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March 2020 Foot Canada Training Newsletter
Foot Canada Training Newsletter - Inspiring Excellence in Nursing Education

Spring Semester Courses

Registration is open for the spring 2020 semester. Register before the early bird deadline and save $150 + tax. Please visit the Foot Canada Training website for details. 

Click on the application below to register for your preferred course option:

*Registration for FCN Clinical varies based on location. Please visit the Clinical Education Providers' page for a list of locations where this course is available. 


80% Discounts

Foot Canada Training is offering a discount for  the Online FCN Theory course to eligible applicants. See our Financial Aid page for details.


Meet your New Education Provider

We would like to introduce the College of New Caledonia and Judy Bala, who have recently joined the list of clinical education providers with a license to teach Foot Canada Training's FCN Clinical course, FCN Clinical Refresher course and FCN Advanced Skills Workshop Curriculum. Looking to complete your nursing foot care clinical training in BC? Check out the College of New Caledonia website for information on upcoming courses!


Licensed Clinical Education Providers

The curriculum for the Onsite Foot Care Nurse Clinical course was developed by Foot Canada Training and is administered by Foot Care Nurse Educators, colleges and universities who have a license to access and use Foot Canada Training’s curriculum. Please visit our Clinical Education Providers' page for a complete list of course locations and licensed clinical education providers. Want to see your name added to this list? Please see our options to new business growth options and curriculum page for details.


The Art & Science of Foot Care Textbook

Currently the #1 textbook being used for Foot Care Nurse courses in Canada. This textbook can be purchased on its own or in combination with one of Foot Canada Training's courses. Please visit our bookstorepage for details.


How does Health Canada Impact my Foot Care Practice?

Foot care suppliers are now being audited by Health Canada's new team of auditors. It's time for all FCN's to keep abreast of the new guidelines that affect us all. Cindy Lazenby shares her insight and recommendations.


Reprocessing of Foot Care Devices

Foot Canada Training has incorporated the Infection Prevention and Control Canada (IPAC Canada) Position statement on “Reprocessing of Critical Foot Care Devices” and the “Practice Recommendations for IPAC Related to Foot Care in Healthcare Settings as Best Practice resources into our course curriculum. We are pleased to share with you an article from the IPAC Committee chairs, Clare Barry and Merlee Steele Rodway, highlighting the development process and some of the most salient points of these documents.

   

Spring Semester Courses

Spring Semester Courses
 

Online Foot Care Nurse Courses

80% Discount FCN Theory - Click HERE for details



Meet Your New Clinical Education Provider

College of New Caledonia (Prince George BC)
Judy Bala - Educator

We would like to introduce the College of New Caledonia and Judy Bala, who have recently joined the list of clinical education providers with a license to teach Foot Canada Training's FCN Clinical course, FCN Clinical Refresher course and FCN Advanced Skills Workshop Curriculum. Looking to complete your nursing foot care clinical training in BC? Check out the College of New Caledonia website for information on upcoming courses!

Judy Bala - College of New Caledonia Educator

I am the owner/operator of Feet Matter, a very small foot care business in Prince George, BC. I have taught advanced foot care for the College of New Caledonia for the past 6 years and enjoy collaborating with community partners to bring foot care to our most vulnerable population in Northern BC. 

My real story begins after my early retirement from the Northern Health Authority where I worked as a Registered Nurse in the Emergency department, Medicine and Administration. I successfully stayed at home for 2 years after retiring before accepting a job at a private home care company. The company I was hired to manage advertised foot care in their brochures and I asked if we had a Foot Care Nurse (FCN) and if this was really an essential service. Little did I know at the time that these inquires would take me on a most incredible journey. I took a basic foot care course offered at the College of New Caledonia from an amazing LPN who taught me about connecting with people while I did foot care. Sterilization, ingrown toe nails among other things were not part of the curriculum, but what she taught me has left a lasting impression on my practice. She truly emulated the art of caring. 

After she had retired from teaching foot care, I was approached by the College of New Caledonia to teach the course. It took many sleepless nights to put together a course but lucky for me my first class of students were amazing and passionate and made my job easy. As I learned more about the role of the Foot Care Nurse I felt my education level required a step up.  In 2019, I successfully completed Foot Canada Training's Online FCN Theory course, Online FCN Preceptor course and Online FCN Educator course. I am looking forward to partnering again with the College of New Caledonia as their educator to teach the Onsite FCN Clinical course.

