Professional Conduct Review

Professional Conduct Review (PCR), in accordance with the Licensed Practical Nurses Act (2005) and Regulations (2011), is the process that CLPNNL uses to manage allegations it receives about the practice and/or conduct of licensed practical nurses (LPNs) that may:

  1. affect the safety of the public;
  2. damage the public's trust in the profession; and/or
  3. negatively impact the integrity of the profession.

Once we receive a signed letter of allegation that outlines the issue/concern pertaining to the conduct of a LPN the PCR process begins. The nature of the concerns and the assessment of the risk to the public determine how an allegation moves through the PCR process.

How to Submit an Allegation Pertaining to a LPN

In order for the letter of allegation to be accepted, it must:

  1. be in writing;
  2. indicate the LPN’s name;
  3. indicate the issue/reason for the allegation;
  4. be signed by the complainant; and
  5. include your contact information.

In addition, please state your specific concerns and provide in writing the details of the event which led to the allegation. In general, your allegation should include the basic information of “who, what, when, where, why and how" and should include dates, the names of any persons involved, and any other information relevant to the allegation. 

If you have any supporting documentation, please provide copies. Anonymous allegations will not be accepted.

For more information about the PCR process click on the links below.

Licensed Practical Nurses Act (2005)

http://www.assembly.nl.ca/legislation/sr/annualstatutes/2005/L12-1.c05.htm

Licensed Practical Nurses Regulations (2011)

https://www.assembly.nl.ca/Legislation/sr/regulations/rc110002.htm

Standards of Practice and Code of Ethics for LPNs

Standards of Practice and Code of Ethics for LPNs

Professional Conduct Review Brochure

PCR_Brochure_Oct_2018.pdf

Professional Conduct Review Flow Chart

PCR_Flow_Chart_Oct_2018.pdf

 

For additional information about the PCR Process please contact:


Wanda Wadman, RN, BAA(N), MN                                                     
Chief Executive Officer/Registrar                                                           
e-mail: wwadman@clpnnl.ca                                                                 
Telephone: 709-579-3843                                                                                                                                             
Fax: 709-579-3095       

                                                                         

Dena Lake, LPN, BA                                                      
Regulatory Officer                                                           
e-mail: dlake@clpnnl.ca                                                                 
Telephone: 709-579-3843 ext. 204                                                                                                                                             
Fax: 709-579-3095                                                                                 

 

Professional Conduct Review - Notifications

The Licensed Practical Nurses Act (2005) section16(1) gives the CLPNNL Registrar the authority to attempt to resolve an allegation where it appears it may be resolved satisfactorily. The CLPNNL Alternate Dispute Resolution (ADR) Policy outlines the process undertaken by the Registrar in the development and execution of an ADR to resolve the allegation. Where the allegation is not satisfactorily resolved by the Registrar, the allegation will be referred to the Complaints Authorization Committee (CAC). Additionally, section 17(1)(a) indicates that an allegation that has been referred to the CAC may be referred back to the Registrar for ADR and/or investigation.

The following notifications are provided in accordance with the CLPNNL Board policy Notification in the Professional Conduct Review (PCR) Process approved December 2019.

 

 

On November 18, 2021, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant in the matter was the LPN’s employer. The allegation related to issues of medication administration and documentation. There was no allegation by the Complainant of any harm to clients due to the incident. The LPN is required to complete targeted remedial education on documentation, medication management, jurisprudence and professional standards.  As part of a resolution agreement, the LPN must also meet with the CLPNNL Practice Consultant to discuss medication management and cement insights gained from the required education modules and to review the CLPNNL Standards of Practice (2020) and Code of Ethics (2013). Additionally, the LPN is required to submit to the Registrar an essay reflecting on how their actions did not meet the expectations for LPN practice in the province and how their practice will be impacted in the future given what they have learned from this process.

