OCTOBER 2005 VOL. 14 #56 Montreal 2005 a Great Success!

OCTOBER 2005 VOL. 14 #56

INSIDE THIS ISSUE:Montreal a Great Success . . . . 1Presidents’ Messages . . . . . . . 2Reports . . . . . . . . . . . . . . . . . . 3Experience as a

CSGNA Executive . . . . . . . . 8Abstracts . . . . . . . . . . . . . . . . . 9Bylaws . . . . . . . . . . . . . . . . . . . 14Moderate Sedation/Analgesia 22Board Positions Available . . . . 24Spotlight on the CSGNA

Ottawa Chapter . . . . . . . . . . 25Pernicious Anemia . . . . . . . . . 33

Montreal 2005a Great Success!

On behalf of the Society of International Nurses and Endoscopy Associates, I would like tothank CSGNA for their involvement in the Montreal World Congress held in September.Close to five hundred delegates from 29 countries were present in this SIGNEA’s 9th Quad-rennial meeting. There was much camaraderie and sharing of knowledge which has madethis event the largest in SIGNEA history. Special thanks to Maria Cirocco for her develop-ment of a stellar program and to Leslie Bearss and Elaine Burgess for their help with thedaily functioning of the Congress. This was truly an International venture and CSGNA wasan integral part of the success.

Merci Beaucoup CSGNA!Cindy Hamilton RN CGN (C) SIGNEA Executive

Cindy Hamilton, Norah Connellyand Caroline Bernero SIGNEA.

Noational Executive at Palais.

Page Two The Guiding Light, October 2005

President’s MessageI think it is an overwhelming con-

sensus that the nurses program at theWorld Congress of Gastroenterologyin Montreal was a resounding success.There were nurses from 29 countriesin attendance. To participate in aworld congress was an experience thatmay only happen once in a lifetime.Congratulations to SIGNEA on pro-viding us with such an educationalvenue! After focusing entirely on theWorld Congress for the past year and ahalf it will require some refocusing tomove on. But move on we will! Thechallenge will be to present a programas good as or better for you next year.The program committee in Regina iswell under way in their planning. Theyare looking forward to hosting youSeptember 15th and 16th 2006. Markit on your calendar and plan with yourfriends and GI colleagues to createsome more GI memories.

CSGNA is offering a new awardthis year. It’s the” Chapter of the Year”award. The criteria were unveiled toyour chapter executive at the WorldCongress chapter dinner. Challengeyour chapter and enter into the com-petition.

Also do not forget the GI NurseProfessional Award. This very prestig-ious award was won by MichelePaquette in this our inaugural year. Ithink that it is a very significant awardbecause the recipient is nominated byhis or her peers for their outstandingwork in GI. Nominations must be sub-mitted before May 31st 2006. Alongwith the Chapter of the Year and GINurses Professional Awards theCSGNA is please to inform the mem-bership that our scholarships havebeen increased from $700 to $1000.We are also adding a New MembersScholarship for first time CSGNAMembers.

The CSGNA executive looks for-ward to another year of representingyour interests.

Respectfully yours,Nancy Campbell, President CSGNA

Comments on the CSGNA and Your BylawsSubmitted by: Debbie Taggart RN, BN, CGRN, CGN(C), President-elect, CSGNA

The Bylaws Committee has worked very hard to clarify,edit, and reword the bylaws to make them meaningfuland useful to members. Resources were accessed to im-prove our bylaws. These included review of the bylawsof similar organizations to CSGNA such as the SGNA,SIGNEA, and the AARN. Additional references follow.

If any member has a burning interest in parliamen-tary procedure, Robert’s Rules of Order, or ideas for ef-fectively running meetings using development of bylawsor policies, please contact me by email.

Several members have identified a concern thatCSGNA is not recognized as a “Special Interest Group”

by at least some of the provincial nursing associations.Your Board is looking into what some members consideran oversight and if you’d like to be involved, pleasecontact Debbie Taggart president-elect at:[email protected]:Jennings, C. Alan. (2005): Robert’s Rules for DUMMIES. Hoboken,

NJ: Wiley Publishing Inc.Robert III, Henry M., Evans, William, J., Honemann, Daniel H., &

Balch, Thomas J. (10th Ed.). (2000): Robert’s Rules of Order NewlyRevised. Cambridge, MA: Perseus Publishing.

Zimmerman, Doris P. (2nd ed.). (2005): Robert’s Rules in Plain English.New York, NY: HarperCollins.

ADVERTISINGThe CSGNA Newsletter “The Guiding Light” welcomes requests for advertisements

pertaining to employment. A nominal fee will be assessed based on size.For more information contact the editor.

[email protected]

Nancy Campbell presentingMichele Paquette with the

GI Professional Nurse Award.

The Guiding Light, October 2005 Page Three

DIRECTOR OF CANADA EASTREPORT

For those of us fortunate enoughto have attended the WCOG meetingin Montreal, what an experience! Itwas a full three day program, coveringa wide variety of topics. The manyopportunities to mingle with bothnational and international GI nursesoffered great insight into commonpractices and issues.

All is well on the east coast. Mem-bership is up from last year.

New Brunswick/Prince Edward IslandI’m happy to report the chapter is

back on track. Thanks to Pat and Kellyfor their great work. Nine membersattended the Atlantic GI meeting inLunenburg. While there they held achapter meeting and obtained theireducation hours. Keep up the goodwork!

Nova ScotiaThe Atlantic Association of Gas-

troenterologists annual meeting washeld in Lunenburg, NS in June. Thirtyone GI nurses and associates attended,with a number coming from out ofprovince. The program included top-ics on Barrett’s, liver transplant, roleof infection in functional GI disordersand a number of interesting case pres-entations. Once again thanks to theAtlantic GI society for including nurs-ing into their program. Plans for anupcoming educational day for Novem-ber are underway.

NewfoundlandThe chapter held an educational

day in June. Twenty five registrants

attended. The next Chapter meetingwas held on October 5 to discuss fu-ture Chapter educational events.

The Montreal Chapter was busywith the WCOG by obtaining cou-pons, goodie bags for the participants,distributing gifts representing Canadato our colleagues from other countriesand finding a singer for the OpeningCeremony. Thank you again.

The Greater Toronto Chapter isorganizing a meeting and a dinnernight for the end of November. AstraZeneca and Novartis are sponsoring aneducational session in February onCardio and Women’s Issues. They areanticipating another conference inApril, 2006.

The South Western Ontario Chap-ter will meet in October and plan theireducational evening.

The Central Ontario Chapter isplanning an educational event on C-Difficile the first week of November,2005. It will be sponsored by Carsen.

The Golden Horseshoe Chapter isorganizing an evening conference inNovember 16, 2005 on Managementof IBD and the use of Remicade in themanagement of IBD in Hamilton. Theevent will be sponsored by Scherring.A day conference is planned for thespring.

The London Chapter’s new execu-tive, with new President Ellen Irwin,met in September with the outgoingexecutive and discuss Chapter admin-istration and educational sessions. OnOctober 24, Carsen will sponsor aneducational session on equipment andaccessories. I look forward to workingwith all of you. Please do not hesitateto contact me at any time.

Respectfully submitted,Monique Travers R.N. CGN (C)Director of Canada Centre

DIRECTOR OFCANADA WEST REPORT

I think everyone who attended theWorld Congress will agree that theconference was interesting and in-formative and that the city of Mon-treal is a great place to visit! I was

attended. The program included talksgiven by physicians on the medical andsurgical treatment of bowel disease andHepatitis C. Nursing presentationsincluded topics on Celiac Disease,“New bugs” and Infection Control/Reprocessing in the GI unit, positivefeedback on the day.

As with most chapters the sum-mer has been quiet. A chapter meet-ing for early fall is planned to reporton the WCOG meeting and discussupcoming events.

Respectfully submitted, JoanRumsey RN, CGN (C)

It was so nice to meet every one atmy first international conference. I amso very proud to be a part of such asupportive group as the CSGNA. I wasnot aware of all the hard work eachboard member contributes. It’s notgoing to be easy but I am dedicated todoing my part as the new DirectorCanada East.

Thank you so much,Mabel Chaytor, RN, CGN(C)

DIRECTOR OFCANADA CENTRE REPORT

I would like to congratulate thePlanning Committee and especially theCSGNA Montreal Chapter for partici-pating in the organization of a greatWCOG conference. We had a varietyof informative topics with interestingspeakers and it was very enlighteningthanks to Maria Cirocco.

It was a fantastic opportunity toshare our knowledge and learn fromour international colleagues around theworld. The Chapter’s Executive din-ner was a success, thanks to the activeparticipation of all the Executive mem-bers that were present. As you knowCSGNA’s mandate is to continue edu-cating our members so we can providea high quality of care to our clients.Your participation, in any way, can in-fluence the success of this mandate.

The CSGNA Ottawa Chapter hadan evening conference on June 22,2005 on Remicade. It was very wellCSGNA Booth Montreal 2005.

Page Four The Guiding Light, October 2005

excited to attend and energized by be-ing in such a large group of GI profes-sionals. The live endoscopy sessionscertainly showed us some new ideasfor future procedures.

Thank you for giving me the op-portunity to represent you, the mem-bers of Western Canada, on theNational Board of the CSGNA. I willdo my best bring your issues to thenational level.

If you have any questions, or con-cerns, please contact me.

Okanagan ChapterBethany Rode, President of the

Okanagan, B.C. Chapter reports thatone member attended the Montrealconference and she really enjoyed theexperience. A few of the Okanaganmembers attended the Kamloops edu-cation day on Oct. 15. They held ameeting to share information fromthese events, and to discuss opportu-nities for education within theirregion.

Edmonton ChapterThe Edmonton Chapter is busy,

states Yvonne Verklan, President. Theyare organizing the fall conference whichis fast approaching on Oct. 29.“Celiac – A Closer Look” will be heldat the Misericordia Hospital. They arevery pleased with the registration num-bers they have received from centersaround Alberta.

They would like to welcome theirnew members from the Edmontonarea: Ellen McQuabbie, JoanneSatkunas and Ruth Smitten, and fromRed Deer: Betty Bradford and JudyKlaus.

They are looking forward to hav-ing their members who attended theWorld Congress conference give theminformation inservices on the some ofthe topics they took in. This will bedone at the monthly meeting.

One of the newest members willbe hosting the meeting on Nov. 21 ather Westview Health Center Site. EllenMcQuabbie has arranged for LindaSmyth, Director of Projects andPlanning with the Regional SupportServices and Community Hospitals to

speak on “No Reuse of Single UseEquipment”.

Manitoba ChapterThe Manitoba Chapter has been

busy as usual, reports Susan Drysdale,chapter secretary. They recently sentout a call for new members from thesmaller facilities in the province inorder to share their passion for thisspecialty.

A group of nurses from a numberof GI units attended the World Con-gress in Montreal in September. Theywere able to network with new peopleand meet with some already familiarfaces. Everyone benefited from the trip.

On October 22, they held theirfirst Chapter meeting for the fallsession. The meeting was held inBrandon. A large group attended andtoured the Brandon Regional Hospi-tal GI Unit. Thanks to the Brandonmembers for their hospitality.

A group of members are trying toarrange time off work in order toattend the Regina GI Days onOctober 28.

Some are already planning toattend the S.G.N.A Conference in SanAntonio in the spring.

The exposure to other facilities andthe interfacing with other groups ofGI nurses promises to improve theirpractice, increase their dedication, andfire their passion for the specialty. Theywelcome the challenges of the 2005/2006 season.

