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



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



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/.



• 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



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.



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.



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.



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



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]



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



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.



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



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



VancouverUnitedOstomyChapterAward• SponsoredbyTheVancouverUnitedOstomyAssociationChapter• Annualaward(pendingfundingavailability)torecognizeaWOC-EP

studentwho:• ResidesintheprovinceofBritishColumbia• Haddemonstratedahighdegreeofvolunteerismwith,and

supportofpeopleinVancouver,LowerMainlandorProvinceofBritishColumbialivingwithanostomy

• Value$1500• Studentmustapplyforthisaward



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.



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.



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.



Payment

FeesfortheprogramcanbepaidbycreditcardonthesecureWOCInstitutewebsite.Iftheuseofacreditcardisnotpossible,amoneyorderoracorporatecheque,madeouttotheWound,Ostomy&ContinenceInstituteisacceptable.PleasecontacttheWOCInstituteadministrationwithanyquestions.

NOpersonalchequeswillbeaccepted.

DefaultofPayment

Latepaymentissubjecttoa$100.00penaltyfeeifthestudentisnotremovedfromthecourse.Nogradingorcertificateswillbeprocesseduntiloutstandingpaymentshavebeenmade.ValidationofprogramcompletiontowritetheCanadianAssociationofNurses(CNA)certificationexamwillnotbeprovideduntilalloutstandingfeesarepaidinfull.

Note:AsofCohort25,GraduationdiplomaswillnotbereleasedwithoutproofofregistrationforCNAexam.



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.



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



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.



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



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



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



possibleopening.Iftheyareunabletocompletetheprogramwithintwoyearstheywillnotgraduateandwillneedtoreapplytotheprogram.

FailuretoCompletetheFinalCourseQuizDuetoaSystemsIssue

IntheeventofasystemfailureintheWOCInstituteEducationPlatformduringthetimethestudentisattemptingtheFinalCourseQuiz,thestudentmustimmediatelynotifytheAcademicAdvisorandtheWOC-EPChairchair@wocinstitute.cawhowillevaluatethesituationanddeterminetheproblem.ArewritemaybepermittedatthesolediscretionoftheAcademicAdvisorinconsultationwiththeWOCInstituteChair.

FailureoftheFinalCourseQuiz

Studentswhofailthecoursequizwillnotfailthecourse,buttheymustachieveanoverallcourseaverageof70%.Ifthequizfailurereducestheircourseaveragebelow70%theywillhavefailedthecourseandwillhavetore-takethecourseinordertocompletetheprogram.

Readmissiontoacourseisnotguaranteed.Ifthecourseisfull,thestudentwillbenotifiedofthenextpossibleopening.IftheyareunabletocompletetheprogramwithintwoyearstheywillnotgraduateandwillIfastudentwishestochallengetheirmarkonaquizquestionthismustbedonewithin5businessdaysoftheendoftheQuizweek.TheymustsendanemailtotheWOCInstituteChairandAcademicAdvisorstatingthequestionandidentifyingthechapterandpageofthetextorjournalarticlefromwhichtheirchallengestemsneedtoreapplytotheprogram.



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).



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.



Studentswhofailtomaintainanaverageof70%forthetheoryinthecoursemaynotbeallowedtostarttheirPreceptorship.Ifastudentwishingtostartaclinicalpreceptorshiphasacourseaverageofbelow70%,theAcademicAdvisorinconsultationwiththePreceptorManagerandtheClinicalPreceptorwilldetermineifthestudentmaybegintheirclinicalpreceptorship.

TheWOCInstitutehasalegalresponsibilitytoensurethatallstudentsmeetthefollowingpre-requisitespriortoanyplacements,byhavingthesedocumentsineachWOCstudent’sfile.Thisholdstrueevenifyouaredoingyourclinicalplacementinyourplaceofemployment.

YoumustdownloadthefollowingWOCInstitutepre-requisitesinyourstudentfilePRIORtorequestingaplacement.

Youareresponsibleforanycostsassociatedwithanypre-requisites.



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.



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.



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.



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.



APRCandVSCarevalidfor12months.Ifyouhavenotcompletedallyourpreceptorshipswith12monthsoriftheplacementsiterequiresanupdatedcheckwithin6months,youmustsignawaiverprovidedbyyourPlacementCoordinator.

APRCandVSCareavailablefromtheRCMP,ProvincialandLocalPoliceDepartment.

Atsomeplacementlocations,studentsmustsubmitaletterofgoodstanding.ThisisavailablefromWOCI’[email protected].

StudentsrequestingaPRCandVSCfromtheTorontoPoliceDepartmentrequireaspecialformwhichcanbeobtainedfromaplacementcoordinator.