 

On October 27, 2021, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant in the matter was the LPN’s employer. The allegation related to issues with the preparation and transport of vaccines. There was no harm to any client or damage/loss of vaccine in the incident.  The LPN is required to meet with the CLPNNL Practice Consultant to discuss medication management and resolving professional practice issues in the workplace. The LPN is also required to complete remedial education targeting jurisprudence, leadership, the CLPNNL Standards of Practice (2020) and the Code of Ethics (2013). Additionally, the LPN is required to submit an essay to the Registrar outlining insights gained from this situation.

 

On September 24, 2021, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to issues of inappropriate communication. There was no allegation of harm to any client due to the incident. The LPN was issued a letter of reprimand, a 4-week suspension of their license to practice as well as a requirement to meet with both the Registrar and the CLPNNL Practice Consultant. Additionally, the LPN was required to complete remedial education targeting relational practice, communication, jurisprudence and professionalism. The meeting with the Practice Consultant will discuss and cement insights gained from the education, the review of CLPNNL Standards of Practice (2020), the Code of Ethics (2013) and the CLPNNL Therapeutic Nurse Client Relationship interpretive document. As a part of a resolution agreement, the LPN is required to submit to the Registrar an essay reflecting on the insight gained from the education provided and the importance of therapeutic communication to safe ethical client care.

 

On September 17, 2021, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to issues of time management, medication administration and lack of professionalism in the workplace. There was no allegation of harm to any clients due to these issues.  The LPN is required to complete remedial education targeting documentation, medication management, jurisprudence, the use of social media by LPNs, as well as professional accountability. The LPN, as part of an alternative dispute resolution, is required to meet with the CLPNNL Practice Consultant to discuss and cement insights gained from the required education modules as well as to review the CLPNNL Standards of Practice (2020) and the Code of Ethics (2013). Additionally, the LPN is required to submit to the Registrar an essay reflecting on how their actions did not reflect expectations for LPN practice in Newfoundland and Labrador and how their practice will be different, given what they have learned from the remedial education provided by the College.

 

On July 26, 2021, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to issues of medication administration. There was no allegation by the Complainant of any harm to clients due to the incidents. The LPN was required to complete remedial education targeting medication administration, documentation as a part of safe medication principles, jurisprudence and a review of the Standards of Practice and Code of Ethics for LPNs in Canada. Additionally, the LPN was required to meet with the CLPNNL Practice Consultant to discuss insights gained from the remedial education as well as to review expectations for practical nurses with respect to medication administration standards as outlined in the CLPNNL/CRNNL collaborative Medication Management Document (2021). As part of the resolution of the allegation, the LPN was also required to submit to the CLPNNL Registrar an essay reflecting on the insight gained from the education provided and the importance of professional accountability in medication administration and its documentation according to medication standards and employer policy.

 

On July 15, 2021, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to issues of medication administration. There was no allegation of harm to clients due to the incidents. The LPN was required to complete remedial education targeting documentation, medication administration, professional accountability and jurisprudence.  Additionally, the LPN was required to meet with the CLPNNL Practice Consultant to discuss insight gained from the remedial education as well as to review expectations for practical nurses around medication administration standards as outlined in the CLPNNL/CRNNL Medication Management Document (2021). As part of the resolution of the allegation the LPN was also required to submit to the CLPNNL Registrar an essay reflecting on the insight gained from the education provided and the importance of professional accountability in medication administration and its documentation according to medication standards and employer policy.

 

On May 10, 2021, the CLPNNL Complaints Authorization Committee (CAC), having reviewed the investigation report related to an allegation filed against an LPN where the complainant was another regulated health professional, was of the opinion that there were reasonable grounds to believe the LPN engaged in conduct deserving of sanction and that the LPN failed to comply with Documentation Standards. The CAC cautioned the LPN that in future they must chart according to CLPNNL Standards and Employer Policy not only what is personally witnessed but what is reported to them in their role as LPN.