Calgary ChapterEvelyn Matthews, chapter presi-

dent, states that their first fall meetingis November 3. They are planning tohave a spring education day in April2006.

Six chapter members attended theWorld Congress in Montreal.

Vancouver Island ChapterIrene Ohly, President, has this to

say about the Congress in Montreal:“What a great convention! Thank youto all the organizers for the WorldCongress of Gastroenterology. It wasgreat to see the CSGNA family again.”There were five from Vancouver Island

at the conference. They are doing “miniinservices” for implementing newinformation that they found at theconference.

Regina ChapterThe Regina Chapter is busy

putting the final touches on their an-nual education day, GI Days, beingheld on Friday October 28, 2005.

They are in full swing with theirplans for the National Conference in2006. President Linda Buchanan saysthey are very excited about their pro-gram and entertainment plans thus far.

Several of their members are form-ing a study group in preparation forwriting the certification exam in thespring.

Kamloops ChapterOn October 15th, Debbie Taggart

and I had the pleasure of attending thefirst education event of our newestchapter, Kamloops and Region. Over40 people attended from as far as PrinceGeorge and Vancouver Island. Therewas never a dull moment, with topicsranging from Crohn’s to Iron Defi-ciency Anemia, and Pathology slidesto Pharmacology. Particularly innova-tive were the introductions. NalaMurray, past Director of Canada West,was recognized for her assistance informing the chapter and for herenthusiastic support. Kudos toMaryanne Dorais and her organizingteam for a well-rounded program anda well-run event.

Submitted by: Joanne Glen

Kamloops Chapter CSGNA.

The Guiding Light, October 2005 Page Five

REPORT FROM EDUCATIONDIRECTOR

The summer went by very quicklyas we prepared ourselves for the WorldCongress Conference in September2005 in Montreal.

I hope you enjoyed the scientificprogram put together by MariaCirocco. On behalf of myself and mycommittee I would like to commendMaria for putting together a diverseprogram covering a broad range oftopics.

I was impressed with the abstractssubmitted and I would like to con-gratulate these colleagues who werewilling to share their knowledge andresearch in the interest of providingquality patient care.

In July, I attended the CSA(Canadian Standards Association) andI am proud to work with a group ofpeople dedicated to ensure the beststandards of practice. CSA is revisinga document on reprocessing and steri-lization and they have asked represen-tation from CSGNA to help look attheir recommendations on cleaningand disinfection of flexible endoscopesand accessories. The Board has selectedthe Education Director to attend. Ournext meeting will be held in QuebecCity in January 2006.

Scholarships 2005These are the scholarships winners

CAG:Linda FelthamRachel Thibeault-Walsh

CSGNA:Deb Erickson, Cochrane, ABBelinda Tham, Toronto, ONMarlene Scrivens, Regina, SKShirley Malak, Regina, SKDianne Ryan, Regina, SKMarla Wilson, Edmonton, ABJoan Statdon, LaSalle, ONPatsy Gosse, St.John, NFLDAnna Tsang, Edmonton, ABLorraine Majcen, Toronto, ONRoberta Jozsi, LaSalle, ONMarilyn Plummer, London, ON

CARSEN:Canada WEST Canada CENTER Canada EASTL. McGeough K. Rhodes L. FelthamE. Matthews E. Binger E. CoadyD. Dunford K.Williams L. McGeeD. Ryan J. Macnab L. NashM. Dorais J. HooverL. Buchanan M. LafranceJ. McCalla N. JanuszewskiM. Wild F. NyentapD. Bourgeois Burton D. JoncasG. Lazarian A. ChildC. Schultz E. HillI. Ohly J. McKechnie

K. BonnerM. Zimmerman

Bill Collins of Carsen with Scholarship winners.

gardless if they write the exam can reg-ister for the course. We offered a mockexam and this was well received. Iwould like to thank the speakers, allBoard Directors, who put this pro-gram together and did a wonderfuljob:Usha Chauhan, Elaine Burgis,Branka Stefanac and Jennifer Belbeck.

SciCan:Adrianna Martin,Vancouver, BC

This year we have a newscholarship offered byScican. It is valued at$1,500 and is offered toa GI nurse that has con-tributed significantly tothe field of Gastroenter-ology. I am proud to saythat Adrianna Martinwas the recipient of thisaward. Congratulations.Certification:

This year we offered once againthe “Foundation GI certification prepcourse” on Sunday September 11. Theformat was changed from previous yearas we wanted to offer more of a selec-tion of topics which were not in theprogram so that anybody that wishesto receive more educational hours re-

CSGNA ScholarshipRecipients 2005.

Page Six The Guiding Light, October 2005

Leslie Ann Patry from C N A presenteda document on how to help nurseswith C N A certification preparation.It is an excellent resource manual fornurses planning to facilitate a studygroup, or participate in a study groupor preparing on their own but want-ing to consult a study group. Thismanual is available in French or inEnglish. It is available on-line from CNA web site www.cna-aiic.ca. Earn-ing certification and maintaining itshould inspire nurses to reflect on theircontinuing competence and theachievement of their career visions. Wehave as of 2005 over 152 nurses certi-fied in Gastroenterology. I encourageyou to consider writing the certifica-tion exam. The exam date is April 1,2006 and the deadline to register isNovember 4, 2005

Respectfully submittedMichele Paquette CGRN CGNCEducation Director

Adrianna Martin with Pat Hennessy,National Sales Manager of SciCan.

Winner of a free Registration to theCSGNA National Conference inRegina 2006 – Sheila Lanteigne.

The Nova Scotia Chapter Execu-tive, Evelyn McMullen [Presi-dent],Suzanne Winter [Secretary] andLisa McGee [Treasure] enjoying theAnnual East Coast CSGNA Confer-ence in Lunenburg N.S. This was heldon June 24th and 25th, 2005, in con-junction with the annual meeting ofthe Atlantic Association of Gastroen-terologists. Thirty one of our mem-bers attended. Much thanks to theAAG for their support.

The Golden Horseshoe Chapter of The CSGNAis holding an Education Presentation

all day Saturday, November the 19th, 2005.For more information you can contact

Joan Mckechnie at [email protected] Marg Hackert at [email protected]

I would like to thank the scholar-ship committee for awarding me a na-tional scholarship to attend the WorldCongress in Montreal. It was a veryinteresting program. Even more inter-esting and enlightening was network-ing with 400 nurses from around theworld. This was my first visit to Mon-treal and hopefully not my last. Thecity certainly has a lot of character andbeauty and we were delighted with thehospitality shown by all.

Sincerely:Shirley Malach, Regina ChapterCSGNA

MEMBERSHIP DIRECTORREPORT

I would like to express my thanksto Cindy Hamilton, Nancy Campbelland Maria Cirocco, along with theMontreal Chapter of CSGNA, for asuperb WCOG conference. Well done!Montreal was a wonderful experience,one we will all remember.

I am pleased to report that ourmembership has again increased. Wehave grown to 619 members. That isan increase of 30 members comparedto last year at this time. Among our

Kamloops Chapter Receiving Charter.

Nova Scotia Chapter.Chapter Dinner.

The Guiding Light, October 2005 Page Seven

membership, 87 members indicatedthat they now have their CNA Certi-fication in Gastroenterology. Congratu-lations to all of this year’s successfulcandidates!

As always, we need members toconsider a role at both the Nationaland local level. Involvement at eitherlevel is an enriching experience. It pro-vides an opportunity for personalgrowth. It allows you to use your ex-perience to enhance the growth of gas-troenterology nursing. Please getinvolved!!! Our organization can onlymove forward with our memberships’participation.

Please feel free to contact me at anytime regarding any membership ques-tions and suggestions to promote ourassociation.

Respectively submitted, ElaineBurgis, RN, CGN(C)[email protected]

Chapter Dinner.

Ray Chileshe, RN, from Zambia (co-sponsored with SIGNEA) withCSGNA Executive at Chapter Dinner.

PUBLIC RELATIONS DIRECTORREPORT

This has been an exciting year forour membership. I am sure that forthose of you who attended the WorldCongress Meeting September 12, 2005to September 14, 2005 in Montrealfound it a very informative and valu-able experience. It was exciting to meetwith such a diverse group of GI nurses.

Planning for the next CSGNAAnnual Conference, which is to behosted by Regina, September 15-16,2006, is well underway. Don’t forgetto mark your calendars! More infor-mation will be available on our websitewww.csgna.com in the near future.

The CSGNA website is a valuabletool to keep up to date with what’shappening around the country. Wehave recently received employmentopportunities that have been postedon our website. Also, we have hadsome changes in the CSGNA Execu-tive and Chapter Executive positions,so please take a look to see who is newin your area. Please remember to sub-mit your local education events [email protected] for posting on thewebsite.

Please forward any suggestionsor ideas of what you would like tosee on the CSGNA website [email protected].

Jennifer Belbeck,Public Relations Director

DIRECTOR PRACTICE REPORTMontreal was great, I hope that all

of you were able to take with you allof the wonderful information that wasavailable. It was helps to meet some ofyou in person not just via email, how-ever do continue to send commentsand questions to any one of us on theexecutive. Continue to network andattend your local area education ses-sions.

Guidelines have been looked at forboth PPE and an updated infectioncontrol document.

Remember to register yourself forthe April 2006 exam before the De-cember deadline.

My email address [email protected].

Branka Stefanac

NEWSLETTER EDITOR REPORTThe Guiding Light continues to

improve. There has been much posi-tive feedback from the members as wellas more input. The “Spotlights” ap-pears to be popular with the member-ship as chapters continue to submitthem. The CSGNA is very grateful toPentax for their support of The Guid-ing Light and look forward to work-ing with them in the future. I encourageall local chapters to continue to sendinformation regarding their educationdays for publication in the GuidingLight, as well as any articles, stories,pictures, recipes, puzzles/wordsearches, or any information to sharewith the other chapters. Please remem-ber that the newsletter is publishedthree times a year, November, Marchand July. All submissions must be re-ceived by the 15th of the previousmonth. The CSGNA would like toannounce that the new sponsor of TheGuiding Light for the years 2006 and2007 is Carsen. Thank you for yoursupport.

Warmest Regards,Leslie Bearss,Newsletter editor ofThe Guiding LightEmail: [email protected]

Page Eight The Guiding Light, October 2005

My Experience as a CSGNA ExecutiveI would like to thank the mem-

bership for the opportunity to partici-pate as a member of the NationalCSGNA executive for the last 11 years.I accepted the opportunity to be theCanada East Director in September1994 and really didn’t have a clue re-garding my role. My first meeting wasa really daunting experience and Ithought to myself “What have I gotmyself into now?” The board was inthe process of developing guidelinesand position statements. After my sec-ond meeting I felt “I can do this.” Atthe end of my first term I had not onlyorganized a regional conference, but Ialso did a presentation, which was anenormous accomplishment for me.

During my second term as CanadaEast Director, our National Treasurerhad to resign, so I volunteered to takeon the position of Treasurer. There wasa restructuring of the executive posi-tions and the position of Treasurer wasthen amalgamated with MembershipDirector. I did both positions fromSeptember 1997 to September 2001.During those four years I was very busyand I learned to use the Microsoft Ex-cel Program (thanks to some of thesecretaries that work in my depart-ment) even making my ownspreadsheets. My computer skills im-proved daily, with e-mails and theirattachments, even my one finger typ-ing has improved.

In September 2001 in an effort toeven the workload, the decision wasmade to again separate the roles ofTreasurer and Membership Director. Ibecame National Treasurer. This de-creased my workload, but I was stillvery busy working on the board,working full time and looking after myfamily.

