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Health committee Yes.
April 8th, 2014Committee meeting
Josette Roussel
Health committee I will answer the question in French and then my colleague will add her comments. In the work and the research we have done with our colleagues, we have found that people across Canada want to find models or best practices that will lead to positive change without making major
April 8th, 2014Committee meeting
Josette Roussel
Physician-Assisted Dying committee Thank you, Anne. I am a nurse, and I spent many years of my career taking care of end-of-life patients. I will continue my presentation in English. The Code of Ethics for Registered Nurses is a foundational document for nurses in Canada. To help me explain why it's important a
January 27th, 2016Committee meeting
Josette Roussel
Physician-Assisted Dying committee We all know that nurse practitioners are autonomous professionals and currently are prescribing medication. They have an expanded scope and are working in areas where they are sometimes the lead providers. In terms of access, we believe that this proposed model will enhance acces
January 27th, 2016Committee meeting
Josette Roussel
Physician-Assisted Dying committee I just want to clarify that there's a role for nurses for Quebec in the assessment component. They're also part of the team that provides support, because they have the structure in place. However, I agree that the administration of it is physician-led.
January 27th, 2016Committee meeting
Josette Roussel
Physician-Assisted Dying committee Currently we have over 4,000 nurse practitioners in Canada and we have 250,000 nurses. I don't have the numbers in remote and rural communities, but those two categories are present throughout the remote and rural areas. They have access to teams. Sometimes they are virtual tea
January 27th, 2016Committee meeting
Josette Roussel
Physician-Assisted Dying committee We know of a few examples and models. I'm thinking about a Newfoundland model that uses telemedicine sometimes to access specialized services. It's been very successful at reaching out to specialists who are not able to physically go into those communities. A lot of consultations
January 27th, 2016Committee meeting
Josette Roussel
Physician-Assisted Dying committee They will have access to a visual aid, such as a TV, and a communication tool. The patient would be there, and they would be able to communicate with the specialist. Sometimes it's very sophisticated, so that through the technology you're able to do a fairly comprehensive.... I'
January 27th, 2016Committee meeting
Josette Roussel
January 27th, 2016Committee meeting
Josette Roussel
Physician-Assisted Dying committee We have RNs and nurse practitioners who are able to do the initial assessment. Capacity assessment requires special training, and we need specialized individuals to help us. The nurses are able to do some initial evaluation, but those next steps around capacity are usually done b
January 27th, 2016Committee meeting
Josette Roussel
Physician-Assisted Dying committee Usually it's a legal professional. Nurses do not usually sign for those capacity tools and assessments. We can contribute to that assessment throughout our initial interactions with the patients, but the legal and formal part is not done by the nurses.
January 27th, 2016Committee meeting
Josette Roussel
Health committee Thank you, Mr. Chair. My name is Josette Roussel. I'm a registered nurse and senior nurse adviser for the Canadian Nurses Association, the national professional voice representing nearly 139,000 RNs and nurse practitioners, including almost 1,400 nurses with specialty certificat
March 9th, 2017Committee meeting
Josette Roussel
Health committee I think with the coalition we did agree on the definitions around palliative care and the palliative approach to care. It's important to emphasize the palliative approach to care, as it does mean reaching out to a larger number of individuals earlier in the system so that you hav
March 9th, 2017Committee meeting
Josette Roussel
Health committee Of course.
March 9th, 2017Committee meeting
Josette Roussel
Health committee Correct. I wanted—
March 9th, 2017Committee meeting
Josette Roussel