[email protected]

StudentsareresponsibleforthecostofthePRC/VSC.

CardiopulmonaryResuscitation

YoumustprovideacertificateshowingyouhavecompletedtheCardiopulmonaryResuscitation[CPR]trainingwithinthepast24months.Ifthecertificateexpiresduringyourstudies,youareresponsibletoprovideanupdatedcertificateuponrequest.

Mask-fitTesting

YoumustprovideacertificateshowingacompletedMask-FitTestingwithinthepast24months.Ifthecertificateexpiresduringyourstudies,youareresponsibletoprovideanupdatedcertificateuponrequest.

PlacementApprovalProcess

YourPlacementCoordinatormustapproveALLplacementsbeforethestartdate.Placementsmaytake3monthsormoretofinalize.Delayedpre-requisiteswillrestrictyoufromcompletingyourplacementsinatimelyfashion.



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.



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



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.



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



contactthePreceptorManagertomakepriorarrangementsforanextensionorpostponementbeforetheendofthesession/coursewillresultinfailuretocompletethecourse.Studentswhofailacoursehavetheoptiontoredothecourse.Thestudentwillberequiredtoredoallelementsofthecourseandrepaythefee.Thestudentwillneedtoconfirmtheirintenttoredothecourse4weeksbeforethestartdateofthecourse.

FailureoftheClinicalPreceptorship

Shouldtheclinicalevaluationsubmittedbythepreceptor(s)belessthan70%thestudentmayberequiredtospendanadditionalamountofsupervisedclinicaltimeorrepeattheentireclinicalexperiencewithanotherpreceptor.ThisdecisionisatthesolediscretionofthePreceptorManagerinconsultationwiththeWOCInstituteChair.

Studentswhofailthepreceptorshiphavetheoptiontoredothepreceptorship.Thestudentwillberequiredtoredoallelementsofthepreceptorshipandrepaypreceptorshipfees.TheclinicalpreceptorshipisMANDATORYandstudentsmustPASSthepreceptorshipinordertopassthecourseeveniftheyobtaingreaterthan70%inthecourse.

Ifthestudentfailsthepreceptorshipasecondtime,thestudentmustrepeattheentirecourse.Thestudentwillberequiredtoredoallelementsofthecourseandrepaythetuitionfee.Thestudentwillneedtoconfirmtheirintenttoredothecourseandpayapplicabletuition4weeksbeforethestartdateofthecourse.Readmissiontoacourseisnotguaranteed.Ifthecourseisfull,thestudentwillbenotifiedofthenextpossibleopening.Iftheyareunabletocompletetheprogramwithintwoyearstheywillnotgraduateandwillneedtoreapplytotheprogram.



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.



FailuretoSubmitaClinicalJournal

ThefailuretosubmitaClinicalJournalortomakepre-arrangementsforanextensionwillresultinautomaticfailureoftheclinicaljournal.StudentsMUSTsubmitaclinicaljournalinordertopassthepreceptorshipportionoftheircourse.

FailureofaClinicalJournal

Ifastudentfailstoachievea70%ontheclinicaljournaltheywillhavetheopportunitytocompleteasecondjournalbutwillonlybeawardedamaximumof70%forarewrite.Studentsmayfailtheclinicaljournalandstillpassthecourseiftheirtotalpreceptorshipgradeisgreaterthan70%includingthejournalmark.



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



beeligibleforacademicachievementawardsrelatedtothecourse.

• Studentsmustdecideimmediatelyafterreceivingafailinggradeiftheywishtore-writetheassignment.Requeststore-writetheassignmentmustbesubmittedinwritingtothePreceptorManagerpriortothereturnofassignments.

Failedassignmentswillnotbereturnedifthestudentoptstore-writetheassignmentuntilaftertheassignmenthasbeenre-submitted.ThePreceptorManagerwillprovideasummaryofissuesrelatedtotheassignmentandwheremarkswerelostonthegradingrubric.

Shouldthestudentchoosetore-writeafailedassignment,theymustadvisethePreceptorManagerimmediatelyandwillhavetwoweekstoresubmittheassignment.Theassignmentwillagainbemarkedoutof100.Themaximumgradearewrittenassignmentwillbeawardedis70%.

Ifthestudent’sassignmentstillreceiveslessthan70%thestudentmayremaininthecourseandproceedtoclinicalpreceptorshiponlyIFtheymaintainanoverall70%averageinthecourse.Studentsmayonlyrewriteoneassignmentpercourse.



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



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.