When I joined the board, the pos-sibility of a GI Certification exam wasa primary topic at that meeting andon the agenda of all of our meetingsuntil it became a reality in April 2004.I initially would not have consideredwriting the exam; I felt it was a great

opportunity for younger nurses, as Iam sure it will be a prerequisite to ac-quire a job in an endoscopy clinic inthe near future. As time went on I be-gan to consider writing the certifica-tion exam, for my personal satisfaction,but it was a huge decision for me, as Ihad not written an exam in 16 years.Once I signed up for the exam I beganto question if I had make the rightdecision. I had not told any of my col-leagues, just in case I was unsuccess-ful, so I studied by myself in my freetime, thinking there was so much tolearn.

As April 2, 2004 got closer, I felt Ihad read and studied as much as I could.I had done my part, so if I was unsuc-cessful I knew I did my best.

Our Face-to-Face meeting was afew weeks later and we all discussedour concerns regarding the exam. Thenext 6 weeks waiting for the results wassheer agony. We were e-mailing backand forth between the board and onedirector wrote and told me she got mailand it came with a pin. The day minearrived I felt for a pin and it was there.I was so delighted and wanted to sharemy news, but was reluctant just in casesomeone was unsuccessful. Within afew days we had heard from everyoneon the board and we were all success-ful. This was great news.

I am sure that without the enthu-siasm and commitment of our Educa-tional Director, Michele Paquette, Iwould not have made the choice todo the exam. Thank you Michele foryour dedication to the CSGNA andthe Certification Exam, you are truly arole model to pursue.

During the past 11 years I havehad the opportunity to travel fromcoast to coast for national conferences.I have met many GI nurses, who havethe same concerns, and issues. It is re-ally helpful to discuss these topics,some to help resolve, some just tovent.

I myself would make a point oftrying to make contact with someone

from each province or area just to askhow they did certain procedures ortasks. This helped me with my ownpractice.

If you are interested or approachedabout doing a national board position,you should consider it. It will be a greateducational experience for you, bothprofessionally & socially. The nationalexecutives are a great bunch of nursesto work with. I will miss working withall of you.

TREASURER REPORTFirst I would like to say congratu-

lations to the WCOG conference com-mittee for a job well done. It was anexcellent conference.

I would like to welcome CindyJames to the position of National Treas-urer; I truly do know how much workyou have to do Cindy. Good Luck!

$1113 was made from the silentauction & $1000.00 was sent toAmerican Red Cross for the Katrinarelief donated on behalf of CSGNA &SIGNA. Thanks very much to all ofthe CSGNA Chapters & our Interna-tional groups for their donations.

Because of our co hosting the con-ference with SIGNA, the financial por-tion of the conference will not befinalized until late this year or early nextyear 2006.

Submitted By:Edna LangPast CSGNA National Treasurer

Picture missing

Outgoing Executive Nala Murray,Edna Lang and Joan Rumsey.

The Guiding Light, October 2005 Page Nine

AbstractsTo all CSGNA chapters,

I am writing to request that each Chapter submit anabstract for the Regina conference in 2006. The dead-line for submitting the abstract is April 30, 2006.

I encourage you to submit an abstract because theprocess is very rewarding.

Share with us what you do in your units. The topics areendless. You could select a research project, an audit, anew procedure, CQI project, etc….

I look forward to your submission.

Michele Paquette

SUBMISSION:Abstracts must include identification of area(s) of focus(background information); a description of the problemor issue; discussion of planning, implementation, evalua-tion; how your issue promoted health care outcomes orprofessional development in your area

COVER SHEETPlease complete a cover sheet and submit with your ab-stract. The cover sheet must include title of the abstract,names of all presenters/authors, credentials, and place ofemployment/academic affiliation. Please indicate main con-tact’s name, telephone number, e-mail address and faxnumber.

Please note: this information will be used in the confer-ence program should your abstract be selected.

FORMATYour typed abstract should not exceed one standard lettersize sheet of paper, double-spaced, with one-inch mar-gins and standard 12 fonts.

The title, authors, objective, description, and conclusionshould appear on the abstract. This abstract will be in-cluded as part of the course syllabus.

Please fax or e-mail your cover sheet and abstract inMicrosoft Word or word perfect format.

OTHER INFORMATIONAll authors are responsible for any expenses incurred inpreparing and presenting their poster (including registra-tion and travel expenses).

SELECTION PROCESSA blind review and selection will be made by the AbstractReview Subcommittee of the Conference PlanningCommittee.

Selection criteria include relevance to conference, clarity,impact on gastroenterology nurses and associates, or im-pact on patient outcomes

Selected abstracts will be developed into presentation for-mat by the authors. Oral presentations will be deliveredduring a free paper session. Posters will be displayed in aprominent location at the conference. A 30 minute timeperiod will be designated for the authors to discuss theposter and answer questions that delegates may have.

NOTIFICATIONSAll abstracts will be acknowledged upon receipt. Dead-line for abstracts is March 15th, 2006. Successful authorsmust indicate their intent to participate by June 1, 2006to be included in the conference syllabus.

Submit abstracts to:

Those wishing to send in abstracts are welcome to sendthem to

Michele PaquetteCSGNA Education DirectorTelephone: 613-737-8384 (W)Telephone: 613-737-8385 (Fax)E-mail: [email protected]

GUIDELINES FOR SUBMISSION to“THE GUIDING LIGHT”

• white paper with dimensions of 81/2 x 11 inches• double space• typewritten• margin of 1 inch• submission must be in the possession of the news-

letter editor 6 weeks prior to the next issue• keep a copy of submission for your record• All submissions to the newsletter “The Guiding

Light” will not be returned.

C.S.G.N.A. DISCLAIMERThe Canadian Society of Gastroenterology

Nurses and Associates is proud to present The Guid-ing Light newsletter as an educational tool for usein developing/promoting your own policies and pro-cedures and protocols.

The Canadian Society of GastroenterologyNurses and Associates does not assume any respon-sibility for the practices or recommendations of anyindividual, or for the practices and policies of anyGastroenterology Unit or endoscopy unit.

Page Ten The Guiding Light, October 2005

FUTURE CSGNA CONFERENCESREGINA 2006

HALIFAX 2007

VANCOUVER 2008

TORONTO 2009

The Guiding Light, October 2005 Page Eleven

The GI Professional Nursing AwardCRITERIA:• Promotes and enhances the image of GI nurse

in her hospital or the community.• Participates in professional organizations and

National activities for CSGNA.• Demonstrates creative and innovative methods

in patient care.• Acts as a role model and mentor.• Contributes to improving quality of care of

patients and their family.• Does volunteer work.• Encourages certification among peers.• Is committed to continuing education.

RECOGNITION CRITERIA:• Member of CSGNA• Completion of specialty certification.• Completion of Bachelor’s degree• Completion of Master’s degree• Completion of a post-graduate Nursing

certificate.• Award Recipient: Recognized with Provincial,

National or International Award.

• Publication: Article, Abstract Editorial in aJournal.

Author or co-author of a book• Presentation: Presented or co-presented at a

conference (either oral or poster).Presented at a hospital in service

• Unit contribution: Has written policies andprocedures.

• CSGNA Chapter member, who activelysupports and attends CSGNA functionsThe GI nurse must be nominated by at least

two nominators who must submit a writtenstatement to support the nomination.

Nominations must be submitted toCSGNA Education Director by March 15, 2005M.Paquette CGRN, CGN(C)501 Smyth Road, Ottawa, Ontario K1H 8L6or fax at 613-737-8385or e-mail at [email protected](a nomination form can be sent upon request)

CSGNA MEMBERSHIP FEESARE NOW $50.00 PAYABLE

BY JUNE 1st.

Please contact me about any comments youmay have about this newsletter or any ideas

for future issues.Leslie Bearss, Newsletter Editor.

Email [email protected]

On Friday Oct 29th, 2005 the Edmonton Chapterpresented “Celiac Disease: A Closer Look”for over 70 attendees. Speakers included

gastroenterologist Dr. Connie Switzer, a dieticianand a representative from the Edmonton Chapter

of the Canadian Celiac Association.Cherry Weatherman’s “Oprah” hosted three people

who shared their experience of living with the disease,which personalized it for those who have only seen itfrom a medical standpoint. Who knew that a celiac

needed a separate toaster to prevent cross-contamination? From the entertaining welcome

by the Endo-ettes, to gluten-free snacks and lunch,to a talk show complete with car giveaways, the day

was fun as well as informative.

Submitted by: Joanne GlenCanada West Director

On Friday Oct 28th, 2005, the Regina Chapterof the CSGNA held it annual GI Days. It was an

overwhelming success, attended by 100 nurses fromall over the province. The program was well received

and covered everything from GI bleeds to Care ofFeeding Tubes. Evaluations were very favorable.

Everyone had a great time. The vendor’s responseswere also very favorable. Their participation was as

always greatly appreciated.

Submitted by: Linda Buchanan,President of the Regina Chapter of the CSGNA.

The GI Professional Nursing Award

Nomination Form

I __________________________________Name and I _______________________________Name

would like to nominate __________________________________________________________Name

Hospital_____________________________________________________ for the following reasons:

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Please include educational degree(RN,Bachelor,Master) specialty certification, anypublication, presentation, unit contributions.

Nominations must be submitted to CSGNA Education Director by March 15, 2005.M.Paquette 501 Smyth Road, Ottawa,Ontario K1H 8L6 or fax at 613-737-8385 or by e-mail [email protected] (upon request a nomination form can be emailed to you)

BRITISH COLUMBIAVancouver Island ChapterPresident: Irene OhlyVictoria General Hospital,Endoscopy Unit#1 Hospital Way,Victoria BC V8Z 6RZ250-727-4234 (W)250-727-4317 (Fax)Email: [email protected]: Shirley McGeeTreasurer: Donna Gramigna

Vancouver Regional ChapterPresident: Adrianna MartinLions Gate Hospital,Endoscopy Suite 231East 15th Street,North Vancouver, BC V7L 2L7604-988-3131 ext. 4341 (W)604-980-8003 (Fax)Email: [email protected]: Monica Brennan

Okanagan ChapterPresident: Bethany RodeKelowna General HospitalGastroenterology Unit2268 Pandosy Street,Kelowna, BC V1Y 1T2250-868-8465Email: [email protected]: Jean TingstadTreasurer: Deborah Levine

Kamloops and Region ChapterPresident: Maryanne DoraisAmbulatory Care UnitRoyal Island Hospital311 Columbia,Kamloops, BC V2C 2T1Email: [email protected]: Sandra HendersonTreasurer: Lori Taylor

ALBERTACalgary ChapterPresident: Evelyn MatthewsPeter Lougheed Centre G.I. Unit 183500-26 Avenue NE,Calgary, AB T1Y 6J4403-943-4922 (W)Email: [email protected]: Meredith WildTreasurer: Doreen Reid

Edmonton ChapterPresident: Yvonne VerklanMisericordia Community HospitalEndoscopy Unit16940-87 AvenueEdmonton, AB T5R 4H5Email: [email protected]: Anna TsangTreasurer: Marla Wilson

CSGNA CHAPTER EXECUTIVE LISTSASKATCHEWANRegina ChapterPresident: Linda BuchananG.I. Unit, Pasqua Hospital4101 Dewdney Avenue,Regina, SK S4T 1A5306-766-2441 (W)Email: [email protected]: Dianne RyanTreasurer: Susan Latrace

MANITOBAManitoba ChapterPresident: Jennette McCallaGrace Hospital, Endoscopy Unit,2nd Floor, 300 Booth Drive ,Winnipeg, MN R2Y 3M7204-837-8311 ext. 2120 (W)Email: [email protected]: Susan DrysdaleTreasurer: Donna Dunford

