsofcarerequiredtoeffectivelymanagepostoperativesurgicalwoundcomplicationstopromotethepreventionandmanagementofthesewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
17.1Discusstheprevalenceincidenceofpost-operativesurgicalsiteinfectionsinCanada.
17.2Discusstheclassificationofsurgicalsiteinfectionincluding:Category1,Category2,andCategory3.
17.3Describethecausesofhealingfailureinsurgicalwoundsincluding:Smoking,age,oxygenation,hyperglycemia,alcoholintake,medications,obesity,lengthofstayinhospital,methodofskincleansing,typeofsurgery(cleanordirty),surgicaltechniqueandtensiononstitches.
17.4Describethepresentationofthephasesofhealinginasurgicalwoundincluding:Hemostasis,proliferation,epithelializationandmaturation.
17.5Differentiatenormalfromabnormalhealinginthesurgicalwoundincluding.Incisionalintegrity,healingridge,sustainedinflammation,drainage,andp5esenceofclosurematerials.
LearningObjective#18
Explaintheelementsofcarerequiredtoeffectivelymanagemetastaticandfungatingwoundstopromotepatientcomfortandsymptommanagement.
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LevelofPerformance–CheckOne 1 2 3 4 5
18.1Describethepathophysiologyofradiationinducedskindamageincluding:Acuteandlatereactions.
18.2Describetheextentoftissuedamageresultingfromextravasationincluding:Theeffectsofvesicants,andirritants.
18.3Explainhowtopreventextravasationincluding:Recognitionofriskfactors,thedevelopmentofwrittenguidelinesfordeliveryofvesicantsandirritants,infusionsitefactors,needletype,andpatientage.
18.4Discussinterventionstoreducetheeffectofextravasationincluding:Discontinuationofinfusion,aspirationoffluid,antidotes,elevation,applicationofheatorcoldandsitemonitoring.
18.5Describethestagesofirradiationdamageincluding:Inflammation,drydesquamation,moistdesquamationandepilation.
18.6Describemanagementstrategiesforirradiatedskinincluding:Injuryprevention,measurestopromotecleanliness,measurestoprovidecomfort.
18.7Describethemanifestationoffungatingwoundsincluding:Appearance,odor,drainage,infectionpotential,periwoundskinandsize/shape.
18.8Discussinterventionsthatpromotequalityoflifeforthepatientwithafungatingtumorincluding:Odorreduction,painmanagement,drainagemanagementandminimizingdisfigurement,controllingbleedingandtraumaandpainatdressingprocedures,spirituality,involvementoflovedonesandmanagingtheenvironment.
LearningObjective#19
Explaintheelementsofcarerequiredtoeffectivelymanagetraumaticwoundspromotethemanagementofthesewounds.
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LevelofPerformance–CheckOne 1 2 3 4 5
19.1Describethecharacteristicsofatraumaticwoundincluding:Hematoma,necrosis,sustainedinflammationduetoforeignbodiesinthewound,infectionandodor.
19.2Describetheetiologiesofaskintearincluding:Changestoagingskin,precipitatingfactorsandcausation.
19.3Describemanagementtechniquestopreventskintearsincluding:Clothing,mobility,skintearandeducation.
19.4DescribethePayneMartinStagingSystemforSkinTearsincluding:Appearanceateachstageandappropriatetherapybystage.
LearningObjective#20
Explaintheelementsofcarerequiredtoeffectivelymanageburnstopromotethemanagementofthesewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
20.1Discussthetypesofburninjuryincluding:Thermal,flame,contact,radiation,chemical,alkalis,acids,organiccompounds,tarandelectrical.
20.2Discussinhalationinjuryincluding:Carbonmonoxidepoisoning,upperairwayinjury,lowerairwayinjury,
20.3Describehowtoassesstheextentoftissuedamageincluding:Zoneoftissuedamage,severityoftheburn,calculationofbodysurfaceinvolvedinadultsandinchildren,
20.4DiscussAmericanBurnAssociationburncategoriesandreferralcriteriaincluding:Burncategories:Minor,moderateandmajor.Localfactorsandsystemicfactors.
