Copyright © College of Nurses of Ontario, 2018

Code of Conduct

Teleconference

February 2019

Outline

Overview of the role of CNO

Overview of the Code

Case scenarios

Practice Resources

Q & A period

Mandate, Vision, Mission

Mandate

Public Protection

Vision

To lead in regulatory excellence

Mission

Regulating nursing in the public interest

Entry

Requirements

Enforcement Standards

Quality Assurance

Public

Regulatory Functions of the College

Standards

Protect the public

Inform nurses

Goal and Objectives of Code

Goal: CNO to adapt a “code of conduct” that reflects what the

public expects of Ontario nurses

Objectives:

Ensure the Code integrates a public perspective

Adapt a Code that can be easily understood by the public

Engage a variety of stakeholders

Support timely sharing of CNO resources

Standard development process

Code of Conduct Development

Review of other

regulatory bodies

Literature review

Analysis of data

Stakeholder feedback

Feedback Received

500+ public members

400+ nurses34

academics

19 employers

10 indigenous

groups

50+ other key

stakeholders

Survey Results on Clarity

93-98%

Confidence

95%

99-100%

Public responded

yes for each

section

Nurses responded

yes for each

section

Survey Results on Understanding

97%

Confidence

95%

99%

Public responded

yes for each

section

Nurses responded

yes for each

section

Comments from the Public

“Treat us like how you would treat your loved one…” “There’s so much

about nurses that I

didn’t know that I

now know…”

How does the Code relate to other

documents?

New standard

Overarching

Some new expectations

Many align with current expectations

Principles

1. Respect the dignity of patients

2. Work together to promote patient well-being

3. Maintain patients’ trust

4. Work respectfully with colleagues

5. Act with integrity to maintain patients’ trust

6. Maintain public confidence in the nursing profession

Case Scenarios

Things to Keep In Mind:

1. What principles and indicators from the Code could apply in this scenario?

2. What other standards and guidelines could apply in this scenario?

3. How should the nurse respond?

Case Scenario One

Carmella, RN, recently started working in an intensive

care unit

Her patient, George, has been in a coma for several

months

George’s family is requesting to withdraw life support

Does not align with Carmella’s personal values

Accountabilities

Principle 1

Personal beliefs on patients

Care is not judgmental

Provide safe, compassionate

care

Reflects on practice

Principle 3

Collaborate with colleagues

Therapeutic Nurse-Client

Relationship

Ethics

Case Scenario Two

Nishma, RPN, works for a home care nursing agency

Her patient, Maria, requires a dressing change on her

coccyx

Maria’s first language is Tagalog and speaks minimal

English

Nishma does not speak Maria’s first language

Accountabilities

Principle 2

Patient is involved and at the centre of care planning

Work to resolve concerns

Meet patient’s language and communication needs

Therapeutic Nurse-Client Relationship

Case Scenario Three

Marcus, new RN, working on a busy surgical unit

within a hospital

His patient, Fred, is recovering from a transurethral

resection of his prostate.

Never cared for a patient who has had this surgery

before

Accountabilities

Principle 3

Recognizing limits: individual knowledge, skill and judgment

Reviewing accurate sources of information

Collaborates with colleagues

Introducing self

Responsive and available

Decisions About Procedures and Authority Professional Standards

Practice Resources

Practice support web page

Additional resources and tools

http://www.cno.org/en/learn-about-standards-guidelines/educational-tools

Questions