Monthly Archives: September 2020

Midwifery News | September 2020 – now available

BCCNM | September 2020

PHO notice: Primary care providers to report suspected incidences of MIS-C

The Provincial Health Officer has received reports of children and adolescents in British Columbia presenting with a syndrome that could have been COVID-19 associated Multi-system Inflammatory Syndrome (MIS-C). While no case has been linked to COVID-19, it is important for midwives to report each suspected incidence of MIS-C and information about each incidence to the medical health officer in their regional health authority.

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New virtual supports for rural healthcare providers

A new initiative is now available to support rural healthcare providers. Real-Time Virtual Support (RTVS) pathways provide physicians, midwives, nurse practitioners, and nurses in rural, remote, and First Nations communities with access to 24-hour, just-in-time advice to support patient care.

Read more

Midwives encouraged to complete cultural safety training

The San’yas: Indigenous Cultural Safety Training is a unique, on-line program designed to enhance self-awareness, and strengthen the skills of those who work both directly and indirectly with Indigenous people. This program is particularly relevant in light of the ongoing investigation into allegations of racism in our province’s ERs.

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New prescribing standard for RNs & RPNs

The BCCNM board approved new standards, limits, and conditions for prescribing medications and limits and conditions for prescribing buprenorphine/naloxone to treat opioid use disorder. These new standards, limits, and conditions come into effect on Oct. 26, 2020 and apply to both RNs and RPNs.

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Upcoming hearings

For more information:

bccnm.ca

British Columbia College of Nurses and Midwives
900 – 200 Granville St.
Vancouver, B.C.

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B.C. midwives encouraged to complete San’yas Indigenous Cultural Safety Training

What’s the course about?

The San’yas: Indigenous Cultural Safety Training is a unique, on-line training program designed to enhance self-awareness, and strengthen the skills of those who work both directly and indirectly with Indigenous people. The goal of the training is to develop understanding and promote positive partnerships between service providers and Indigenous people.

Skilled facilitators guide and support each learner through interactive course materials. Participants examine culture, stereotyping, and the consequences and legacies of colonization. Through the program, they learn about terminology; diversity; as well as aspects of colonial history such as Indian residential schools and Indian Hospitals.

Continuous professional development

Midwives are lifelong learners who continually assess and improve their practice. The San’yas Indigenous Cultural Safety Training program is particularly relevant in light of the ongoing investigation into allegations of racism in our province’s ERs. We encourage midwives who haven’t yet done the course to consider adding it to their professional development.

BCCNM also supports its own staff to complete the training as part of their own professional development.

PHO notice: Primary care providers to report suspected incidences of MIS-C

The following message was sent to all primary care providers on behalf of Dr. Bonnie Henry, provincial health officer.

I have received reports of children and adolescents in British Columbia presenting with a syndrome that could have been COVID-19 associated Multi-system Inflammatory Syndrome (MIS-C). While no case has been linked to COVID-19, it is important that we track this closely to inform parents and clinicians about this syndrome in B.C.

Therefore, I am hereby providing notice of a duty to report each suspected incidence of MIS-C and information about each incidence to the medical health officer in your regional health authority.

Read the official notice here.

The following is a description of MIS-C and the information to be reported.

Incidences of people with Multi-system Inflammatory Syndrome in Children and Adolescents (MIS-C) are to be promptly reported to the medical health officer and include any cases with onset since January 1, 2020.

Patients to be reported are children and adolescents 0-19 years of age with fever ≥ 3 days AND two of the following:

  • Acute gastrointestinal symptoms (abdominal pain, vomiting, diarrhea)
  • Rash or bilateral non-purulent conjunctivitis or muco-cutaneous inflammation signs (oral, hands or feet)
  • Hypotension or shock
  • Features of myocardial dysfunction, or pericarditis, or valvulitis, or coronary abnormalities (ECHO findings or elevated Troponin/BNP/NT-proBNP)
  • Evidence of coagulopathy (abnormal PT, PTT, elevated d-dimer)
    • and Elevated markers of inflammation such as ESR, C-reactive protein, or procalcitonin
    • and No other obvious microbial cause of inflammation, including bacterial sepsis, staphylococcal or streptococcal shock syndromes, or no alternative plausible obvious diagnosis

Such people should be tested for evidence of SARS-CoV-2 infection (positive PCR test or serology) for confirmation purposes.