 

On March 17, 2021, the CLPNNL Registrar resolved an allegation against an LPN. The Complainant was the LPN’s employer. The allegation related to a breach of professional boundaries in relation to a patient (there was no allegation of abuse or other actual harm to the patient). The LPN had been under the care of a health professional for treatment of a health issue and COVID-19 interfered with their ability to continue treatment. The LPN felt that these circumstances contributed to poor decision making. The LPN’s return to practice is subject to CLPNNL receiving confirmation from a health care provider that the LPN is safe to return to nursing practice and continues to receive treatment and counseling. The LPN is also required to take part in self-reflection follow-up with the CLPNNL Regulatory Officer for monitoring for a period of no less than 18 months. Additionally, the LPN is required to complete remedial education targeting professional accountability, jurisprudence in nursing practice, the CLPNNL Standards of Practice and Code of Ethics as well as the importance of the nurse-client boundary. The LPN is required to meet with the CLPNNL Practice Consultant to discuss and reflect on learnings gained about the legal and professional implications of nurses maintaining fitness to practice in the interest of public safety and the importance of upholding the integrity of the nursing profession.

 

On February 27, 2021, the CLPNNL Complaints Authorization Committee (CAC) dismissed an allegation filed against an LPN. The Complainant in the matter was the LPN’s employer. The allegation related to the LPN exhibiting behaviour in the workplace that raised concerns about their professional practice. Following an investigation into the matter, the CAC found there were no reasonable grounds to believe that the actions of the LPN demonstrated they had engaged in conduct deserving sanction.

 

On January 14, 2021, the CLPNNL Registrar resolved an allegation against a LPN. The allegation was filed by the CLPNNL Registrar as outlined in the Licensed Practical Nurses Act (2005) Section 15 (2). The LPN practiced without having completed their annual license renewal requirements and thereby failed to maintain liability protection in accordance with the Licensed Practical Nurses Act (2005). The LPN is required to pay a $1000.00 fine as well as complete remedial education targeting professional accountability and jurisprudence in nursing practice. Additionally, the LPN is required to meet with the CLPNNL Practice Consultant to discuss CLPNNL’s Standards of Practice and Code of Ethics, accountability and the importance of upholding annual registration requirements.

 

On January 11, 2021, the CLPNNL Registrar resolved an allegation filed against an LPN. The allegation related to issues with medication administration. There was no allegation of any harm to clients due to the incidents. The LPN was required to complete remedial education targeting documentation, professional accountability, jurisprudence in nursing practice and the CLPNNL Standards of Practice and Code of Ethics. The LPN is required to meet with the CLPNNL Practice Consultant to discuss insight gained from the remedial education, professionalism and self-regulation as well as to review the CLPNNL/CRNNL Medication Management Document. 

 

On December 9th, 2020, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to inaccurate documentation on a client who left a healthcare facility without notifying the staff. The inaccurate documentation related to the client’s location and the care provided. The allegation was referred to the Complaints Authorization Committee (CAC) and an investigation was ordered. The CAC reviewed the results of the investigation and made the decision to refer the allegation back to the Registrar for Alternative Dispute Resolution (ADR). There was no allegation of harm to the client due to the incident and the client’s family was aware of the situation. The LPN was required to complete remedial education targeting documentation, professional accountability and jurisprudence in nursing. Additionally, the LPN is required to meet with the CLPNNL Practice Consultant to discuss CLPNNL’s Standards of Practice and Code of Ethics, Accountability, as well as the best practices in nursing documentation. Finally, the LPN is required to submit an essay reflecting on the insight gained from the education provided and the importance of professional accountability to one’s nursing practice.

 

On November 12, 2020 the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to the LPN exhibiting signs of extreme tiredness, as well as episodes of distraction and confusion during a shift. Through the investigation it was identified that the LPN had a change in their regular medication regime by a medical provider and the night before the shift in question, the LPN had not slept. The LPN admitted the behaviour had been the result of the new medication coupled with exhaustion and that as a professional this was a breach of Code of Ethics Principle 5.5: Inform the appropriate authority in the event of becoming unable to practise safely, competently and/or ethically. There was no allegation of any harm to a client due to the unusual behaviour. The LPN is required to complete remedial education targeting professional accountability, jurisprudence, standards of practice and ethics. Additionally, the LPN is required to meet with the CLPNNL Practice Consultant to discuss the CLPNNL Standard of Practice and Code of Ethics and well as to review the CLPNNL Accountability Interpretive document. The LPN is also required to submit to the Registrar an essay reflecting on the responsibility of an LPN to report any circumstance that has the potential to impede professional, ethical or legal practice.