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20.5DescribetheLund-Browderchartforestimatingburnsize.
20.6Describesystemicsupportincluding:Stabilization,fluidresuscitation,pulmonarysupportandcardiovascularsupport.
20.7Discusssurgicalinterventionsincluding:Escharotomyandfasciotomy.
20.8Describethegoalsofburnmanagementincluding:Preventionofinfection,preparationforclosure,elementsdetermininghealingpotential,psychologicalaspects(delirium,grief,anxiety).
20.9Discussthedifferencesinapproachtoburncarerelatedtoburndepthincluding:opicalantibiotics,silvernitrate,antimicrobialdressings,biosyntheticdressings,biologicdressings,skinsubstitutes,burnexcision,autografting.
20.10Discussthecharacteristicsoftherehabilitationphaseincluding:Scarring,contracturesanditching.
20.11Describethecharacteristicsofnon-accidentalburningincluding:Multiplebruising/scarring,otherconcurrentinjuries,historyofpriorhospitalizationforaccidents,unexplaineddelaygettinghelp,inconsistenciesinstory,excessivewithdrawalofchild,scaldsonhandsandfeet,isolatedburnsonbuttocksandshapedburns(cigarettes).
LearningObjective#21
Explaintheelementsofcarerequiredtoeffectivelymanageuncommonwoundstopromotemanagementofthesewounds.
LevelofPerformance–CheckOne 1 2 3 4 5
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21.1Describethecharacteristicsofuncommonwoundsincluding:PyodermaGangrenosum,vasculitis,Calciphylaxis,EpidermolysisBullosa,ToxicEpidermalNecrolysis,Frostbite,HostVersusGraftDisease,spiderbites.
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ContinenceCareDidacticContinenceCourseRPLcouldbegivenfortheTHEORETICALportionofacoursetothosewhohavecompletedoneoftheprogramslistedbelow.OthernationalorinternationalcontinencecareprogramsmaybeconsideredifthestudentisabletodemonstratethatthekeyNSWOCcompetenciesandlearningobjectivesweremetintheprogram.Transcriptsfromtheprogramcompletedarerequired.Ifsuccessful,studentswouldbegivencreditforthedidacticportionoftheWOC-EPContinenceCourse,howevertheywouldberequiredtocompletethepreceptorshipprogram.1. NurseContinenceAdvisorDistanceEducationCertificateProgram(NCA)(McMasterUniversity)
ContinenceCoursePreceptorship
Tochallengethepreceptorshipthestudentmust:1. Provideprooffromtheiremployerthattheyarecurrentlyworkingina
continencecarespecialtypositionandhavedonesoforaminimumof2yearsfulltimeor3yearsparttime(overthepast3years).
2. Havetheclinicalevaluationchecklist(seebelow)completedindependentlybyarefereesuchasanadvancedpracticecontinencecarespecialistand/oraphysicianspecializingincontinencecare(example:urologist,gastroenterologistetc.)(seechecklistbelow).ThisevaluationshouldbecompletedandsignedbytherefereeandsentdirectlytotheWOC-Instituteadministrationbytheadvancedpracticecontinencecarespecialist.
3. Completetheclinicalevaluationchecklistindependently.Submitacurrentresumewhichincludesrelevantclinicalexperience,publications,presentationsatconferences,researchactivities,evidencedcommitmenttocontinuingeducationincontinencecareandotherleadershipactivities.
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ClinicalEvaluationChecklist
HowtoUsetheClinicalEvaluationChecklistThisChecklistwillbeusedtwice:
3. BytheapplicanttodetermineiftheyareasuitablecandidatefortheRPLprocess.
4. BytheReferee(s)toattesttothecompetencyoftheapplicant.
Step1:
Readthroughthechecklistcompletelytogetasenseofthebreadthofknowledgerequired.