GrievanceStudentsmayformallygrievemarks,penaltiesorotheracademicorclinicaloccurrences.Everyeffortwillbemadetoresolvethegrievancetothesatisfactionofbothparties.

ProcessStep1

ThestudentmustdiscusstheissuewiththeAcademicAdvisororPreceptorManager.

Step2

Ifthegrievanceisnotresolved,thestudentmaysubmitthegrievanceinwritingtotheWOCInstituteChair.Acleardescriptionofthegrievanceandofalltheattemptstoresolveitisrequired.TheWOCInstituteChairwillreviewthestudent’scasewiththeAcademicAdvisororPreceptorManager.

Step3

IftheWOCInstituteChaircannotresolvethegrievance,thestudentmayasktheWOCInstituteChairtosubmitthecomplaint,inwriting,totheWOCInstituteGrievanceCommittee.Thiscommitteewillnotreviewthecomplaintunlesstheprevioustwo(2)stepshavebeenfollowed.ThedecisionoftheGrievanceCommitteeisfinal.ThechairofthecommitteewillsubmitthedecisioninwritingtotheWOCInstituteChair.TheChairwillinformthestudentofthedecision.

TheWOCInstituteGrievanceCommitteeiscomprisedofthreeNSWOCCboardmembers,theNSWOCCExecutiveDirectorandanindependenthealthcareprofessionalwithexperienceinadulteducationattheuniversitylevelwhoisexteriortotheNSWOCCandWOCInstitute.



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.



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.



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.



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.



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


4= Excellent

5= Highest

13. Relevant work experience with Ostomy, Continence, Wound (derived from

resume)

0= Poor

1= Below Average

2= 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:



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



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



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



https://cdn.dal.ca/content/dam/dalhousie/pdf/healthprofessions/School%20of%20Nursing/Clinical/Immunization%20Form%20Updated%202018.pdf



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]).



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



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.



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.



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.



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,



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.



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.


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.



3.5Discusstheconstituentsof,indicationsfortheuseandapplicationofskinproductsincluding:Moisturizers,emollients,hydrators,creams,no-rinsecleansersandprotectivebarriers.

LearningOutcome#4

Explaintheprocessusedtocompleteacomprehensivepatientassessmentusingavarietyofassessmenttoolstoprovidethebasisforappropriatetherapeuticregimens.


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.



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.


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



5.3DemonstratetheabilitytoconductanABPI.

5.4ExplainthesignificanceoftheToePressureTest

5.5DemonstratetheabilitytoconductaToePressureTest(ABPI).

5.6DemonstratetheabilitytocompleteafocusedVLUpatientassessment.

LearningOutcome#6

Describehowtoeffectivelymanageedematopromotepatientcomfortandsymptommanagement.


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,



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.


7.1Explainthepurposesofwoundassessmentincluding:Etiology,woundseverity,woundstatus,healability,establishingawoundprogressionbaseline,careplanningandthemonitoringofwoundchangesovertime.

7.2Describethesignificanceoftheelementsofacomprehensivewoundassessmenttoolincluding:Location,woundage,woundsize,woundstageortissuedepth,presenceofunderminingor



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



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



Describehowtoeffectivelymanagewoundrelatedpaintoensurethatpatient’spainiscontrolledtotheirexpectations.


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



Discusstheprinciplesofwoundbedpreparationtoeffectivelyselectdressingsandtherapiestomanagewounds.


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.


Describehowtorecognizewoundmanagementproductsandtherapiesbyformandfunctiontobeabletopredicttheireffectonthewoundmanagement.


11.1Describetheformandfunctionofavarietyofadvancedwoundcareproductsandtherapiesincluding:Films/membranes,non-adherentdressings,adherentdressings,hydrogels,hydrocolloids,calciumalginates,hydrofibres,compositedressings,honey,foams,charcoal,hypertonicdressingsandsolutions,hydrophilic



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,


Explainhowtoselecttheappropriatewoundmanagementproductortherapytoensurethatwoundbedcharacteristicsarehandledcosteffectively.


12.1Discussthecharacteristicsofthehealable,maintenanceandnon-healablewoundforrevisingmanagementplansasthewoundchanges,tosupportwoundmanagementgoals.

12.2Definethehealablewound.

12.3Definethemaintenancewound.



12.4Definethenon-healablewound.

12.5Definethegoalsofcareforthehealable,maintenance,andnon-healablewoundincluding:Woundbedpreparation,Frequencyofdressingchange,PatientcenteredconcernsandLocalwoundfactors.


ExplaintheelementsofcarerequiredtoeffectivelymanageLowerExtremityVenousDisease(LEVD)andVenousLegUlcers(VLU)topromotethepreventionandmanagementofthesewounds.