 

On November 9, 2020, the CLPNNL Registrar resolved an allegation against an LPN. The allegation was filed by the CLPNNL Registrar as outlined in the Licensed Practical Nurses Act (2005) Section 15 (2). The LPN practiced without having completed their annual license renewal requirements and thereby failed to maintain liability protection in accordance with the Licensed Practical Nurses Act (2005). The LPN is required to pay a $1000.00 fine as well as complete remedial education targeting professional accountability and jurisprudence in nursing practice. Additionally, the LPN is required to meet with the CLPNNL Practice Consultant to discuss CLPNNL’s Standards of Practice and Code of Ethics, accountability and the importance of upholding annual registration requirements.

 

On October 25, 2020, the CLPNNL Registrar resolved an allegation against an LPN. The LPN contacted the CLPNNL Registrar to self-report that they had diverted specific medications from the employer because they suffer from a substance abuse disorder. The employer reported the incident to CLPNNL and acted as Complainant in the resolution of the allegation. The LPN’s return to nursing practice was subject to CLPNNL receiving medical confirmation that the LPN is fit to practice nursing and that they are receiving treatment for their substance abuse disorder. The LPN is required to undergo specified monitoring upon return to practice and to complete remedial education targeting jurisprudence and professional standards. Additionally, the LPN is required to meet with the CLPNNL Practice Consultant to discuss and reflect on learnings gained about the legal and professional implications of nurses maintaining fitness to practice in the interest of public safety.

 

On September 28, 2020, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to issues with medication administration. In a letter of response to the CLPNNL Registrar, the LPN admitted to having a substance abuse disorder. There was no allegation of any harm to clients due to the incidents. The LPN is required to provide CLPNNL with a medical report confirming fitness to practice as well as agree to be monitored by the employer for a period of no less than 18 months. Additionally, the LPN was required to completed remedial education targeting professional accountability; jurisprudence in nursing practice; and the CLPNNL Standards of Practice and Code of Ethics. The LPN is required to meet with the CLPNNL Practice Consultant to discuss insight gained from the remedial education, professionalism, and self-regulation.

 

On September 17, 2020, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation was referred to the Complaints Authorization Committee (CAC) and an investigation was ordered. Following a review of the investigation findings, the CAC referred the allegation back to the CLPNNL Registrar to resolve with Alternative Dispute Resolution (ADR). The allegation related to issues of disruptive communication with colleagues, and medication administration practices that did not adhere to best practice or employer policy. The LPN is required as part of the agreement, to complete specific remedial education targeting medication administration, documentation, relational practice and communication in nursing. Additionally, the LPN is required to meet with the CLPNNL practice consultant to review and discuss the CLPNNL Standards of Practice and Code of Ethics; the Therapeutic Nurse Client Relationship; and the CLPNNL/CRNNL Medication Management Document. Finally, the LPN is required to submit an essay reflecting on the lessons learned through the education provided and how communication, collaborative practice and adherence to employer protocols impacts care.

 

In a decision dated July 31, 2020, the CAC dismissed an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to issues of alleged inappropriate medication administration by the LPN. The CAC found that there were no reasonable grounds to believe that the LPN had engaged in conduct deserving of sanction.