ONTARIOOttawa ChapterPresident: Therese CarriereOttawa General HospitalRiverside CampusOttawa, ONEmail: [email protected]: Francine NyentapTreasurer: Micheline Lafrance

Golden Horseshoe ChapterPresident: Joan McKechnie304 Biehn Drive,Kitchener, ON N2R1C6519 748-2729Email c/o [email protected]: Suzanne BurgessTreasurer: Margaret Hackert

Central Ontario ChapterPresident: Jean LeighRR#1Hillsdale, ON L0L 1V0705-835-5389 ext. 6218 (W)705-728-9802 (Fax)Email: [email protected]: Linda DenisTreasurer: Heidi Furman

South Western Ontario ChapterPresident: Joan StaddonHotel Dieu Grace Hospital1030 Ouellette Avenue,Windsor, ON N9A 1E1519-973-4411 Ext. 3241 (W)519-255-2103 (Fax)Email: [email protected]: Janice SuttonTreasurer: Theresa Berthiaume

Greater Toronto ChapterPresident: Cathy BidwellSt Michael’s Hospital60 Bond Street,Toronto, ON M5B 1W8416-864-5601 Ext. 5601Email: [email protected]: Donna Joncas.Treasurer: Jacqueline Ho

London and Area ChapterPresident: Ellen Irwin12 Abbott Street,London, ON N5W 2K7519-685-8500 ext.33543 (W)Secretary: Dale GloverTreasurer: Rosa Crecca

QUEBECMontreal ChapterPresident: Georgiana Walter528 White Crescent,Greenfield, QC J4V 1G1514-843-1667 (W)Email: [email protected]: Salima Yip HoiTreasurer: Lidia Sunak-Ferguson

NEW BRUNSWICK & PEINew Brunswick & PEIPresident: Pat McPhee64 Lynden Drive,Quispamsis, NB E2E 4J3506-849-8276Email: [email protected]: Kelly Conway

NOVA SCOTIANova Scotia ChapterPresident: Evelyn McMullen112 Penny Lane,Stillwater Lake, NS B3Z 1P5 902-473-4006 (W)Email: [email protected]: Suzanne WinterTreasurer: Lisa McGee

NEWFOUNLANDNewfoundland ChapterPresident: Ellen Coady19 Forde Drive,St. John’s, NL A1A 4Y1709-737-6431 (W)Email: [email protected]: Tracey WalshTreasurer: June Peckham

The Guiding Light, October 2005 Page Thirteen

1.0 NAMEThe name of the organization shall be the “CanadianSociety of Gastroenterology Nurses and Associates”(CSGNA). Hereinafter the word “Society” shall referto “Canadian Society of Gastroenterology Nursesand Associates.” The words Officer(s), Board andExecutive are used interchangeably.

2.0 PURPOSEThe purpose shall be to unite into an organization,persons engaged in any capacity in the field ofGastroenterology Nursing in any of the tenprovinces and three territories of Canada.

3.0 GOALSThe goals of the Society shall be to promoteeducation and quality patient care by:3.1 Setting standards of practice by developing

guidelines and position statements.3.2 Developing educational programs.3.3 Encouraging study, discussion, exchange of

information related experience and practice.4.0 HEAD OFFICE

Until changed in accordance with the Act, The HeadOffice of the corporation shall be in the city of thecurrent Membership chairperson.4.1 The Corporate Seal of the Society shall be

held in safekeeping by the Officerdesignated by the Executive for the fiscalyear.

Canadian Society of GastroenterologyNurses and Associates

CSGNACSGNACSGNACSGNACSGNA MISSION STATEMENTThe Canadian Society of Gastroenterology Nurses and

Associates is committed to excellence of client care whileenhancing the educational and professional growth of themembership within the resources available.

CSGNACSGNACSGNACSGNACSGNA PURPOSE STATEMENTThe CSGNA carries out its mission by providing

opportunities for networking, education, and communi-cation for its members.

CSGNACSGNACSGNACSGNACSGNA GOALSNursing Practice:

The CSGNA is committed to encouraging membersto achieve high standards of care in daily practice by es-tablishing standards of practice.

Networking:The CSGNA encourages discussion and exchange of

experience between nurses through the formation ofChapters, newsletter publication, an annual conferenceand website.Education:

The CSGNA keeps its members abreast of currentdevelopments in the field of gastroenterology throughseminars and an annual education conference. Membersare encouraged to write the Canadian Nurses Association(CNA) Gastroenterology Nursing Certification exam.Research:

The CSGNA encourages initiatives and studies inadvancement of gastroenterology and endoscopy nursingpractice.Organization:

The CSGNA is a dynamic, financially stable, wellorganized Society responsive to members’ needs.

Bylaws5.0 MEMBERS

There shall be four classes of individual membersconsisting of active, affiliate, lifetime, and retired.5.1 Active – shall be comprised of Registered

Nurses or other Health Care Professionalsengaged in full or part-time Gastro-enterology Nursing or Endoscopy Nursingin clinical, supervisory, teaching, researchor administrative capacity. They are eligibleto vote. Only registered nurses may holdoffice.

5.2 Affiliate – shall be comprised of Nurses,Health Care Professional/persons engagedin activities relevant to the field of Gastro-enterology but not currently engaged ingastroenterology Nursing or EndoscopyNursing. They are not eligible to vote orhold office.

5.3 Lifetime – any member, deemed to havecontributed substantial time and efforttowards the advancement of the CSGNAmay be nominated for a lifetimemembership. All past Presidents will beawarded lifetime membership at the endof their term in office. Nominations forother lifetime awards may be submittedby any member of the CSGNA to theNational Executive. Lifetime awards are to

Page Fourteen The Guiding Light, October 2005

be voted on by the general membership inattendance at the annual business meeting.Lifetime membership will include votingprivileges.

5.4 Retired-shall be comprised of CSGNAmembers not actively engaged in gastro-enterology nursing practice.

5.5 Membership is not transferable. All mem-bers shall receive all publications from theSociety.

5.6 The term “Associates” in the title of theSociety, refers to CSGNA members whoare not qualified as Registered Nurses.

5.7 Any member may resign by providing awritten resignation to the Secretary.

6.0 FEESA membership fee shall be required from the active,affiliate, and retired members annually on June 1and shall become delinquent after July 1 of that year.6.1 Membership shall lapse automatically as of

July 1 if dues have not been received bythe National Treasurer.

6.2 The Executive shall determine annual duespayable and shall give appropriate noticeto members.

6.3 Members shall be notified of any changein membership requirements by the region-al directors and in The Guiding Lightpublication.

6.4 Members of the National Executive do notpay any fees while in office.

6.5 No membership fee shall be required froma lifetime member.

6.6 Retired members shall pay 50% of theannual membership fee.

6.7 All dues are payable in Canadian funds tothe “Canadian Society of GastroenterologyNurses and Associates”

7.0 MEETINGSThe annual business meeting shall be held inconjunction with the annual conference.7.1 The results of voting for Executive officers

open for election shall be announced atthe annual business meeting.

7.2 Reports from selected Executive Boardmembers shall be presented, as well asbylaw amendments and any other businessdeemed of national concern.

7.3 Written notice of the annual businessmeeting shall be included in theinformation about the annual conference.

7.4 The Board of Directors shall meet face toface at least twice a year and by tele-conference and/or email as deemednecessary by the Board.

8.0 QUORUMThe quorum shall consist of the majority of memberspresent.

9.0 ELECTION OF OFFICEAll members eligible to vote shall be informed ofthe National Board positions available and thedeadline for the nominations via the first GuidingLight publication after the annual business meeting.Nominations must reach the Chair of theNominations Committee one hundred and fifty(150) days before the annual meeting.9.1 A slate of candidates for offices open in

that fiscal year shall be mailed to the votingmembership one hundred and twenty(120) days before the annual meeting.

9.2 Ballots are to be returned to the Chair ofthe Nominations Committee ninety (90)days before the annual meeting.

9.3 Each active and lifetime member has onevote per office.

9.4 Votes shall be tabulated and recorded inthe minutes of the annual business meeting.

9.5 The successful candidates shall beannounced to the membership at theannual business meeting.

9.6 If there is only one nomination for an officeby the deadline for nominations, the officershall be elected by acclamation.

9.7 Successful candidates shall be notified assoon as possible after ballot countingenabling them to make the necessaryarrangements to attend the annualconference.

9.8 Nominations shall be accepted from thefloor at the annual business meeting if nonominations have not been received for anoffice. If there is more than onenomination, a secret ballot shall be heldduring the annual business meeting.

9.9 The first meeting with the new Executiveshall be scheduled to take place inconjunction with the annual conferenceand meeting.

9.10 Transfer of duties from retiring Executiveto newly elected Executive shall take placeat the time of the annual CSGNAconference.

9.11 Officers elected must have served theSociety in some capacity in the precedingtwo years.

9.12 Ballots shall be kept by the Chair of theBylaws Committee.

9.13 A motion to destroy the ballots shall bemade by said Chairperson during theannual business meeting.

The Guiding Light, October 2005 Page Fifteen

9.14 The ballots shall be destroyed only afterthe motion has carried by a show of handsfrom the members present.

9.15 Tellers shall be chosen from the memberspresent at the annual conference and theresults announced to the membership inthe event a motion for a recount of anyoffice is made and carried.

10.0 EXECUTIVEThe executive of the Society shall include President,President-elect, Secretary, Treasurer, MembershipDirector, Education Director, Practice Director,Newsletter Editor, Canada West Director, CanadaCentre Director, Canada East Director and PublicRelations Director.10.1 The Executive offices are open to all active

members of the Society.The Executive Officers shall have thepowers and authority as described toperform their expected offices.All National Executive members shallattend all Face to Face and Annual con-ferences. Exemptions shall be consideredby the National Board.

10.2 Any member serving in an executiveposition at the Chapter or National levelshall be an active CSGNA member.

11.0 TERMS OF OFFICE11.1 The President shall serve for two (2) years11.2 An election to fill the office of President

Elect shall be held every two (2) years.11.3 The President-elect will automatically

accede when the President’s term ends intwo (2) years.

11.4 He/she shall become acting President andassume the duties of the office in the eventof the President’s absence.

11.5 The President-elect must have served theSociety in some capacity prior to beingelected to this office.

11.6 Persons elected Secretary, Treasurer,Membership Director, Education Director,and Newsletter Editor shall hold office fortwo years or until their successor is elected.

11.7 No person shall be elected to consecutiveterms as President.

11.8 No Officer on the National Board shallhold more than one office at a time.

11.9 There shall be no restriction upon thenumber of terms which other Officers maybe elected to succeed themselves.

11.10 Elections to fill the offices of Secretary,Education Director, Treasurer, Canada EastDirector, Canada West Director, andPractice Director shall be held in oddnumbered years.

11.11 Elections to fill the offices of NewsletterEditor, Membership Director, CanadaCenter Director and Public RelationsDirector shall be held in even numberedyears.

11.12 All Officers shall deliver all records, corres-pondence or other property of the Societyto their successor within thirty (30) daysupon retiring from office.

12.0 VACANCIES12.1 Whenever the office of President becomes

vacant, the President-elect shall succeed tothe Presidency for the completion of theunexpired term and continue in office foranother full term. If the office of Presidentbecomes vacant while there is a vacancy inthe office of President-elect, Officers shallappoint an acting President from thepresent Board members who shall serveuntil the end of that term. A specialelection shall be held to fill the office ofPresident-elect.