Step2:
WorkthrougheachlearningoutcomeincludingtheelementsofperformanceandreferringtotheLikertscaleprovidedrateyourselforyourcandidateintermsofthelevelofcompetencyyoufeelyou/theyhave.Foreachelementofperformanceplaceacheckintheappropriatecolumn.
Step3:
TobeeligibletoreceiveRPLfortheclinicalcomponentoftheWoundManagementCourse,individualsmustachieveatleast70%(ascoreequaltoorgreaterthan175)ontheskillschecklist.
ContinenceCoursePreceptorship
CompletedBy:
Date:
Signature:
ElementsofPerformanceLikertScale
1 = No experience/ Cannot assess 2 = Beginner 3 = Competent 4 = Advanced 5 = Expert
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Level of Performance – Check One 1 2 3 4 5 Learning Outcome #1 Identifies goals and factors affecting outcomes for a client with incontinence.
1.1 Understands the anatomy of micturition and defecation
1.2 Understands the physiology of micturition and defecation and age-related changes.
1.3 Understands the pathophysiology of bladder and bowel dysfunction.
1.4 Understands the surgical procedures that result in urinary and fecal incontinence.
1.5 Understands the indications for and use of continence management products and applications.
Learning Outcome #2
Discuss Assessment of Continence related issues. Performs a focused assessment of a client with incontinence including.
Level of Performance – Check One 1 2 3 4 5
2.1 Performs a focused assessment of a client with incontinence including a history and physical (e.g., risk factors, psychosocial, cognitive impairment, environmental barriers, functional impairment, caregiver availability, motivation, obstetrical history, previous surgeries, neuromuscular disorders, age, medical comorbidities, bladder and bowel habits, diagnostic and laboratory tests)
2.2 Performs a focused assessment of a client with incontinence including biopsychosocial (e.g., cognitive status, safety factors, quality of life, socio- economic status, motivation, education level, living arrangements, body image, cause/effect of injury, family support, lifestyle, culture, ethnical, spirituality, language, coping skills, resource availability, social impact of incontinence, conservation of energy, impact of disease on self and family dynamics, adherence to treatment plan, gestational age, birth history, sexual health/trauma).
2.3 Identifies risk factors for a client with incontinence (e.g., smoking, obesity, exercise, sexual health, obstetrical history, environmental factors, diet and hydration, radiation, UTIs).
2.4 Performs an initial and ongoing assessment of a client with incontinence including: abdomen, skin, urogenital exam – external, pelvic exam, visual/digital
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exam, rectal exam, neuromuscular testing (e.g., anal wink, bulbocavernosus reflex), and external sphincter assessment. Learning Outcome #3
Explain Principles of Continence Management
Level of Performance – Check One 1 2 3 4 5
3.1 Teaches measures for bladder and bowel habits: dietary and fluid management, toileting schedule, emptying techniques (e.g., Credé manoeuvre, double voiding, abdominal massage), bowel and bladder training programs, skin care and pelvic muscle re- education.
3.2 Select’s containment products and devices (e.g., briefs, pouches, condom catheter).
3.3 Identifies pharmacological treatment.
3.4 Understands surgical options related to bowel and urinary incontinence.
3.5 Initiates referrals to health-care professionals (e.g., sexual health counselling, dietitian).
3.6 Refers to community resources and other health- care professionals.
Learning Outcome #4
Discuss Urinary Continence Care
Level of Performance – Check One 1 2 3 4 5
4.1 Interprets data for a client presenting with urinary incontinence including history and physical (e.g., associated conditions such as UTI, vaginitis, pelvic organ prolapse, prostatic abnormalities, interstitial cystitis, fistula, pelvic pain syndrome, malignancies, neuromuscular conditions, trauma, obstructions, diabetes, Paget’s disease)
4.2 Interprets data for a client presenting with urinary incontinence including assessment of incontinence (e.g., diagnostic tests such as post-void residual urine measurement, EMG studies, bladder diary, urodynamics).