My favorite quote and one fitting for this experience is: "The journey of our lives is not just about the destinations we have reached. Our wisdom, education and personal growth will come from the people we meet, the paths we chose to follow and the lessons we have learned along the way." Myne Whitman



Licensed Clinical Education Providers

FCN Clinical Course - Student

The curriculum for the Onsite Foot Care Nurse Clinical course was developed by Foot Canada Training and is administered by Foot Care Nurse Educators, colleges and universities who have a license to access and use Foot Canada Training’s curriculum. Please visit our Clinical Education Providers' page for a complete list of course locations and licensed clinical education providers. Want to see your name added to this list? Please read the business growth options and curriculum sections of our website for details.

Soft Soles Advanced Diabetic Foot Care (Ottawa ON)

For more information about FCN Clinical courses been offered in Ottawa, please visit the Soft Soles Advanced Diabetic Foot Care website and contact the Educator, Michelle De Grandmont: 

Minowaywin Mishkikii Qwe (Dryden ON) 

For more information about FCN Clinical courses offered in Dryden, please contact the Educator, Philina Sky: 

Healthy Heels and More (Windsor ON)

For more information about FCN Clinical courses offered in Windsor, please visit the Healthy Heels and More website and contact the Educator, Arlene Van Doorn:

College of New Caledonia (Prince George BC)

For more information about FCN Clinical course being offered in Prince George, please visit the College of New Caledonia website and contact the college directly:

TBA (Thunder Bay ON)

Please note that a new Clinical Education Provider for Thunder Bay is expected to be announced soon. We invite you to keep an eye on our Clinical Education Providers' page for details.



The Art & Science of Foot Care Textbook

Art & Science of Foot Care: A Clinical Resource for Nurses in Canada

Currently the #1 textbook being used for Foot Care Nurse courses in Canada. With coloured photos, glossary text and graphic visual elements, this textbook will bring you ease in your foot care work, reference or for study. 

This text can be purchased on its own or in combination with Foot Canada Training's Foot Care Nurse courses and is available for bulk purchase and/or individual purchase order through our distributor Quality FootCare Products by completing the Textbook Purchase Form. The textbook cost is $109.99 CAD + tax with FREE shipping within Canada and the USA. For more information about the textbook, please visit our bookstore page.    



How does Health Canada Impact my Foot Care Practice? 

Cindy Lazenby RN, FCNEd

 
It has come to my attention over the past year, that foot care suppliers are being audited by Health Canada's new team of auditors. It's time for all FCN's to keep abreast of the new guidelines that affect us all.
 
Q: How does Health Canada impact my foot care practice?
 
A: Health Canada has a Medical Device Bureau that oversees the regulation of medical devices imported and distributed in Canada. The products that are regulated could be as simple as Band-Aids, files, nippers or as complex as a laser. To ensure the products are approved by Health Canada for use and for sale, we highly recommend FCN Educators and students associated with Foot Canada Training, purchase all course equipment and supplies from suppliers with an active Health Canada's Medical Device Equipment License (MDEL). 
 
Q. What is Health Canada's position on rotary tools used by foot care professionals?
 
A. After reviewing several rotary tools used by health care professionals and based on how these units are currently marketed in Canada, Heath Canada has determined that that they meet the requirements for a Class II Medical Device. Health Canada's main concern is in regards to the "intended use" of the units as described by manufacturers in user manuals, promotional materials, websites, etc. As a result, manufacturers need to make updates to these supporting documents and online materials in order to comply with Health Canada regulations.

Q: How does this affect current FCN providers that have previously purchased podiatry rotary instruments? 
 
A:  Until such time that Health Canada provides more direction, previously purchased podiatry rotary units can continue to be used to provide foot care.
 
Q: How will new purchases of rotary tools be impacted?
 
A: Currently, there is no vacuum integrated podiatry rotary unit that currently complies with the Health Canada regulations, albeit there are a few rechargeable rotary tools that licensed foot care suppliers are able to resume selling. Some manufacturers are actively working to comply with Health Canada's regulations and anticipate their vacuum integrated units may be available for sale again in Canada by May - June 2020. Licensed foot care suppliers are actively communicating with Health Canada in regards to the medical device classification for rotary tools used for foot care in Canada and keeping us informed with any developments.
 
With permission from reference source: March 2, 2020 by Jennifer Winter, CEO, Pedicare Professional Footcare Instruments Ltd.  www.pedicare.ca 


Reprocessing of Foot Care Devices

Foot Canada Training has incorporated the Infection Prevention and Control Canada (IPAC Canada) Position statement on “Reprocessing of Critical Foot Care Devices and the “Practice Recommendations for IPAC Related to Foot Care in Healthcare Settings” as Best Practice resources into our course curriculum. We are pleased to share with you below an article from the IPAC Committee chairs, Clare Barry and Merlee Steele Rodway, highlighting the development process and some of the most salient points of these documents.