12.2 If an elected member resigns or can nolonger fulfill his/her duties before the termof office is completed, the Executive shallappoint an interim replacement until theannual meeting, when an election can takeplace.

12.3 The person appointed shall be the firstrunner up from the election, when possible.

12.4 If an officer should resign beforecompletion of their term a writtenresignation shall be sent to the Presidentat least fourteen (14) days prior to theresignation.

13.0 DUTIES OF THE EXECUTIVE – Duties shallinclude the following and may be modified asdeemed necessary by the Board to meet the needs ofthe members.THE PRESIDENT SHALL:13.1 Serve as an official representative and

spokesperson for the Society.13.1.1 Represent CSGNA mission, goals and

positions to various members of the public.13.1.2 Manage daily affairs of the organization.13.1.3 Lead the National Board of Directors.13.1.4 Chair Nominations Committee.13.1.5 Provide mentoring to CSGNA leaders.13.1.6 Submit and present an Annual report to

the membership at the annual businessmeeting, and send it to the membershipvia the National Secretary sixty (60) daysprior to the meeting.

13.1.7 Submit a report per issue of The GuidingLight.

Page Sixteen The Guiding Light, October 2005

13.1.8 Chair and prepare agenda for the NationalBoard meetings and annual businessmeeting.

13.1.9 Travel as deemed necessary by the Board.13.1.10 Attend the SGNA Annual Meeting and the

House of Delegates session.13.1.11 Encourage vision and growth of the

organization by fostering educationalopportunities and position statementformation.

13.1.12 Serve as an ex-officio on all standingcommittees.

13.1.13 Serve a two (2) year term with a four (4)year commitment to the Executive.

DUTIES OF THE PRESIDENT-ELECTTHE PRESIDENT-ELECT SHALL:13.2 Accede to the Presidency when the

President’s term ends.13.2.1 Serve as acting President and assume the

duties of the Office in the event of the Pre-sident’s absence, disability or resignation.

13.2.2 Communicate regularly with the Presidentas deemed necessary.

13.2.3 Learn the affairs of the Society.13.2.4 Accompany the President to the SGNA

Annual Conference and attend the Houseof Delegates session.

13.2.5 Serve as the CSGNA liaison to SIGNEA.13.2.6 Serve as advisory member without vote on

standing and special committees.13.2.7 Form and chair the Bylaws Committee13.2.8 Forward amendments to these bylaws to

the National Secretary in writing ninety(90) days prior to the annual meeting.

13.2.9 Communicate when necessary withprovincial nursing organizations and CNAregarding CSGNA activities.

13.2.10 Perform such duties as delegated by thePresident.Serve a two (2) year term with a four (4)year commitment to the Executive.

13.2.11 Submit a report per issue to The GuidingLight.

13.2.12 Assume role of National ConferenceDirector in collaboration with localChairperson.

DUTIES OF THE SECRETARYTHE SECRETARY SHALL:13.3.0 Record the minutes of all meetings of the

National Board.13.3.1 Provide a summary of National Board

meetings for submission in The GuidingLight.

13.3.2 Forward the minutes of the meetings toall Board members and Chapter Presidents.

13.3.3 Conduct all correspondence for theAssociation as directed by the Executive.

13.3.4 Compile the annual report for distributionto the members ninety (90) days prior tothe annual meeting.

13.3.5 Serve as a member of the Bylaws Com-mittee.

13.3.6 Issue notice of meetings, activities, andconferences to all members.

DUTIES OF THE TREASURERTHE TREASURER SHALL:13.4.0 Collect and deposit members’ fees into the

CSGNA chartered bank or trust companyaccount.

13.4.1 Maintain a bank account for the Societywith a minimum of three signing officersappointed and two signatures required forany transaction.

13.4.2 Make such payments as are authorized bythe Society.

13.4.3 Maintain records of expenditures of theSociety.

13.4.4 Submit to the Executive, sixty (60) daysprior to the annual meeting, a Treasurer’sreport for publication in the annual report.

13.4.5 Maintain financial records of chaptereducational sessions and annual reports.

13.4.6 Automatically become a member of theAnnual Conference Planning Committee.

13.4.7 Arrange for an Annual Audit to beconducted by a Chartered Accountant.This is to be an outside firm/personindependent of the CSGNA or personstherein.

13.4.8 Report on the Auditor’s accounts of theSociety to the members in the AnnualReport and at the annual business meeting.

13.4.9 Contribute a report per issue of TheGuiding Light.

13.4.10 The Treasurer shall be custodian of the sealof the corporation, which she will deliveronly when authorized by a Resolution ofthe Board of Directors to do so and tosuch person or persons as may be namedin the resolution.

DUTIES OF THE MEMBERSHIP DIRECTORTHE MEMBERSHIP DIRECTOR SHALL:13.5.0 Collect and maintain documentation of all

CSGNA members.13.5.1 Issue membership cards and receipts to

membership. Collect and maintain recordsof membership.

13.5.2 Forward to all board members everySeptember a current list of all members ofthe Society and update as necessary.

The Guiding Light, October 2005 Page Seventeen

13.5.3 Prepare a membership list for thepublication and distribution to themembers upon request.

DUTIES OF THE EDUCATION DIRECTORTHE EDUCATION DIRECTOR SHALL:13.6.1 Serve as Board representative for certi-

fication.13.6.2 Form and chair the Education Committee.13.6.3 Allocate scholarships in consultation with

Education Committee based on establishedpoint system.

13.6.4 Establish criteria for use of the fund andreview annually.

13.6.5 Provide direction and approval to theConference Planning Committee regardingthe educational content of the CSGNAAnnual Conference.

13.6.6 Review scholarship criteria annually.13.6.7 Maintain records of all CSGNA education

events.13.6.8 Expand and improve publications,

informational products and services thatsupport the field of gastroenterologynursing.

13.6.9 Generate ideas for education that best meetthe needs of the members.

13.6.10 Submit a report of activities of theCommittee to the National Secretaryninety (90) days prior to the annualmeeting for submission in the AnnualReport.

DUTIES OF THE PRACTICE DIRECTORTHE PRACTICE DIRECTOR SHALL:13.7.0 Monitor, record and update any practice

guidelines, position statements andstandards of the CSGNA.

13.7.1 Initiate new practice guidelines, positionstatements and standards required by theCSGNA.

13.7.2 Maintain a record/library of referencedocuments reflecting practice guidelines,position statements and standards.

13.7.3 Serve as a resource person for answeringquestions/concerns on practice guidelines,position statements and standards.

DUTIES OF THE DIRECTORSTHE REGIONAL DIRECTORS SHALL:13.8.0 Encourage and assist in the formation of

chapters in their area.13.8.1 Liaise with the Chapter Presidents and

individual members in their Region aboutthe work of the Society.

13.8.2 Report to the National Executive at regularintervals as deemed necessary by theExecutive.

13.8.3 Attend a minimum of two meetings of theExecutive in consultation with theNational Board.

13.8.4 Provide a written report in sufficient timefor those meetings which cannot beattended.

13.8.5 Submit a report of activities and futureplans for inclusion in the Annual Report,ninety (90) days prior to the AnnualBusiness Meeting.

13.8.6 Submit reports about their Region’sactivities to The Guiding Light.

13.8.7 There shall be one (1) Director electedfrom each of Canada East, Centre, andWest.

13.8.8 Canada East shall consist of Prince EdwardIsland, Newfoundland, Nova Scotia, andNew Brunswick.

13.8.9 Canada Centre shall consist of Ontario andQuebec.

13.8.10 Canada West shall consist of Manitoba,Saskatchewan, Alberta, British Columbia,Northwest Territories, Yukon andNunavut.

13.8.11 Divisions of regions shall be decided bythe co-directors. The Director will theninform the National Board and membersre their areas of responsibility.

DUTIES OF NEWSLETTER EDITORTHE NEWSLETTER EDITOR SHALL:13.9.0 Set guidelines for submissions to The

Guiding Light.13.9.1 Set deadlines for submissions to The

Guiding Light.13.9.2 Pursue appropriate material for the

Newsletter.13.9.3 Compile and edit submitted material for

publication of the newsletter three (3)times annually.

13.9.4 Approve the final version of the editednewsletter prior to printing.

13.9.5 Provide updated membership list to thenewsletter distributor and ensure mailout of newsletter to all membership ingood standing.

13.9.6 Store copies of all previous newsletters.Submit a report to the National Secretaryninety (90) days prior to the annualbusiness meeting for the Annual Report.

DUTIES OF THE PUBLIC RELATIONSDIRECTORTHE PUBLIC RELATIONS DIRECTOR SHALL:13.10.1 Maintain and update the website.13.10.2 Chair Vendor Relations Committee.13.10.3 Serve as the resource person for the

vendors.

Page Eighteen The Guiding Light, October 2005

13.10.4 Chair GI Nurses Day by establishing atheme and informing the Board.

14.0 COMPENSATION14.1 All CSGNA financial requests over

$200.00 must be approved by two (2)Executive officers one of which shall be theTreasurer.

14.2 Verification of the appropriate receipts andthe appropriate use of CSGNA funds mustbe present before reimbursement.

14.3 No reimbursement shall be made withoutappropriate receipts.

14.4 The expenses of the outgoing Executiveshall include those incurred at the Annualconference at which their term of office iscomplete.The expenses of the incoming Executiveshall be paid by CSGNA at the AnnualConference where Executive changeoveroccurs.All National CSGNA Executive shall beexempt from paying to attend a CSGNANational Conference during their tenureon the Board.A maximum number of ten (10)registration fees will be awarded to thelocal Annual Conference PlanningCommittee.

15.0 DISCIPLINARY ACTION15.1 Members shall be subject to reprimand,

censor, suspension or expulsion by a two-thirds vote of the active members forviolation of the Constitution, Bylaws orthe Charter.

15.2 No such action shall be taken against amember until specific charges have beenfiled.

15.3 Members reprimanded, censored, sus-pended or expelled under the provisionsas stated may within thirty (30) days afternotification of such action, request theExecutive of the CSGNA to review anyquestions of law or procedure involvedtherein.

15.4 Executive members of Chapters shall besubject to the same rules of compensation,discipline and removal as the NationalExecutive.

15.5 A “conflict of interest” shall be defined asany situation or potential situation wherean individual may gain or is perceived togain, directly or indirectly from discussionon voting on said matters.

15.6 Any CSGNA member on a committee orin an Executive position, finding herself in

a conflict of interest, shall remove herselffrom voting on said matters.

15.7 Any CSGNA member who does notidentify a conflict of interest shall remain apart of the discussion and/or votingprocess but may be asked to resign fromthe said committee and/or Executiveposition following a review by the NationalExecutive.

16.0 REMOVAL16.1 Officers elected by the membership may

be removed by two-thirds vote of theactive members present at the AnnualMeeting.

16.2 The successor shall be the runner up in theprevious election and remains in officeuntil the end of the stated term. When thereis no runner up or the runner up is notavailable to take office, nominations shallbe taken from the floor. If there is morethan one nomination, a secret ballot shallbe held during the Annual BusinessMeeting.

17.0 PUBLICATION17.1 The Society shall publish The Guiding

Light newsletter three (3) times annually.17.2 The newsletter shall be sent to all members

in winter, spring, and fall.17.3 The Newsletter Editor shall be responsible

for compiling a comprehensive, pertinentcommuniqué and distributing it free to allmembers in good standing.

18.0 EDUCATIONAL EVENTS18.1 An agenda shall be sent by the Chapter

Secretary to the Regional Director six (6)weeks before the event for any CSGNAEducational program for a one (1) dayconference and two (2) weeks before anevening seminar.