4.3 Identifies classification of urinary incontinence (e.g., stress, urge, overflow, functional, reflex).
4.4 Establishes a plan of care for a client with urinary incontinence.
4.5 Implements nursing interventions to prevent urinary incontinence (e.g., behavioural management
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techniques such as bladder retraining, urge suppression techniques, environmental modifications, pelvic floor muscle exercises, bladder emptying, clean intermittent catheterization, scheduled or timed voiding). 4.6 Implements nursing interventions to manage urinary incontinence (e.g., bladder emptying techniques such as double void, intermittent catheterization, indwelling urethral catheterization, suprapubic catheterization, catheter management).
Learning Outcome #5
Discuss Bowel Continence Care
Level of Performance – Check One 1 2 3 4 5
5.1 Interprets data for a client presenting with bowel incontinence including a history and physical (e.g., bowel diary, associated conditions such as infection, pelvic organ prolapse, fistula, pelvic pain syndrome, malignancies, neuromuscular Conditions, trauma, obstructions, diabetes, hyperthyroidism, encopresis, congenital abnormalities)
5.2 Interprets data for a client presenting with bowel incontinence including assessment of incontinence (e.g., diagnostic tests such as wink test, motility studies, anal-rectal manometry, endoscopic procedures).
5.3 Identifies classification of bowel incontinence (e.g., constipation, fecal impaction, neurogenic).
5.4 Establishes a plan of care for a client for a client with bowel incontinence.
5.5 Implements nursing interventions to prevent and manage bowel incontinence (e.g., behavioural techniques such as bowel retraining, scheduled bowel evacuation, dietary management, pelvic floor muscle exercises, skin protection, containment devices, bowel cleansing, fluid and electrolyte management, antigrade colonic procedures, training and management follow-up).
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OstomyCareDidacticOstomyCourseRPLcouldbegivenfortheTHERORETICALportiontothosewhohavecompletedprogramssuchasthestomacareprogramsavailableintheUnitedKingdomandAustralia.SuchprogramsmaybeconsideredifthestudentisabletodemonstratethatthekeyNSWOCcompetenciesandlearningobjectivesweremetintheprogram.
TheStomaCareprogramwouldneedtoapplyforrecognitionofeducationalequivalencefromtheWOC-Institute.Ifthestomacareprogramisdeemedtomeequivalentthestudentmayproceedwithapplicationforrecognitionofpriorlearning.Transcriptsfromtheprogramcompletedaswellastwolettersofrecommendationfromaninstructorfromtheirprogramofstudyandaworkcolleagueinadirectsupervisoryrolearerequired.Ifsuccessful,studentswouldbegivencreditforthedidacticportionoftheWOC-InstituteOstomyCourse,howevertheywouldberequiredtocompletethepreceptorshipprogram.
OstomyCoursePreceptorshipTochallengethepreceptorshipthestudentmust:
1. Provideprooffromtheiremployerthattheyarecurrentlyworkinginaostomycarespecialtypositionandhavedonesoforaminimumof2yearsfulltimeor3yearsparttime(overthepast3years).
2. Havetheclinicalevaluationchecklist(seebelow)completedindependentlybyarefereesuchasan,NSWOC,advancedpracticeostomycarespecialistand/oraphysicianspecializinginostomycare(example:example:urologist,gastroenterologist,generalsurgeonetc.)(seechecklistbelow).ThisevaluationshouldbecompletedandsignedbytherefereeandsentdirectlytotheWOC-Instituteadministrationbytheadvancedpracticewoundcarespecialist.
3. Completetheclinicalevaluationchecklistindependently.Submitacurrentresumewhichincludesrelevantclinicalexperience,publications,presentationsatconferences,researchactivities,evidencedcommitmenttocontinuingeducationinostomycareandotherleadershipactivities.