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



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.


ExplaintheelementsofcarerequiredtoeffectivelymanageLowerExtremityArterialdisease(LEAD)andischemiclegandfootulcerstopromotethepreventionandmanagementofthesewounds.


14.1DiscusstheprevalenceincidenceofLEADinCanadianclinicalsettingsincluding:Communitycare,residentialcare,longtermcare,nursinghomesandacutecare.



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.


ExplaintheelementsofcarerequiredtoeffectivelymanageLowerExtremityNeuropathicdisease(LEND)topromotethepreventionandmanagementofthesewounds.


15.1DiscusstheprevalenceincidenceofDiabetesinCanadianclinicalsettingsincluding:Communitycare,residentialcare,longtermcare,nursinghomesandacutecare,theprevalenceofamputationandpotentialforamputationprevention.

15.2DiscusstheIncidenceofulcersatvarioussitesofthefootincluding:Incidenceofulcersatvarioussitesofthefootincluding:metatarsalheadsespeciallythethird,forefoot.

15.3Discusstherelationshipbetweenelevatedglucoseandwoundsincluding:Infectionandpoorhealing.

15.4DiscusstheriskfactorsforLENDandulcerationincluding:Historyofpreviousulcers,



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,



wedgesoleshoesandwalkingsplints.

15.11DescribethecomponentsofaproperdietforapersonwithDiabetesincluding:ElementsofaCanadianDiabetesAssociateddiet,Micronutrientsandmacronutrients,

15.12Describethecomponentsofapatienteducationprogramincluding:Regularfootscreening,selectionofappropriatefootwear,sizingoffootwear,self-caretechniques,footcleansingandtoenailcare,accesstodiabetesandfootspecialistsandcompensationstrategiesforsensoryorvisualdeficits.


ExplaintheelementsofcarerequiredtoeffectivelymanagePressureUlcerstopromotethepreventionandmanagementofthesewounds.


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



redistribution,pressurerelief,pressurereduction,offloadinganddownloading.


Explaintheelementsofcarerequiredtoeffectivelymanagepostoperativesurgicalwoundcomplicationstopromotethepreventionandmanagementofthesewounds.


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.


Explaintheelementsofcarerequiredtoeffectivelymanagemetastaticandfungatingwoundstopromotepatientcomfortandsymptommanagement.




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.


Explaintheelementsofcarerequiredtoeffectivelymanagetraumaticwoundspromotethemanagementofthesewounds.




19.1Describethecharacteristicsofatraumaticwoundincluding:Hematoma,necrosis,sustainedinflammationduetoforeignbodiesinthewound,infectionandodor.

19.2Describetheetiologiesofaskintearincluding:Changestoagingskin,precipitatingfactorsandcausation.

19.3Describemanagementtechniquestopreventskintearsincluding:Clothing,mobility,skintearandeducation.

19.4DescribethePayneMartinStagingSystemforSkinTearsincluding:Appearanceateachstageandappropriatetherapybystage.


Explaintheelementsofcarerequiredtoeffectivelymanageburnstopromotethemanagementofthesewounds.


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.



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).


Explaintheelementsofcarerequiredtoeffectivelymanageuncommonwoundstopromotemanagementofthesewounds.




21.1Describethecharacteristicsofuncommonwoundsincluding:PyodermaGangrenosum,vasculitis,Calciphylaxis,EpidermolysisBullosa,ToxicEpidermalNecrolysis,Frostbite,HostVersusGraftDisease,spiderbites.



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.



ClinicalEvaluationChecklist

HowtoUsetheClinicalEvaluationChecklistThisChecklistwillbeusedtwice:


4. BytheReferee(s)toattesttothecompetencyoftheapplicant.

Step1:


Step2:


Step3:


ContinenceCoursePreceptorship

CompletedBy:

Date:

Signature:

ElementsofPerformanceLikertScale

1 = No experience/ Cannot assess 2 = Beginner 3 = Competent 4 = Advanced 5 = Expert



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



exam, rectal exam, neuromuscular testing (e.g., anal wink, bulbocavernosus reflex), and external sphincter assessment. Learning Outcome #3

Explain Principles of Continence Management


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


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



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


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).



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:


2. BytheReferee(s)toattesttothecompetencyoftheapplicant.



Step1:


Step2:


Step3:


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.


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)



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)



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


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.


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)



Learning Outcome #5

Discuss the pathophysiology of the gastrointestinal system genitourinary system in relation to the general principles of ostomy, fistula and percutaneous care


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


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)




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


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


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)



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


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



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)


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



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



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


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)



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


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



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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