18.2 A report entitled CSGNA Educational PostProgram Financial Report (form 01) shallbe submitted by the Chapter Treasurer tothe National Treasurer within one (1)month of the event upon completion ofany CSGNA Educational Program

18.3 The Chapter President shall ensure thatappropriate records, financial statementsand reimbursements are submitted to theNational Treasurer.

18.4 The Chapter treasurer shall submit twenty-five percent (25%) of all profits to theNational Treasurer after each event tosupport scholarships at the National level.

18.5 An extension shall be obtained from theNational Treasurer and President in the

The Guiding Light, October 2005 Page Nineteen

event of an extenuating circumstance.18.6 Any CSGNA member hosting/conducting

an educational or fund raising eventutilizing the CSGNA title shall have abank account requiring two (2) signingofficers, both CSGNA members.

18.7 The remainder of profits raised by chaptersat CSGNA designated events shall be usedfor needs as determined by its membership.

18.8 The remainder of profits raised by CSGNAmembers shall be placed in a bank toorganize future CSGNA educationalmeetings, supporting chapter formationcosts, and to pay for bank account fees.

18.9 The national CSGNA shall remit tenpercent (10%) of the profits from theannual conference meeting to the CSGNAchapter hosting the event.

18.10 All CSGNA chapters shall submit anannual educational summary to theEducation Director by June 30.

18.11 The fiscal year shall run from January 1 toDecember 31.

19.0 STANDING COMMITTEES19.1 BYLAWS COMMITTEE SHALL:19.1.1 Consist of the President, President-elect,

Secretary, and two Directors. Thecommittee shall meet at the Spring Boardmeeting, by teleconference and /or emailif deemed necessary to complete the bylawsrevisions.

19.1.2 Be chaired by the President-elect.19.1.3 Review bylaws and all recommendations

for bylaw revisions submitted by membersannually and make amendments asnecessary.

19.1.4 The President-elect shall present to theBoard of Directors at the spring boardmeeting any bylaws for revision oradoption for review by the Board beforesubmission to the membership for a vote.

19.2 NOMINATING COMMITTEE SHALL:19.2.1 Consist of the President and three members

at large.19.2.2 Be chaired by the President.19.2.3 Recommend candidate(s) for each office,

each of which shall be a member in goodstanding and shall signify his/her consentto stand for office.

19.2.4 Mail ballots to the membership.19.2.5 Count the ballots and announce successful

candidates to the membership at the annualbusiness meeting.

19.2.6 Report tabulations to the Executive forrecording in the minutes.

19.3 EDUCATION COMMITTEE SHALL:19.3.1 Consist of one Director from each Region

and at least four members at large. Effortshall be made to include all facets of thespecialty including. research, endoscopy,management and gastroenterology nursesproviding direct patient care.

19.4 VENDOR RELATIONS COMMITTEESHALL:

19.4.1 Be chaired by the Public Relations Dir-ector.

19.4.2 Consist of two (2) Directors and theTreasurer.

19.4.3 Liaise with vendors to promote, encour-age, and maintain relationships; maintainaccurate records of vendor recognition,review recommendations of vendor eval-uations at the end of each conference; andmake recommendations to the Executiveat the spring meeting.

19.4.4 Meet annually or more often as required.19.5 FINANCE COMMITTEE SHALL:19.5.1 Be chaired by the Treasurer.19.5.2 Consist of the Treasurer, the Canada West

Director and the Canada East Director.19.5.3 Review and audit financial statements,

monitor financial policies, recommendbudget, meet as necessary, and report ateach meeting.

20.0 SPECIAL COMMITTEES SHALL:20.1 Be appointed by the Board at a general

meeting and be given the necessary powerto discharge its duties.

20.2 Submit to the National Board a writtenreport upon completion of the specialcommittee’s duties.

21.0 CHAPTERS21.1 A Chapter shall be described as a geograph-

ical area (city, region, or town) where ten(10) or more active members reside.

21.2 These members shall apply to the Executivefor Charter as a Chapter.

21.3 A Chapter shall coordinate educationalactivities and functions of the CSGNAwithin its designated area in collaborationwith its Regional Director.

21.4 The formation of a Chapter shall include aminimum of ten (10) active membersapplying to the National MembershipDirector.

21.5 The local group and the Regional Directorwill determine geographical boundaries forthe chapter.

21.6 The Membership Director shall supply alist of all active members in the region.

Page Twenty The Guiding Light, October 2005

21.7 The local group shall call for nominationsfrom that list and notify all members of ameeting and election.

21.8 The number of officers required for thechapter executive shall initially bedetermined by the local group andhenceforth by the Executive of the chapter.

21.9 The National Membership Director andthe National Secretary shall be notifiedwithin thirty (30) days of the electionresults and of the title of the Chapter.

21.10 The name CSGNA shall appear within thetitle of the Chapter. (E.g. the EdmontonChapter of the CSGNA)

22.0 THE CHAPTER SHALL:22.1 Promote the Association in its area and

encourage membership.22.2 Be sensitive to the concerns and issues of

its area and communicate them to itsDirectors for discussion at the NationalExecutive.

22.3 Tabulate the activities of its area and submitdetails to its Directors for inclusion in theNewsletter and Annual Report.

22.4 Elect officers to include president, secretaryand treasurer.

22.5 Officers shall hold office for two (2) yearsor until their successors are elected.

22.6 There shall be no restrictions upon thenumber of terms to which an officer maybe elected to succeed themselves.

22.7 No officer shall hold more than one officeat a time.

22.8 Open and maintain a bank account for theChapter with a minimum of two (2)signing officers.

22.9 Submit membership fees directly to theNational office.

22.10 A one-time one-year zero percent (0%)loan shall be available to a local group forChapter formation upon application tothe National Executive.

22.11 Plan a minimum of four (4) educationhours per year for the membership in itsarea. Notification of an educational eventshall be sent to the respective members aminimum of 14 days prior to the event.

22.12 Submit to the National Treasurer byFebruary 15 the Chapter’s financial report.

22.13 All Chapters shall be available for audits atthe request of the National Treasurer.

23.0 A CHAPTER MAY BE REVOKED FOR THEFOLLOWING:23.1 At the request of the Chapter.

23.2 Failure to have ten (10) active members.(Until such time that there is one (1)chapter in each province this minimumnumber may be waived)

23.3 Repetitive failure to respond to commun-ication requests.

23.4 Failure to meet the minimum of four (4)education hours per year for the member-ship in its area.

23.5 Failure to assume responsibility for itsactions and to comply with CSGNAbylaws.

23.6 The Chapter President will report to theCSGNA National Executive any Chapterhaving serious internal problems or failureto meet Charter requirements.

23.7 The Chapter President will report anyproblems to the Regional Director.

23.8 The Regional Director shall makearrangements for the Chapter and it’sExecutive to meet with the CSGNAPresident or a member of the CSGNANational Executive for the purpose ofevaluating the problems.

23.9 The results of this meeting will bepresented to the National Executive at thenext regularly scheduled executive meeting.

23.10 The CSGNA National Executive shalldetermine the outcome for the Chapter.A probationary period of twelve (12)months may be granted to comply withCharter requirements.A Chapter may also belong to its ProvincialNurses’ Association provided there is noconflict of interests with the CSGNA.

24.0 CHANGING CHAPTER NAMEA Chapter may change its name if fifty-one percent(51%) of the Chapter membership is in favour. TheNational President of the CSGNA shall be informedof the name change within thirty (30) days ofadoption of the new name.

25.0 DISSOLUTION OF A CHAPTER ANDSOCIETYIn the event of dissolution, the Chapter Executive,after payment of or making provisions for thepayment of all liabilities, shall dispose of the assetsof the Chapter by forwarding the assets to theCSGNA National Executive.In the event of dissolution of the Society, afterpayment of or making provisions for payment of allliabilities, the National Executive shall dispose ofthe assets to one or more Canadian non-profitassociations with similar activities to the CSGNAsuch as Specialty Practice Groups.

The Guiding Light, October 2005 Page Twenty One

26.0 AMENDMENTS26.1 Active Members may submit recom-

mendation for amendments to theseBylaws to the Chair of the BylawsCommittee no later than 180 days priorto the Annual Business Meeting. Allrecommendations will be reviewed.Recommendations inconsistent with orcontrary to the current Bylaws or the goalsand objectives of the CSGNA will bereturned to the member.

26.2 Members shall be notified of the proposedamendments in writing, to be includedwith the information of the annualmeeting.

Page Twenty Two The Guiding Light, October 2005

REMINDERAs per Bylaw 22.12 all CSGNA

Chapters shall submit to theNational Treasurer by February the 15th

the Chapter’s financial report.

REMINDERAs per Bylaw 18.10, all CSGNAChapters shall submit an annual

educational summary to the EducationDirector by June 30th annually.

Moderate Sedation/AnalgesiaPresented in a panel format at the WCOG 2005

Lorie McGeough RN, CGNC

Outpatient procedures have beenon a dramatic increase for the past 10years, enlisting with this increase newtechnology, advanced pharmacologyand anesthesia techniques. Today, a sig-nificant amount of these procedureswill be done under intravenous mod-erate sedation and analgesia.

The term moderate sedation/anal-gesia was coined in 2001 by theAmerican Society of Anesthesiologists.This term replaced the old one of ‘con-scious sedation’. Part of the reason forredefining this term is to reflect andemphasize sedation works on a con-tinuum.

So why the popularity of moder-ate sedation/analgesia? One of the mainadvantages is the rapid return topresedation levels of the patient. Otherconsiderations include shorter recov-ery periods, earlier ambulating and in-creased readiness to participate in the

discharge process. Side effects are mini-mal and complications rare.

The most commonly used phar-macological agents include benzo-diazepines, opiods and reversal agents.Benzodiazepines when titrated prop-erly and alone produce minimal sideeffects on the respiratory and cardio-vascular system in healthy patients. Thebeauty of benzodiazepines is their abil-ity to produce sedation and amnesiawhile maintaining consciousness. Themost common benzodiazepines arediazepam and midazolam. Comparedwith each other the significant differ-ence is a shorter elimination half-lifeof midazolam, making it slightly morepopular than diazepam. Opiods onthe other hand alter the patient’s per-ception of pain and produce a dose-related analgesia. Opiods tend to createa synergy with benzodiazepines greatlyincreasing the potential for respiratory

depression. The most commonly usedopiods are morphine, meperidine andfentanyl. Fentanyl is rapidly becomingthe drug of choice mostly due to itsrapid onset, minimal histamine releaseand short duration time of between5-15 minutes. Of course when usingthese types of agents one must haveavailable reversal agents such asnalozone and flumazenil.

With the increased use of moder-ate sedation/analgesia by non-anesthetists practice issues are beingbrought forward by areas faced withthe increased use of this technique andthe safe use of the drugs. Each hospi-tal/facility is responsible for providingthe users with a policy and procedureto govern the practice of moderate se-dation. Guidelines that include emer-gency procedures, who can administerwhat, proper rescue equipment avail-able, adequately trained and educated

26.3 Vote shall be by mail to be received by thecommittee chair not later than 60 daysprior to the Annual Business Meeting. Topass, two thirds of the membership mustvote in favor of an amendment. Allmembers not voting will be considered a“yes” vote.

26.4 Any Bylaws of the corporation repealedor amended shall not be enforced or actedupon until the approval of the Ministry ofIndustry has been obtained.