ClinicalEvaluationChecklistHowtoUsetheClinicalEvaluationChecklistThisChecklistwillbeusedtwice:
1. BytheapplicanttodetermineiftheyareasuitablecandidatefortheRPLprocess.
2. BytheReferee(s)toattesttothecompetencyoftheapplicant.
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Step1:
Readthroughthechecklistcompletelytogetasenseofthebreadthofknowledgerequired.
Step2:
WorkthrougheachlearningoutcomeincludingtheelementsofperformanceandreferringtotheLikertscaleprovidedrateyourselforyourcandidateintermsofthelevelofcompetencyyoufeelyou/theyhave.Foreachelementofperformanceplaceacheckintheappropriatecolumn.
Step3:
TobeeligibletoreceiveRPLfortheclinicalcomponentoftheWoundManagementCourse,individualsmustachieveatleast70%(ascoreequaltoorgreaterthan486)ontheskillschecklist.
OstomyCoursePreceptorshipCompletedBy:Date:Signature:ElementsofPerformanceLikertScale
1 = No experience / cannot asses 2 = Beginner 3 = Competent 4 = Advanced 5 = Expert Learning Outcome #1 Discuss the anatomy and physiology of the gastrointestinal system in relation to the general principles of ostomy, fistula and percutaneous care.
Level of Performance – Check One 1 2 3 4 5
1.1 Describes the anatomy of the gastrointestinal system including the upper gastrointestinal tract (e.g., mouth, esophagus, stomach)
1.2 Describes the anatomy of the gastrointestinal system including small intestine (e.g., duodenum, jejunum, ileum)
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1.3 Describes the anatomy of the gastrointestinal system including large intestine (e.g., cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anal canal)
1.4 Describes the anatomy of the gastrointestinal system including accessory organs (e.g., biliary system, pancreas, liver)
1.5 Understands the physiology of the gastrointestinal system including motility (e.g., esophagus, stomach, small intestine, colon)
1.6 Understands the physiology of the gastrointestinal system including absorption (e.g., stomach, small intestine, colon)
1.7 Understands the physiology of the gastrointestinal system including secretion (e.g., small intestine, biliary system, pancreas, liver)
1.8 Understands the physiology of the gastrointestinal system including elimination and storage (e.g., liver, colon, rectum, anus)
Learning Outcome #2 Discuss the pathophysiology of the gastrointestinal system Level of Performance – Check One 1 2 3 4 5
2.1 Understands the pathophysiology of the gastrointestinal system including inflammatory (e.g., ulcerative colitis, Crohn’s disease, radiation enteritis, diverticular disease)
2.2 Understands the pathophysiology of the gastrointestinal system including infectious (e.g., enteritis, pseudo membranous colitis)
2.3 Understands the pathophysiology of the gastrointestinal system including ischemic (e.g., necrotizing enterocolitis, mesenteric thrombosis)
2.4 Understands the pathophysiology of the gastrointestinal system including obstructive (e.g., volvulus, intussusception, Hirschsprung’s disease, Ogilvie’s syndrome, meconium ileus, motility disorder)
2.5 Understands the pathophysiology of the gastrointestinal system including malignant (e.g., bowel, rectal, anal, metastatic disease of prostate, uterus, cervical, ovarian, vaginal)
2.6 Understands the pathophysiology of the gastrointestinal system including other (e.g., familial adenomatous polyposis, intestinal trauma)
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2.7 Understands the pathophysiology of the gastrointestinal system including congenital (e.g., imperforate anus)
Learning Outcome #3
Describes surgical procedures involving the gastrointestinal system
Level of Performance – Check One 1 2 3 4 5
3.1 Understands surgical procedures involving the gastrointestinal system (e.g., abdominoperineal resection, low anterior resection, Hartmann’s procedure, subtotal colectomy, ileorectal anastomosis, total proctocolectomy with end ileostomy, ileoanal anastomosis, colectomy bowel decompression, Bishop- Koop procedure, jejunostomy, esophagostomy)
3.2 Understands types of continent diversions (e.g., Kock continent ileostomy, ileoanal reservoir performed as a one-, two- or three-step procedure)
3.3 Understands types of stoma construction (e.g., end stoma, loop stoma, double-barrel stoma, end-loop stoma, mucous fistula, non-mature stoma)
Learning Outcome #4
Discuss the anatomy and physiology of the genitourinary system in relation to the general principles of ostomy, fistula and percutaneous care.
