Advanced Ostomy Care and Management

Self Paced (Date to be determined)

10 week course

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Delivery Format: Online

Course Description

This self-directed online course is essential for health care professionals working in acute care, long-term care & community, who are interested in enhancing their knowledge and skill in the application of best practices for ostomy and peristomal skin care. This comprehensive course will assist you to critically analyze complex ostomy care problems and apply management techniques required for the provision of quality care for people and families living with ostomies. The course is taught by nursing faculty with expertise in enterostomal therapy.

Content for this course includes: Anatomy and physiology of the gastrointestinal, genitourinary & reproductive systems; conditions related to the need for an ostomy; current surgical procedures, assessment and care, product selection, nutritional and pharmaceutical considerations; specific considerations for pediatrics; and psychological and social aspects of living with an ostomy.

Audience

This course has been designed to provide a comprehensive, evidence-based education experience for Registered Nurses, Registered Practical Nurses, and other health care professionals, in all health care settings who are interested in advancing their basic knowledge and skill competency in ostomy care and management.

Course Objectives

Upon successful completion of this program participants will be able to:
1. Apply evidence-based knowledge and skill in current ostomy care and management.
2. Demonstrate assessment and problem-solving skills related to managing ostomy complications.
3. Formulate plans of care that support the patient and family toward ostomy self–care.
4. Engage an inter-professional approach to maximize ostomy care independence.
5. Demonstrate leadership in ostomy management in your place of employment.
Course Format

This course is offered on-line course through the University of Toronto Quercus Learning Portal. The online modules that are supported by electronic textbook readings, video presentations with voice narration, downloadable study guides, website resource links, and independent learning activities to assist participants in their studies. Participants with have access to content over a 3-month period, and can progress at their own pace, however there is a recommended 11-week program to follow.

To receive a certificate of completion, participants are required to complete and obtain an overall 70% cumulative average for:
- 12 short (10-15 question) multi-format quizzes
- 1 short written reflective paper “Ostomy for a day”
- 1 written case study
There are no required synchronized sessions, but participants will have opportunities to interact with each other and faculty through LIVE Question & Answer sessions that are held periodically via ZOOM.
Faculty

Monica Frecea RN MScN CETN(C)
Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing
Enterostomal Therapy Nurse at Mount Sinai Hospital in Toronto

Monica has been practicing as an Enterostomal Therapy Nurse at Mount Sinai Hospital in Toronto since 2007. Monica attained an Enterostomal Therapy certificate from Cleveland Clinic’s School of WOC Nursing in 2009 and a Master’s of Science in Nursing at York University, Toronto, in 2013. She is an active member of the Canadian Association for Enterostomal Therapy (CAET) and is part of the conference planning committee.

As a Clinical Nurse Specialist and Certified Enterostomal Therapy Nurse, she promotes evidence based practice in wound care and ostomy management.

Leslie Heath MClSc-WH RN, NSWOC, WOCC(C)
Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing
Clinical Nurse Specialist, Nurse Specialized in Wound, Ostomy and Continence (NSWOC) at University Health Network, Toronto General Hospital

Leslie is a certified Nurse Specialized in Wound, Ostomy and Continence, whose practice focuses on providing specialized assessment, prevention, treatment and management strategies for patients living with wounds and/or ostomies. As a Clinical Nurse Specialist working at Toronto General Hospital with the Surgical Oncology General Surgery Program, she provides leadership, mentoring, and provision of education to patients and staff. Her other focus includes program development, quality care monitoring and participation in research. Leslie participated in the development of the Best Practice in Surgery: Surgical Wound Care Guideline. As an Adjunct Lecturer at the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, she combines clinical expertise and a passion for teaching to provide leadership to Continuing Education Students.

Debra Johnston MN, RN, NSWOC, WOCC(C)
Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing
Clinical Nurse Specialist, Nurse Specialized in Wound, Ostomy and Continence (NSWOC) at University Health Network, Toronto General Hospital

Debra is a Clinical Nurse Specialist- Nurse Specialized in Wound, Ostomy and Continence at University Health Network- Toronto General Hospital. Her primary area of practice is Surgical Oncology with the gynecology and urology patient population. The focus of her practice is to improve the quality of life for patients and their families by developing and applying best practice guidelines and education for patients living with chronic wounds, ostomies and fistulae. Debra co-led the development of Enhanced Recovery after Surgery: Best Practice Guideline for Care of Patients with a Fecal Diversion; and the Canadian Urinary Diversion Position Statement. Debra is a Clinical Faculty member for Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC); and a Faculty and Clinical Advisor for the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto

Julie Tjan Thomas RN MN CETN(C)
Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing
Enterostomal Therapy Nurse at Mount Sinai Hospital in Toronto

Julie is practicing as an Enterostomal Therapy Nurse at Mount Sinai Hospital in Toronto. She attained an Enterostomal Therapy certificate from the Cleveland Clinic’s R.B. Turnbull, Jr., M.D. School of WOC Nursing in 2009, a Master’s in Nursing from University of Toronto in 2005 and achieved Canadian Certification in Enterostomal Therapy in 2012. She is an active member of the Canadian Association for Enterostomal Therapy (CAET) and is part of the conference planning committee. In her daily practice Julie advocates for best practice in ostomy and wound care management for both inpatient and outpatient populations.

Course Outline

This is a self-directed online course. The following outline includes a “suggested schedule” for successful completion. Participants can progress through the course at their own pace, however the modules must be completed in order. There are no required synchronized (specific day/time) sessions but participants will have opportunities to interact with each other and their faculty through online discussions. Faculty will monitor participant progress and may “check in” if you are not active in the course for a prolonged period of time.