27.0 PARLIAMENTARY AUTHORITYThe rules contained in the current edition ofROBERT’S RULES OF ORDER shall govern theSociety in all cases to which they are applicable andare not inconsistent with these Bylaws.

staff must be in place. Training of drugadministering staff should includeknowledge of anatomy and physiol-ogy, pharmacology of drugs, cardiacdysrhythmias, recognizing potentialcomplications and demonstrated skillsin airway management. Personnel withACLS should be within a less than 5minute time response.

Other key elements of successfuluse of moderate sedation/analgesiainclude:• competency based programs• staffing levels in procedure rooms

this includes: one RN responsiblefor monitoring the patient with noother duties that would leave thepatient unattended, one circulatingRN.

• monitoring related to the drug used,eg: pulse oximetry, BP, oxygen, ECGmonitoring and capnography

• ongoing education competency re-views

• specific discharge criteriaRapidly evolving technology in

procedural areas carry inherent risks forthe nurse as their role expands. It isimportant the nurse stay current onissues and controversies. The nurseshould also be aware of common causesof liability associated with moderatesedation /analgesia and promote pre-vention.

Some common issues, which con-tribute to liability, include:• titration and proper administration

of drugs• IV access, making sure you IV is in

good working order• emergency support, bagging units,

crash cart• reversal agents , have on hand• failure to communicate• lack of competency reviews and edu-

cation• failure to document accurately

Some common causes of liabilityfor the RN• failure to monitor• failure to communicate• errors in the use of equipment• errors in medication or treatment• patient falls• failure to report deviations from

practice• failure to follow a physicians orders• failure to follow hospital procedure• discharge teaching• lack of appropriate response to

emergency situationsAlthough the issues associated

with moderate sedation/analgesia seemoverwhelming, it is important that fa-cilities address these as concisely, accu-rately, quickly and based on the currentliterature. We face a window of oppor-

tunity to improve our practice andensure patient safety.

References/Suggested ReadingsAmerican Society of Anesthesiologists (ASA, ASA

physical status classification system, extractedfrom web site: www.asahq.org/clinical/physicalstatus.htm.

American Society of Anesthesiologists (ASA),Continuum of depth of sedation, extractedfrom web site: www.asahq.org/publicationsAndServices/standards/20.htm.

ASA. “Practice guideline for sedation and anal-gesia by non-anesthesiologists. Anesthesiology,Vol 96, 2002, p. 1004-1017.

JCAHO (2004). Comprehensive AccreditationManual for Hospital: The Official Handbook,Oakbrook Terrace, II., JCAHO.

Mallampati SR, Gatt SP, Gugino LD, Desai SP,Waraksa B, Freiberg D, Liu FL., “A clinicalsign to predict difficult tracheal intubation:a prospective study.” Canadian Anaesthet-ists’ Society Journal, 1985, Vol 32, No 4, p.429-434

Odom J. “Conscious sedation in the ambulatorysetting,” Critical Care Nursing Clinics of NorthAmerica, 1997 Vol 9, p. 361-370.

Odom J.(2000) “Conscious sedation/analgesia,:in Burden, Quinn, O’Brien, et. al (Eds):Ambulatory Surgical Nursing (2nd ed.) Phila-delphia, W.B. Saunders.

Odom J. Watson D. (2005) “Practical Guide toModerate Sedation/Analgesia. (2nd ed.) St.Louis, Missouri, Mosby.

Lorie McGeough is the Unit Coor-dinator for the GI Unit at thePasqua Hospital in Regina, Sask.

MEMBERSHIP RUNS FROMJUNE 1ST TO MAY 31ST

ANNUALLY

Nancy DeNiro (President SGNA) andNancy Campbell (President CSGNA).

The Guiding Light, October 2005 Page Twenty Three

Board PositionsAvailable

September 2006The following Board positions are availableSeptember 2006.

They are:Membership Director

Newsletter EditorPresident Elect

Canada Center DirectorPublic Relations director

These are two year positions. The jobdescriptions can be found on our website atwww.csgna.com . Please submit your nomi-nation to Nancy Campbell 6596 DelormeAve, Orleans, Ontario, K1C6N6 or fax to1-613-837-5049, you may also email [email protected] .Please considersstepping out of the box and submitting yournomination. You will grow as a person; notto mention the wonderful experiences andfriendships you will gain

We Need YouTo Get

Involved WithCSGNA!

We welcome all members to become involved withCSGNA. We have committees that need membership par-ticipation. Please contact the following executive for moreinformation:

By-law committee – Deb Taggart – President Elect –[email protected]

Standards of Practice – Branka Stefanac –Practice Director – [email protected]

Education – Michele Paquette – Education Director –[email protected]

Membership – Elaine Burgis – Membership Director –[email protected]

Conference Planning – Jennifer Belbeck –Public Relations – [email protected]

Newsletter – Leslie Bearss – Newsletter Editor –[email protected]

If you would like to become more involved at the locallevel, please contact your Chapter President or theNational Director in your area:

Canada West – Joanne Glen – [email protected]

Canada Centre – Monique Travers –[email protected]

Canada East – Mabel Chaytor – [email protected]

CSGNA QUESTION CORNERWhen you do a case at night what do you do with your scope? Do you:

1. Process it completely?

2. Flush it with enzymatic and leave it to be cleaned in the morning?

3. Flush it with enzymatic and leave it to soak overnight in cidex?

Please send your unit’s practice on this issue to [email protected]

Page Twenty Four The Guiding Light, October 2005

The Spotlight on theCSGNA Ottawa Chapter

The Ottawa Chapter encompassesseveral different hospitals includingthe surrounding regions of EasternOntario and Western Quebec. In theOttawa area we have The Children’sHospital of Eastern Ontario (CHEO),The Montfort Hospital, TheQueensway Carleton Hospital as wellas The Ottawa Hospital (TOH).TOH alone consists of three GI units– The Riverside Campus, The CivicCampus and The General Campus.The Ottawa Chapter has large bounda-ries extending from Oshawa in the westto the Province of Quebec in the east,the St. Lawrence River to the southand Kapuskasing to the North. Beingthe capital area makes Ottawa centrally

located and where we have a smallgroup of dedicated nurses who organ-ize the meetings and educational ses-sions for the membership. We meetonce a month to discuss business andplan future events. In the Ottawa re-gion we have approximately fortyRN’s working in Endoscopy. The pro-cedure numbers are difficult to estab-lish but we do bronchoscopies,gastroscopies, colonoscopies andERCP. Frequently our patients requirevariceal banding, glueing, injecting,endoclip insertions, dilatation, PEG/PEJ insertion, metallic esophageal, co-lonic and biliary stent insertion andargon treatment. The chapter sessionshave given everyone an opportunity

to meet and exchange informationfrom other units that are unique, fromlarge teaching hospitals to outpatientclinics. We try to make the eveningsocial and pleasant with everyone go-ing home with much more than whatthey came with. We have become avery close knit group with severalmembers from our chapter havingmoved on to the National Executivewith great success.

This year Therese Carriere, theOttawa chapter president attended theWorld Congress of Gastroenterologyin Montreal and presented our strate-gies for educational sessions in Ottawa.We would like to share these strategieswith you, our colleagues.

Ottawa Chapter – MichelineLaFrance (treasurer), Liz Hill,Francine Nyentap (secretary).

Ottawa Chapter – ThereseCarriere (President)

and Kathy O’Grady.

Ottawa Chapter – Nancy Campbell and Michele Paquette.

The Guiding Light, October 2005 Page Twenty Five

CSGNA Ottawa ChapterTIPS ON HOW TO HOLD EDUCATIONAL SESSIONS

Three (3) Strategies were attempted throughout theyears:

• All Day Session on a given weekend (ex. Saturday)• A 2 hour weekday evening session 7- 9PM• An “after work” session on a weekday 5:30 – 8:30PM

The Weekend Sessions were generally held at a uni-versity hall:

• Required much prep time & work– The Agenda needed to be completed– 3 to 4 topics & speakers needed to be identified

and scheduled in– 5 to 6 sponsors always had an interest in being

there ($250/ booth was charged)– Meals & coffee breaks needed to be organised

• Attendance was variable– Seen as the loss of a weekend for many & there-

fore low turnout from local nurses– A good point was attendance from “out-of-

towners”. They generally made it a weekend of it(ex. Shopping)

The Weekday Evening Sessions were held at the au-ditoriums of either the Civic or General campusesof the Ottawa Hospital:

These were held in the fall, winter & spring• Some prep time required:

– Topic(s) & Speaker(s) and an Agenda– The sessions included wine & cheese or coffee/

tea & sweets• Attendance was variable (low)

– Sessions finished too late– Mostly local attendance

The After Work Sessions were always on a Tuesdayor Wednesday

• CSGNA members were allowed to choose the topics– CSGNA meeting(s)– Suggestions from previous educational seminars– Speakers were then identified & asked to present

• The Sessions:– Held either at one of the hospital campuses or at a

popular restaurant

• Cocktails 5:30 to 6PM• One (1) presentation 6 to 7PM• Dinner 7 to 8:30PM

– Included door prizes (usually related to the sub-ject) & a 50/ 50 draw

– Appreciation for speakers shown by way of a giftcertificate & a dinner invitation

– Opportunity is there for some national recruiting(always a special table set up for this)

• Talk to potential sponsors. It turns out that sponsorshave been very willing to participate with these ses-sions– They are willing to design & mail the invitations– They can generously organise & pay for the cock-

tail, supper (ex. Sit down, choose the menu)– They generally provide a company folder or bag

with product info. We insert a “thank you” letter,Attendance certificate & an Evaluation form

– In return, we give them a free booth where theyexhibit their product. Generally, 2 attendees arepresent to answer questions

• When sessions are held at a hospital campus, the hos-pital has been willing to contribute– They provide catering for the supper (for a fee)– They provide free parking– They provide free of charge any equipment re-

quired (ex. Audio visual)

• Attendance much more encouraging– Favourable feedback on time/ day, length, free

parking, session location, food, 50/ 50 draw, doorprize etc

– Local & some “out-of-town” attendance

CONCLUSION:• Our experience is that the After Work Sessions are by

far the best strategy for educational seminars• Positive feedback from attendees• Enthusiastic participation by sponsors & the Ottawa

HospitalA “Certificate of Attendance” is always given to par-ticipants

• This fulfills our 4 hours of educational requirement

Example bottom Page 27

Page Twenty Six The Guiding Light, October 2005

The SciCan Educational ScholarshipSciCan, in conjunction with the CSGNA, is

pleased to again offer the annual educational schol-arship in the amount of $1500, to be awarded to amember of the CSGNA for use in attending theNational CSGNA conference (conference registra-tion, hotel, flights, meals, etc.). The award will goto a person who has made a significant contribu-tion to GI advancement and education in her/hishospital or community.

In order to encourage applicants from all partsof Canada, each CSGNA Chapter will be asked tosubmit one qualified candidate for the SciCan Edu-cational Scholarship. The choice of a candidate tosubmit rests with each Chapter. The applicationshould consist of a one-page description of the can-didate’s contributions to endoscopy in the region.All other selection criteria that pertain to CSGNAeducational awards apply. Applications should besent to the Education Director of the CSGNA byMay 31st of each year.

Choosing a winner from among the seventeencandidates will not be an easy task! We expect thatthe caliber of applicants will be very high, and nei-ther SciCan nor the CSGNA executive believes that

they we should stand in judgment of the applicantsand deem that one are more deserving than the oth-ers. Therefore, assuming that the seventeen candi-dates all meet the criteria, a draw will be made forthe winner. That person will be announced in theJune/ July issue of The Guiding Light and will bepresented a commemorative plaque at the CSGNAannual meeting. The winner’s name and photo-graph will also be published on SciCan’s website.Applications for this scholarship are due May 31,2005.