Level of Performance – Check One 1 2 3 4 5
4.1 Understands the anatomy of the urinary system including upper urinary tract (e.g., kidneys, ureters)
4.2 Understands the anatomy of the urinary system including lower urinary tract (e.g., urinary bladder, urethra, pelvic floor support structures)
4.3 Understands the physiology of the urinary system including urine formation and elimination
4.4 Understands the physiology of the urinary system including homeostasis (e.g., water and hydration, sodium, potassium, calcium, phosphate and magnesium)
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Learning Outcome #5
Discuss the pathophysiology of the gastrointestinal system genitourinary system in relation to the general principles of ostomy, fistula and percutaneous care
Level of Performance – Check One 1 2 3 4 5
5.1 Understands the pathophysiology of the urinary system including congenital (e.g., cloacal exstrophy, cloacal anomaly, bladder exstrophy, prune belly syndrome, myelomeningocele, ureteropelvic junction obstruction, gastroschisis, oomphalocele, atresias, posterior urethral valves)
5.2 Understands the pathophysiology of the urinary system including malignant (e.g., bladder, ureters, urethral, prostate, uterus, cervical, ovarian, vaginal)
5.3 Understands the pathophysiology of the urinary system including other (e.g., trauma)
Learning Outcome #6
Describes surgical procedures involving the urinary system
Level of Performance – Check One 1 2 3 4 5
6.1 Understands surgical procedures involving the urinary system (e.g., radical cystectomy and ileal conduit, ileal conduit, colon conduit, nephrostomy, vesicostomy, cystostomy, ureterostomy, continent diversions)
6.2 Understands types of stoma construction (e.g., end stoma, loop stoma)
6.3 Understands indications and types of urinary diversions (e.g., continent cutaneous diversions, orthotopic neobladder)
Learning Outcome #7
Discuss the anatomy of the reproductive system (male and female)
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Level of Performance – Check One 1 2 3 4 5
7.1 Understands the anatomy of the reproductive system: male (e.g., testes, epididymis, vas deferens, spermatic cord, seminal vesicles, prostate, penis, scrotum)
7.2 Understands the anatomy of the reproductive system female (e.g., ovaries, fallopian tubes, uterus, vagina, mons pubis, labia majora, labia minora, clitoris, vestibular glands, hymen)
7.3 Understands the physiology of the reproductive system male (e.g., vasculature, neurology, impotence, erectile dysfunction)
7.4 Understands the physiology of the reproductive system female (e.g., dyspareunia, scar tissue, fertility, pregnancy)
Learning Outcome #8
Discuss containment products and applications
Level of Performance – Check One 1 2 3 4 5
8.1 Understands the indications for and use of containment products and applications (e.g., convexity, paste, powder, belt, type of closure, extended wear barrier, transparent pouches such as one piece, two piece, closed-end, drainable).