The information to be reported about each incidence includes:

  1. First name
  2. Last name
  3. Personal Health Number
  4. Phone number
  5. Sex
  6. Date of Birth
  7. Age (in years)
  8. Date of symptoms onset
  9. Health care facility contact (i.e. name of hospital or clinic at which patient was assessed/admitted)
  10. Name and contact information of reporting health professional

Thank you for your continued support of measures to prevent and manage COVID-19 in B.C.

Bonnie Henry, MD, MPH, FRCPC

Provincial Health Officer

Office of the PHO

Ministry of Health

New virtual supports available for healthcare providers in rural, remote and First Nations communities

A new virtual support initiative is now available for rural healthcare providers to deliver timely patient-centred care closer to home. Real-Time Virtual Support (RTVS) pathways provide midwives, nurse practitioners, nurses and physicians in rural, remote, and First Nations communities with access to 24-hour, just-in-time advice to support patient care. The pathways were developed not only to improve access to care but also to help rural healthcare providers seek support about their patients or situations in a safe, non-judgmental way.

Through Zoom, practitioners can be connected to one of five teams providing culturally safe and compassionate support:

  1. RUDi – Emergency
  2. ROSe – Critical Care
  3. CHARLiE – Pediatrics
  4. MaBAL – Maternity and Newborn
  5. UBC Dermatology Rural and Remote Service

These teams have an understanding of the rural and cultural contexts and are available to support rural healthcare providers for any issue, including:

  • providing a patient consult, second opinion, or ongoing patient support;
  • reviewing a patient case;
  • running through patient simulation scenarios;
  • navigating the healthcare system; and
  • providing collaborative support in critical times.

There is also a toolkit available that’s aimed at helping healthcare providers in rural, remote, and First Nations communities navigate the pathways and includes access information, Zoom instructions, FAQs, bios and photos of RTVS teams, and posters.

Real-Time Virtual Support is an initiative of the Virtual Health and Wellness Collaborative for Rural and First Nations BC and is made possible through the incredible work and collaboration of the Rural Coordination Centre of BC (supported by the Joint Standing Committee on Rural Issues), First Nations Health Authority, Provincial Health Services Authority, Providence Health Care, BC Emergency Medicine Network, and UBC Department of Emergency Medicine.

BCCNM: what to expect

On Sept. 1, 2020, the British Columbia College of Nurses and Midwives (BCCNM) began regulating all nurses and midwives in B.C. The previous entities—BCCNP and CMBC—have been amalgamated into a single entity.

The new BCCMN website will be launched later in Fall 2020. Until then, the legacy websites of both colleges will continue. We appreciate your patience as we work to get documents and standards updated with new information and branding.

A few things to note:

Questions or comments?

Drop us a line at info@bccnm.ca.

Welcome to the BC College of Nurses and Midwives

A new era in regulation

We are pleased to let you know that the BC College of Nurses and Midwives (BCCNM) officially launches today, Sep. 1, 2020. The establishment of BCCNM marks an exciting new era in professional regulation: we are Canada’s first nurse and midwife regulator, as well as western Canada’s largest health professional regulator.

Our new college is excited to build on the strong foundations of collaboration and partnership established by the former colleges: The College of Midwives of BC and the BC College of Nursing Professionals. We look forward to continuing to work with other regulators, health system partners and the public to build and deploy best practices in regulation.

The creation of BCCNM is in line with the Ministry of Health’s ongoing efforts to streamline and modernize health profession regulation in B.C. We look forward to continuing our collaboration with the BC Government on this exciting work.

The road to get here

This amalgamation has been a significant amount of work, by many people. In particular, we’d like to thank the staff, leadership teams and boards of the two legacy colleges for their hard work, dedication, expertise and for maintaining a sense of humour throughout this process. We also could not have gotten here without the support of the Minister of Health and his excellent staff; our committee members; our registrants; our educational partners; our regulatory colleagues across the country, and of course, the public. Everyone has played an important role to get us here, and we thank you.

What you can expect

For most registrants, day-to-day interactions with the college shouldn’t be impacted.

Keeping in touch

We’re hard at work on building our new website and developing our brand—look for updates on that later this fall. For the time being, we’ll continue to maintain the existing college websites. You can also like and follow us on our social media channels:

We look forward to a collaborative relationship. Please don’t hesitate to reach out if you have any questions.

Cynthia Johansen
Cynthia Johansen
Registrar & CEO
Rob CalnanRob Calnan
Board Chair