 

On July 28, 2020, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to the failure of the LPN to report an incident of inappropriate workplace behaviour by another health care professional, constituting a failure by that other health care professional to treat colleagues and clients with dignity and respect.  There was no allegation of any other harm to a client due to the incident or the alleged failure to report. The LPN was required to complete remedial education targeting professional accountability and duty to report. Additionally, the LPN was required to meet with the CLPNNL Practice Consultant to discuss CLPNNL’s Standards of Practice and Code of Ethics; What it means to be a Professional; Accountability; as well as the Duty to Report and the Therapeutic Nurse Client Relationship.  Finally, the LPN submitted an essay reflecting on the insight gained from the education provided and the importance of professional accountability to one’s nursing practice.

 

On June 29, 2020, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to the LPN leaving a shift without communicating to the appropriate authority that she was unable to complete the shift. There was no allegation of any harm to a client due to the incident. The LPN was required to complete remedial education targeting professional accountability and jurisprudence in nursing practice. Additionally, the LPN was required to meet with the CLPNNL Practice Consultant to discuss CLPNNL’s Standards of Practice and Code of Ethics; What it means to be a Professional; and Accountability. Finally, the LPN submitted an essay reflecting on the insight gained from the education provided and the importance of professional accountability to one’s nursing practice.

 

On May 22, 2020 the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to the failure of the LPN to report an incident of inappropriate workplace behaviour by another health care professional, constituting a failure by that other health care professional to treat colleagues and clients with dignity and respect.  There was no allegation of any other harm to a client due to the incident or the alleged failure to report. The LPN was required to complete remedial education targeting professional accountability and duty to report. Additionally, the LPN was required to meet with the CLPNNL Practice Consultant to discuss CLPNNL’s Standards of Practice and Code of Ethics; What it means to be a Professional; Accountability; as well as the Duty to Report and the Therapeutic Nurse Client Relationship.  Finally, the LPN submitted an essay reflecting on the insight gained from the education provided and the importance of professional accountability to one’s nursing practice.

 

On May 22, 2020 the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation related to the failure of the LPN to report an incident of inappropriate workplace behaviour by another health care professional, constituting a failure by that other health care professional to treat colleagues and clients with dignity and respect. There was no allegation of any other harm to a client due to the alleged failure to report.  The LPN was required to complete remedial education targeting professional accountability and duty to report. Additionally, the LPN was required to meet with the CLPNNL Practice Consultant to discuss CLPNNL’s Standards of Practice and Code of Ethics; What it means to be a Professional; Accountability; as well as the Duty to Report and the Therapeutic Nurse Client Relationship.  Finally, the LPN submitted an essay reflecting on the insight gained from the education provided and the importance of professional accountability to one’s nursing practice.

 

In a decision dated May 11, 2020, the Complaints Authorization Committee (CAC) dismissed an allegation filed against an LPN. The Complainant was the LPN’s employer and it was alleged that the LPN refused to cooperate in a staffing issue in the workplace. After careful consideration by the CAC, it was determined that the matter did not raise an issue of professional misconduct and therefore fell outside of the mandate of CLPNNL. The CAC found that there were no reasonable grounds to believe that the LPN had engaged in conduct deserving of sanction.

 

On April 20, 2020, the CLPNNL Registrar resolved an allegation filed against an LPN. The Complainant was the LPN’s employer. The allegation involved inappropriate workplace behaviour by the LPN and breach of the integrity of a professional nurse-client relationship by the LPN, constituting a failure by the LPN to treat colleagues and clients with dignity and respect. There was no allegation of any other harm to a client due to the alleged failure to report. The LPN was required to complete extensive remedial education targeting professional accountability, the nurse-client relationship and the importance of a professional behaving in a manner that upholds the integrity of the nursing profession. As part of the resolution process, there was extensive education assigned to the LPN that reinforced the CLPNNL Standards of Practice, Code of Ethics, professional boundaries, jurisprudence and professional accountability. Additionally, the LPN was required to meet with the CLPNNL Practice Consultant to review the remediation assigned as well as to discuss the importance of the nurse-client relationship and the implications of improper conduct, if it were to be repeated, for future practice. Finally, the LPN submitted an essay reflecting on the lessons learned from the incident and remedial education provided.