Learning Outcome #9
Performs a focused assessment of a client with an ostomy, fistula or percutaneous site
Level of Performance – Check One 1 2 3 4 5
9.1 Performs a focused assessment of a client with an ostomy, fistula or percutaneous site including history and physical (e.g., presenting symptoms, health history, family history, medications, allergies, nutrition, height and weight, comorbidities, smoking, substance use, pain, mobility, pregnancy, age, assistive devices, immune status, sensorimotor impairment, intake and output, visual impairment, diagnostic and laboratory tests)
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9.2 Performs a focused assessment of a client with an ostomy, fistula or percutaneous site including a biopsychosocial (e.g., cognitive status, safety factors, quality of life, socio-economic status, motivation, education level, living arrangements, body image, cause/effect of injury, family support, lifestyle, culture, ethnical, spirituality, language, coping skills, resource availability, social impact of ostomy, functional impact of ostomy, conservation of energy, impact of disease on self and family dynamics, adherence to treatment plan, gestational age, birth history, sexuality)
9.3 Performs a focused assessment of a client with an ostomy, fistula or percutaneous site including the stoma (e.g., type, colour, moisture, turgor, profile, location, mucocutaneous junction, function, output, edema, size, shape, friability, perfusion, devices such as rods, catheters, stents, retraction, prolapse, lacerations, necrosis/ischemia, bleeding, stenosis, polyps)
9.4 Performs a focused assessment of a client with an ostomy, fistula or percutaneous site including peristomal skin (e.g., intact, maceration, denuded, irritant contact dermatitis, pseudoverrucous lesions, encrustations, pressure ulcers, stripping injury, mucocutaneous separation, mucosal transplantation, candidiasis, folliculitis, allergic contact dermatitis, caput medusae, pyoderma gangrenosum, malignancy, psoriasis, bacterial infections, viral infections, hypergranulation, hernia)
9.5 Performs a focused assessment of a client with an ostomy, fistula or percutaneous site including abdomen (e.g., contours, incisions, scars, folds, creases, bony prominences, belt line, drains, distension, bowel sounds, hernia)
Learning Outcome #10
Describe the principles of ostomy, fistula and percutaneous site management
Level of Performance – Check One 1 2 3 4 5
10.1 Establishes a plan of care for a client with an ostomy fistula or percutaneous site
10.2 Facilitates understanding of diagnosis and surgical procedures for a client with an ostomy, fistula or percutaneous site
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10.3 Implements interventions including teaching and counselling (e.g., perioperative, preoperative, long-term, diet, emergency identification, troubleshooting, product use and care, providing information to resume optimal lifestyle, sexual counselling, skin breakdown, prolapse, hernia, pouch leakage, obstruction)
10.4 Implements interventions including assessing and determining stoma site location
10.5 Implements interventions including selecting products
10.6 Implements interventions including managing complications (e.g., stomal, peristomal)
10.7 Implements interventions including referrals to community resources and other health-care professionals (e.g., funding programs, support groups, retail outlets)
Learning Objective # 11
Discuss the principles of fecal and urinary diversion management (Colostomy, Ileostomy, Urostomy)
Level of Performance – Check One 1 2 3 4 5
Colostomy
11.1 Differentiates locations of colostomies and expected output
11.2 Identifies a plan of care based on location of colostomy and a client’s preferences and needs
11.3 Teaches management of retained distal segment of bowel (e.g., mucous fistula, rectal stump)
11.4 Instructs in dietary modifications (e.g. to prevent constipation or reduce gas). Prepares for closure or permanent colostomy
11.5 When appropriate teaches irrigation to a client with a colostomy
Ileostomy
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11.6 Differentiates location of ileostomy and expected output
11.7 Teaches strategies to prevent and correct fluid and electrolyte imbalances
11.8 Teaches about changes in absorption (e.g., medications, diet, B12)
11.9 Teaches management of retained distal segment of bowel (e.g., mucous fistula, rectal stump)
11.10 Teaches a client with an ileostomy about the signs and symptoms of obstruction
11.11 Teaches a client with an ileostomy about the signs and symptoms of fluid and electrolyte imbalance
11.12 Teaches a client with an ileostomy about the signs and symptoms of B12 deficiency
11.12 Teaches strategies to prevent and manage food blockage to a client with an ileostomy
11.13 Performs ileostomy lavage
11.14 Prepares for closure or permanent ileostomy
Urostomy
11.15 Differentiates location of urostomy and expected output
11.16 Teaches a client with a urostomy about adequate fluid intake
11.17 Teaches a client with a urostomy about dietary considerations
11.18 Teaches a client with a urostomy about use of night drainage system (e.g., blue bag syndrome)
11.19 Teaches a client with a urostomy about mucous management
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11.20 Recognizes and manages peristomal complications related to prolonged contact with urine (e.g., alkaline encrustations, pseudoverrucous lesions)
11.21 Manages stents and catheters
11.22 Teaches a client with a urostomy about sign and symptoms of urinary tract infections
11.23 Teaches a client with a urostomy about the proper method to obtain urine specimens
Learning Objective #12
Discuss the management principles of continent diversions
Level of Performance – Check One 1 2 3 4 5
Fecal Diversions
12.1 Instructs a client regarding expected outcomes of fecal diversions (e.g., number of bowel movements per day, continence, dietary modifications)
12.2 Instructs a client regarding complications (e.g., pouchitis, valve failure, stricture, incontinence, pouch failure).
