Reflect before you inject

Do you consider administering cosmetic injectables to be a high-risk activity? You should.

Every year, CNO receives reports of patients who have been harmed during a cosmetic procedure. These incidents occurred for a number of different reasons. For instance, the nurse may not have followed proper infection prevention and control measures. Or, the nurse did not have the knowledge, skill and judgment to administer the injection or to manage an adverse outcome. As well, the nurse could have neglected to perform the procedure in an environment that supported safe care.

Administering substances such as botulinum toxin (Botox) or platelet-rich plasma (PRP) for cosmetic purposes carries the same risk for patients as administering those substances for medical reasons. If they are not performed properly, these procedures can result in infection, unnecessary pain, adverse reactions, and in cases where the adverse reactions are not managed, even death.

To keep your patients safe and prevent avoidable harm, you must...

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Shaping regulation: Council election results

In June, CNO’s Council will welcome six new members who will contribute to important decisions that shape the regulation of nursing and promote public safety. Council is CNO’s Board of Directors, made up of nurses who are elected by their peers, as well as public members who the Ontario government appoints. In January, we held Council elections in Ontario’s Eastern, Northeastern and Northwestern districts. We held elections for two RNs (or NPs) and one RPN in the Eastern district, and one RN (or NP) and one RPN in every other district.

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The Code of Conduct and you: Understanding principle 3

Trust is a key component of the therapeutic nurse-patient relationship, which means that understanding how to build and maintain your patient’s trust is an essential skill for any nurse. Patient trust is earned and maintained by providing safe and competent care. Principle 3 of the Code of Conduct breaks down “safe and competent care” into strategies and actions you can make part of your nursing practice. Some of these include...

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Prepared for practice

CNO evaluates Ontario’s 98 nursing education programs to make sure new graduates are ready for practice. To be approved, the program must meet several measurements that ensure patient and student safety and include clinical learning opportunities for students. This year, we are adding two more measurable outcomes to our process.


The first one measures how well nursing graduates are prepared to practice. This will be based on their own assessment of their experience. We’ll learn about this when the student applies for CNO registration. The second outcome measures nursing preceptors assessment of how well graduates are prepared to practice.

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