August 29, 2019

What would you do?

Jane, an RN, works in a health care facility where the patient population is mostly elderly patients with complex needs. During a shift, Jane notices that one of her patients has developed an open pressure sore on their buttocks. What should Jane do?

The following scenario demonstrates your accountabilities when you encounter a patient who has not received quality care, or your workplace is not supporting a quality practice environment.

Jane, a nurse, works in a health care facility where the patient population is mostly elderly patients with complex needs. During a shift, Jane notices that one of her patients has developed an open pressure sore on their buttocks.

Jane makes the patient as comfortable as she can, protects the wound and documents her assessment and interventions. Following her workplace policies, Jane notifies her team lead and gets an order to treat the pressure sore from the NP on the patient’s health care team. When Jane’s shift ends, she provides the incoming nurse with a report about this new development.

Jane thinks about the patient and why the sore was left to develop and not reported. She knows that at the facility many patients are left in bed for extended periods of time without being turned or moved to a chair. She believes that she and the other nurses are trying their best, but unless something changes a similar situation will happen to another patient. Realizing that the well-being of patients is at risk, Jane knows she has to speak up. She decides that she will advocate for her patients by bringing her concerns to her manager.

Jane speaks up for her patients

Jane meets with her manager and shares her concerns. Together, they brainstorm ways that the health care team could prevent pressure sores, including making sure patients are moved or transferred from bed more frequently. They discuss their available resources and the unique needs of their patients, and review what the best practice evidence says about pressure sore prevention. They identify some potential options that would work for both the patients and the staff.

At the next team staff meeting, Jane and the manger share their proposed plan for reducing the risk of pressure sores amongst the patients. The team shares their thoughts, and as a group, they refine the processes and identify how to put the new processes in place.

Putting patients first

When Jane brought her concerns to her manager, she was being an advocate for her patients. She met the practice standards by seeking assistance in a timely manner, taking action in a situation where her patient’s well-being was compromised and taking steps to create a quality practice setting at her workplace.

Jane and her colleagues also met the standards when they collaborated on ways to uphold safe patient care and protect patients from harm. These are all nursing accountabilities outlined in the Code of Conduct.

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About CNO

The College of Nurses of Ontario (CNO) is the regulator of the nursing profession in Ontario. It is not a school or a nursing association. CNO acts in the public interest by:

  • assessing qualifications and registering individuals who want to practice nursing in Ontario.
  • setting the practice standards of the profession that nurses in Ontario are expected to meet.
  • promoting nurses' continuing competence through a quality assurance program.
  • holding nurses accountable to those standards by addressing complaints or reports about nursing care.

The College was founded in 1963. By establishing the College, the Ontario government was acknowledging that the nursing profession had the ability to govern itself and put the public's well-being ahead of professional interests.

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Anyone who wants to use a nursing-related title — Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP) must become a member of CNO.

Frequently Asked Questions

Go to the public Register, Find a Nurse, to conduct a search for the nurse. Contact us if you can't find the person you are looking for.

All public information available about nurses is posted in the public Register, Find a Nurse, which contains profiles of every nurse in Ontario. Publicly available information about nurses include their registration history, business address, and information related to pending disciplinary hearings or past findings.

Unregistered practitioners are people who are seeking employment in nursing or holding themselves out as being able to practice nursing in Ontario, but who are not qualified to do so. They are not registered members of CNO. Only people registered with CNO can use nursing-related titles or perform certain procedures that could cause harm if carried out by a non-registered health professional. CNO takes the issue of unregistered practitioners seriously. See Unregistered Practitioners for more information.

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Information obtained during an investigation will become public if the matter is referred to a disciplinary hearing. If a complaint is not referred to a hearing, no information will be available publicly.

See CNO's hearings schedule, which is updated as hearing dates are confirmed. Hearings at CNO are open to the public and the media. For details on how to attend a hearing, contact the Hearings Administration Team.

A summary of allegations and the disciplinary panel outcomes can be found on the public Register, Find a Nurse. Full decisions and reasons are also available.

Where a disciplinary panel makes a finding of professional misconduct, they have the authority to reprimand a nurse, and suspend or revoke a nurse's registration. Terms, conditions and limitations can also be imposed on a nurse's registration, which restricts their practice for a set period. Nurses can also be required to complete remedial activities, such as reviewing CNO documents and meeting with an expert, before returning to practice.

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