Suggested Weekly Progress	Learning Module Topics
Week 1	Getting Started: Introductions and Course Expectations Gastrointestinal Anatomy & Physiology; and Etiologies Resulting in Ostomy GI Anatomy & Physiology Crohn’s Disease Ulcerative Colitis
Week 2	Genitourinary Anatomy & Physiology; and Etiologies Resulting in Ostomy GU Anatomy & Physiology Etiologies
Week 3	Reproductive System Anatomy & Physiology
Week 4	Surgical Procedures Resulting in Ostomy Stoma Site marking Stoma Construction & Abdominal Assessment Complications of Pouch Surgery
Week 5	Stoma Function & Management Stoma Function & Management Purpose & Management of the Loop Ostomy Rod
Week 6	Ostomy Containment Products Ostomy Containment Systems Ostomy Accessories
Week 7	Abnormal Stoma & Peristomal Presentations Abnormal Stoma Presentations Abnormal Peristomal Presentations Ostomy Skin Assessment Tool
Week 8	Adapting to Life with an Ostomy Adapting to Life with an Ostomy Pediatric Considerations for Adapting to Life with an Ostomy
Week 9	Ostomy & Nutrition
Week 10	Medications and Ostomy Function
Week 11	Teaching Principles & Strategies; Case Studies; Resources Teaching principles & Strategies Case Studies Resources

Registration Information

Fees

Online (self-paced) $620 + HST

Please Note
- Applicable taxes (13% HST) will be added to the registration fees.
- Refund Policy – To withdraw from the online course and receive a refund, your written request must be emailed to nursing@utoronto.ca within 24 hours of registering for the course. No refunds will be given after this time limit. All refunds are subject to an administration fee of $100 + tax.
- Course Cancellation Policy– The Centre for Professional Development reserves the right to cancel courses due to circumstances. The decision to cancel a course is normally made 15 days prior to the course. If you are enrolled in a course which is subsequently cancelled, you may apply your fee to another course, or receive a full refund. The Centre is not responsible for any travel or other expenses incurred by you.
Financial Assistance

OSAP Funding

The Ontario Student Assistance Program now offers funding for micro-credentials (short training programs offered by post-secondary institutions), including a number of courses offered by the Centre for Professional Development. This funding initiative is part of Ontario’s micro-credentials strategy, helping learners access more opportunities to train or upskill for in-demand jobs through loans and grants.

How to Apply for OSAP Funding

This course is OSAP approved (more approved courses are listed below, and you can also verify on the Micro-credentials Portal). To apply for financial assistance through OSAP you will need to establish an OSAP account. You must apply before the course completion date. Visit Ontario.ca/OSAP.

Once you have registered for an eligible OSAP Micro-credential program, the University Registrar’s Office requires a Micro-Credential Program information form to be completed to process your OSAP application. Please fill out the top section of the form and send it to pd.nursing@utoronto.ca to get assistance in completing the form.

Download the Micro-credential Program Information Form (PDF)

For questions regarding the OSAP Micro-Credential funding, eligibility or application process, please contact UofT’s Enrolment Services directly at http://uoft.me/enrolment-services, or by phone at 416-978-2190 for assistance.

Eligible courses offered by the Centre for Professional Development
- Advanced Health Assessment and Clinical Reasoning in Primary Health Care: A Review for Nurse Practitioners
- Advanced Ostomy Care and Management
- Complex Symptom Management in Palliative Care for Nurse Practitioners
- Controlled Drugs and Substances: Essential Management and Prescribing Practices
- End of Life Care Management for Nurse Practitioners
- Integrating a Palliative Approach to Care and Essential Communication Skills for Nurse Practitioners
- Leadership & Management in Health Care: Managing Business
- Leadership & Management in Health Care: Managing People
- Leadership & Management in Health Care: Managing Practice, Quality Care & Operational Performance
- Leadership & Management in Health Care: Role, Competencies, and Context
- Mental Health 1 for Nurse Practitioners
- Mental Health 2 for Nurse Practitioners
- Mental Health 3 for Nurse Practitioners
- Mental Health 4 for Nurse Practitioners
- Nursing Education for the Practice Setting: Assessment and Evaluation
- Nursing Education for the Practice Setting: Design, Delivery and Facilitation
- Nursing Education for the Practice Setting: Theoretical Perspectives and Context
- Point-of-Care Clinical Leadership for Managing Quality Care & Operations in Long-Term Care
- Point-of-Care Clinical Leadership for Working With & Leading Long-Term Care Teams
- Point-of-Care Clinical Leadership in the Context of Long-Term Care
- Pressure Injuries and Complex Surgical Wounds: An Advanced Practice Course
- Review of Health Assessment Across the Lifespan
- Role of the Nurse Practitioner and Care of the Hospitalized Adult 1
- Role of the Nurse Practitioner and Care of the Hospitalized Adult 2
- Role of the Nurse Practitioner and Care of the Hospitalized Adult 3
- Role of the Nurse Practitioner and Care of the Hospitalized Adult 4
- Wound Management for Nurse Practitioners and Advanced Practice Nurses: A Best Practice Boot Camp on Lower Extremity Ulcers

Contact Us

Email:	pd.nursing@utoronto.ca
Website:	bloomberg.nursing.utoronto.ca/pd
Phone:	(416) 978-5207
Address:	Centre for Professional Development Lawrence S. Bloomberg Faculty of Nursing University of Toronto 155 College Street Suite 130 Toronto, ON Canada M5T 1P8