12.3 The enterostomal therapy nurse implements nursing interventions in the immediate postoperative period following fecal diversions (e.g., perianal skin protection, intubation, irrigation, dietary modifications)
12.4 Teaches a client how to integrate the management of a continent fecal diversion into daily care (e.g., skin protection, dietary modifications, intubation, irrigation, medication)
Urinary Diversions
12.5 Instructs a client regarding expected outcomes with urinary diversions (e.g., continence, fluid intake, mucous management)
12.6 Instructs a client regarding complications (e.g., valve failure, pouchitis, stricture, infection, pouch failure, incontinence)
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12.7 Implements nursing interventions in the immediate postoperative period (e.g., managing drains and tubes, skin protection, intubation, irrigation)
12.8 Teaches a client how to integrate management of continent urinary diversion into daily care (e.g., skin protection, fluid intake, managing drains and tubes, intubation, irrigation, mucus management, urine specimens)
Learning Objective #13
Discuss the management principles of fistula and percutaneous sites
Level of Performance – Check One 1 2 3 4 5
Fistulas
13.1 Identifies etiologic factors and manifestations of a fistula
13.2 Performs an assessment of a client with a fistula including source (e.g., bowel, bladder)
13.3 Performs an assessment of a client with a fistula including location
13.4 Performs an assessment of a client with a fistula including size (e.g., cutaneous opening, length of tract)
13.5 Performs an assessment of a client with a fistula including topography (e.g., number of sites, proximity to bony prominences, scars, creases, incisions, drain, stoma, below, at, or above skin level, muscle tone surrounding opening)
13.6 Performs an assessment of a client with a fistula including characteristics of output (e.g., type, source, volume, odour, consistency, gas, pH, colour)
13.7 Performs an assessment of a client with a fistula including perifistular skin (e.g., intact, macerated, erythematous, denuded, eroded, ulcerated, infected)
13.8 Performs an assessment of a client with a fistula including fluid and electrolyte, dietary and nutritional considerations
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13.9 Performs an assessment of a client with a fistula including factors that delay spontaneous closure (e.g., presence of foreign body, cancer, irradiated area, Crohn’s disease, abscess)
13.10 Establishes a plan of care for a client with a fistula
13.11 Implements measures to manage a fistula (e.g., contain output, odour control, comfort measures, measurement of output, perifistular skin protection, optimize mobility, pouching system, dressing, suction, topical negative pressure therapy)
13.12 Suggests pharmacological management for a client with a fistula
Percutaneous Sites
13.13 Identifies type and purpose of percutaneous tubes and drains (e.g., enteral, urinary)
13.14 Assesses patency and placement of percutaneous tubes and drains.
13.15 Recommends stabilization method for percutaneous tubes and drains.
13.16 Initiates measures to prevent and manage complications for clients with percutaneous tubes and drains (e.g., tube migration, dislodgement, obstruction, leakage).
13.17 Initiates measures to prevent and manage peritube skin damage (e.g., infection, hypergranulation, chemical, mechanical, perform chemical cauterization).
13.18 Teaches a client with a percutaneous tube or drain about the care and use of equipment (e.g., hygiene).
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