Submitted by Clare Barry, BN, MSc, CIC (left) and Merlee Steele Rodway R.N. (right)

on behalf of IPAC Canada

Clare Barry, BN, MSc, CIC                 Merlee Steele Rodway R.N.

 

The Infection Prevention and Control Canada (IPAC Canada) Position statement on “Reprocessing of Critical Foot Care Devices” and the “Practice Recommendations for IPAC Related to Foot Care in Healthcare Settings” is written for healthcare providers who perform foot care or reprocess critical foot care devices and as a resource for IPAC Professionals. (Note: It is not intended for addressing foot care practices performed by the client or the clients’ family.)

Foot care equipment/devices have been linked with healthcare associated infections (HAI) and outbreaks across the healthcare continuum therefore IPAC members requested guidance on infection prevention and control recommendations for foot care. 

The process to develop the recommendations started in September 2016 and included: 

  • Ten IPAC members including foot care nurses from across Canada volunteered for the working group. There was an extensive review of the existing national and global practices; a review of outbreaks associated with foot care and the current evidence based recommendations. 
  • The Position statement was developed first; followed by the Practice document which builds on the Position statement and finally the IPAC Canada Audit Toolkit for the IPAC Canada members to reflect the current requirements identified in the two previous statements.
  • Drafts were circulated to experts and stakeholders, including Canadian Foot Care Association (CAFCN), Canadian Association of Medical Device Reprocessing (CAMDR), and the IPAC Canada Interest Groups
  • Following these reviews, IPAC Canada Standards and Guidelines reviewed the statements before submission to the Board of Directors for review and approval.
  • We then identified an extensive list to send the first two documents to. Education sessions have been provided by webinar to any group/s interested and at the National IPAC Canada Conference. Education is ongoing.

The goal of the Position statement is to develop a user-friendly document with clear direction for safe reprocessing of critical devices used for foot care. It includes cleaning, disinfection, sterilization, and storage. A reference list of guidelines and resources is also provided.

Clients expect and require safe care regardless of where the procedure is performed. Clients and providers can be put at risk of acquiring infections including viral blood borne pathogens such as Hepatitis B & C, Human Immunodeficiency Virus (HIV), and various bacterial and fungal infections. These infections can occur through penetrating skin accidently, sharp instrumentation contaminated with blood/body fluids during care and used on clients without following sterilization protocols, organisms transferred from client to client through contaminated devices, and/or the weeping areas or non-intact skin; e.g. hands of provider.

Each client interaction requires a sterile set of foot care equipment/devices. In the delivery of foot-care services, equipment/devices may intentionally or unintentionally come into contact with blood, body fluids, or non-intact skin, therefore requiring sterilization. It is imperative to manage all equipment as if it has been contaminated. Soil is not always visible. Infection prevention and control best practices indicate there should be one reprocessing system for all equipment from any client. 

Reusable foot care equipment/devices are considered critical devices. Critical medical equipment presents a high risk of infection if the equipment is contaminated with any organism.

Reprocessing critical equipment involves meticulous cleaning followed by sterilization. 

The Position statement states there are three options for reprocessing critical foot care devices. 

Option 1: 

  • Use single-use sterile disposable equipment/devices and discard appropriately after use.

Option 2:

  • Multi-client reusable foot care equipment/devices reprocessed using the contracted services of a centralized Medical Device Reprocessing Department (MDRD). The contracted MDRD meets the CSA standards and has qualified technicians to perform the reprocessing (cleaning and steam sterilization). 

Option 3: 

  • The healthcare provider chooses to reprocess reusable equipment/devices themselves, with the following considerations incorporated into practice:
    • Purchase current pertinent CSA standards documents for reprocessing practices and follow these along with provincial reprocessing guidelines. 
    • Healthcare provider shall have written procedures based on current standards.

NB>There is an extensive list of what must be implemented if the healthcare provider chooses Option 3.

These documents have been circulated broadly to educational institutions and professional associations involved in foot care throughout Canada. IPAC Canada has provided webinars on these statements.


 

Thank you for reading our newsletter. Please do not hesitate to contact us directly with your feedback and questions.                                               

                                                                                          

[E] cindy@footcanada.ca                               [E] marie-pierre@footcanada.ca                [E] julie@footcanada.ca
Cindy Lazenby RN, FCNEd                           Marie-Pierre Hamelin MSW                       Julie Gauthier B.A. (Hons), B.Ed.
Executive Director &                                      Director of Operations                                Director of Education
Director of Nursing 

 

 

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