SciCan is a Canadian manufacturer and distribu-tor of medical and dental products. Our medicalproducts in Canada include the Innova endoscopewasher-disinfector, Statim sterilizer, Fujinon endos-copy systems, US Endoscopy endoscopic accesso-ries, Medicart endoscope transport systems, SciCanendoscope storage cabinets and Medisafe instru-ment cleaners. SciCan is pleased to support theCSGNA and its goal of keeping its members abreastof developments in the field of Gastroenterology.We are privileged to work with such a dedicated,professional and fun-loving group of people.

Example:

CERTIFICATE OF ATTENDANCE January 18, 2005

I _____________________________ hereby confirm my attendance at the above conference. Signature: _____________________________

HERBAL MEDICINE: A HEALTHY ALTERNATIVE 60 minutes

Signature: _____________________________Chairperson

Respectfully submitted by:Therese Carriere, Nancy Campbell, Francine Nyentap , Michele Paquette,JoanneWaite , Micheala Hanna ,Rebecca Leitch , Kathy O’Grady , Rachel Walsh, Slyviane Herve , Elizabeth Hill, Jean Macnab, MoniqueTravers and Micheline LaFrance.

The CSGNA would like to extend the most tremendous Thank You to Maria Cirocco.She put together the most superb Educational Course in Montreal this past September. Congratulations

Maria on a job very well done! We would also like to extend a big thank- you to all the sponsors thatmade the program possible. Thank you to all who contributed to the Abstracts. Lastly, THANK YOU

to the presenters for such a dynamic, informative, enlightening and educational program.

PRESENTERS:Lucille Auffrey, RN, MSN

Kathy B. Bean, PhD, RN. CGN[C]Nancy Campbell, RN, CGN[C]

Joylene Morcom, RN, RNP, MN,Dr. Alan BarkunDr. S. Seewald

Dr. Kenneth I. O’RiordanDr. N. Buttar

R. David Hambrick III, RN CGRNMichele Paquette, RN, CGRN CGN[C]

Dr. April S. Elliott, MD, FRCP[C]Lorie McGeough, RN, CGN[C]Jo Harabaugh, BS, RN, CGRN

S. Harden, RNNancy DeNiro, RN, CGRN

Di Jones, RNW. Robert Bruce, PH.D., MD

G Sandha, MD, FRCP[C]N. Eisemon, RN, MPH. CGRN, APN/CNS

J. Martin, MDCindy Hamilton, RN, BSN

L. M. Wong Kee Song, MD, FRCP

Free Paper Presentations:S. DowneyG. Walters

H. Herve-DesiratS. Ratanalert

Abstracts:S. Downey

J. TokarO. HaluszkaG. Walters

H. Herve-DesratC. Nevin

L. MazerallC. Bidwell

L. MacMilliamJ. Henry

Page Twenty Eight The Guiding Light, October 2005

Monique Travers with Dr. J. Martin,

a presenter at the Nurses Program,

Montreal 2005.

Cindy James, RN, a presenter

at the Nurses Program,

with Jennifer Belbeck.

Dr. L.M. Wong Kee Song, a presenter at

the Nurses Program, Montreal 2005,

with Michele Paquette.

Michele Paquette Speaker in Montreal

at Nurses Program.

Dr. G. Sandha, presenter at theNurses Program, Montreal 2005.

Di Jones, presenting inMontreal 2005.

Panel Discussion on Sedation, Montreal.

Deb Taggert introducingDr. April Elliot in Montreal.

L. Lothridge, A. GaberG. Walters, M. Reis

L. McGeough, S. RatanalertP. Soontrapornshai, B. Ovartlanporn

W. Pichitpornchai, M. KetchesonN. Connelly, L. RaslauM. Stenson, A. LewM. Patel, T. Carriere

F Nynetap, J. MacnabM. Travers, M. LafranceM. Paquette, R. Thibault

N. Campbell, B. Hye KyungJ. Sutherland, D. WalshA. McEntee, O. BaxterE. Wegman, J. Peery

R. Jacobson, W. Thompson H.H. IMC. James, M. Thabane

M. Borgaonkar, J.K. MarswhallS. Scott, P. Raymond

W. Thompson, M. Jimeno SaenzM. ZGalvez Deltoro, O.Espinar Rodrigues

T.Ibanez Armengod, J. HoeflokM. Tincani, R. SassatelliD. Formisano, L. Pastore

A. Gigliobianco, M. PinottiG. Bedogni, N. BassetB. Howard, K. Fujita

K. Kikuchi, T. YamakawaV. Swafford, M. Chileshe

SPONSORS:Platinum Level

PentaxWilson Cook Medical

Gold LevelCarsen

Silver LevelCustom Ultasonics

SterisBronze LevelAbbott Labs

Advanced Sterilization ProductsAstraZeneca

Boston ScientificMedtronics

The Guiding Light, October 2005 Page Twenty Nine

Monqiue Travers presenting her

Abstract, Montreal 2005.

Thank You Sponsors.

Vendor Panel LevelConMedFibertech

Page Thirty The Guiding Light, October 2005

Ray Chileshe presenting her

poster with Nancy Campbell.

M. Ketchenson presenting herposter, Montreal 2005.

Dr. B. Hye Kyung presenting hisAbstract, Montreal 2005.

Cathy Bidwell presenting her poster. Cindy James presenting her poster, Montreal 2005.

SIGNEA NURSES NIGHT

Page Thirty Two The Guiding Light, October 2005

SIGNEA’s Welcome Reception.Thank You Sponsors.

SIGNEA’s Nurses Welcome Reception.

Pernicious AnemiaShafina Bandali, RN, BScN, CGN(C)

Recently, a patient came into ourEndoscopy Unit for an esophago-gastroduodenoscopy (EGD) withsymptoms of anemia. During the pro-cedure gastritis was found and this areawas biopsied for histology. The doc-tor commented that this gastritis re-sembled gastritis due to perniciousanemia. This case motivated me tolearn more about pernicious anemia.

Pernicious anemia is defined as amegaloblastic anemia occurring in chil-dren, or more commonly, in later life.It is characterized by histamine-fastachlorhydria. Laboratory and clinicalmanifestations are based on malabsorp-tion of vitamin B12 because of a fail-ure of the gastric mucosa to secreteadequate and potent intrinsic factor.(Griffin, Vanessa (Ed). (2003). Gas-troenterology Nursing, A Core Cur-riculum, (3rd Ed.). United States ofAmerica: Society of GastroenterologyNurses and Associates pp 378)

Intrinsic factor is a glycoprotein se-creted by the gastric parietal cells. It isnecessary for vitamin B12 absorption.Intrinsic factor binds to free vitamin B12in the stomach and facilitates the vita-min’s absorption in the ileum. Lack ofintrinsic factor allows the free vitaminB12 molecules to be used up by bacte-ria, or form unabsorbable aggregates inthe small bowel.

The body’s inability to produceintrinsic factor in adulthood may bethe result of chronic gastritis, previ-ous gastrectomy (partial or complete),autoimmune endocrine disease (typeI diabetes and thyroid disease) or fam-ily history of pernicious anemia. Ininfants and children, inability to pro-duce intrinsic factor is very rare. How-ever, congenital pernicious anemia canbe inherited as an autosomal recessivedisorder (needs defective gene fromboth parents). Although a juvenileform of disease can occur, perniciousanemia is usually not apparent beforethe age of 30 years. The average age ofdiagnosis is 60 years.

Vitamin B12 is essential for theproduction of red blood cells (RBC).These cells carry oxygen to the body’stissues. Vitamin B12 deficiency causesa decrease in RBC production and thecells that are produced are defective.Vitamin B12 is also necessary for themaintenance of the nervous system.

People with pernicious anemiahave a wide variety of symptoms. Theycan experience shortness of breath, fa-tigue, pallor and rapid heart rate. Theyoften have loss of appetite and diarrhea.They can present with tingling andnumbness of the hands and feet, andan unsteady gait, especially in the dark.Their ability to smell can be impaired,or have bleeding gums. A positive Bab-inski’s reflex (great toe flexes towardthe top of the foot, while the othertoes fan out when the sole of the footis firmly stroked) may be present.Other deep tendon reflexes may be lost.Personality changes have been noted.

The presence of pernicious anemiamay be diagnosed several ways. Com-plete blood count (CBC) could showa low hematocrit and hemoglobinwith an elevated MCV (low red bloodcell count with large sized RBC).White blood count, platelets and re-ticulocyte count may also be low.Below normal serum B12 level mayalso be noted.

A Schilling test, used to determinewhether the body absorbs vitaminB12 normally, is commonly used toevaluate patients for perniciousanemia. In Stage I of this test, the pa-tient is given 2 doses of vitamin B12(cobalamin). The first dose is radioac-tive and given orally. The second doseis not radioactive and given in an in-jection 2 - 6 hours later. Urine is thencollected for 24 hours to measure ifthe vitamin B12 is normally absorbed.If Stage I is abnormal, Stage II is done3-7 days later. In this stage, the pa-tient receives both radioactive B12 andintrinsic factor. If there is a problem

with the stomach’s ability to makeintrinsic factor, Stage I of the test willbe abnormal, and Stage II will benormal.

Endoscopic examination of thestomach may show nonerosive, non-specific gastritis (NNG). Biopsy pro-vides a histological diagnosis.

Treatment for pernicious anemiarequires a lifelong therapy of monthlyvitamin B12 injections. Patient out-come is usually excellent.

Patients with pernicious anemia aremore prone to have gastric polyps.They have twice the incidence of gas-tric cancer and gastric carcinoid tumorsthan the normal population. Neuro-logical symptoms may persist if treat-ment is delayed. For women,pernicious anemia can cause a false-positive Pap smear, since a vitamin B12deficiency affects the appearance of allepithelial cells.

Pernicious anemia is not prevent-able, but early diagnosis and treatmentof the vitamin B12 deficiency can re-lieve the symptoms and complications.

REFERENCES:1. Griffin, Vanessa (Ed). (2003). Gastroenter-

ology Nursing, A Core Curriculum, (3rd ed.).United States of America: Society of Gastro-enterology Nurses and Associates

2. Medline Plus, Medical Encyclopedia: Perni-cious Anemia. Retrieved Sept 23, 2005 fromhttp://www.nlm.nih.gov/medlineplus/ency/article/000569.htm

3. Medline Plus, Medical Encyclopedia: AnemiaB12 deficiency. Retrieved Sept 23, 2005 fromhttp://www.nlm.nih.gov/medlineplus/ency/article/000574.htm

4. Medline Plus, Medical Encyclopedia: Schill-ing test. Retrieved Sept 23, 2005 from http://www.nlm.nih.gov/medlineplus/ency/article/003572.htm

5. University of Maryland Medical Center, Blooddiseases, Megaloblastic (Pernicious) Anemia.Retrieved Sept 23, 2005 from http://www.umm.edu/blood/aneper.htm

Shafina Bandali, RN, BScN,CGN(C), works in Endoscopy atthe Scarborough Hospital, GeneralCampus, in Toronto, ON

The Guiding Light, October 2005 Page Thirty Three

Canada Night CelebrationMontreal 2005

Page Thirty Four The Guiding Light, October 2005

Western Band. Monique Travers and Ray Chileshe.

Canada Night. East Coast Musicians.

Thank You Sponsors.

French Traditional Dancers.

The Guiding Light, October 2005 Page Thirty Five

1. REVIEW AND ADOPTION OF AGENDA:A motion was passed to adopt the agenda after beingreviewed.

2. REPORTS: Canada EAST- NFLD, NS, PEI/NB chapter.3. TREASURER: This year CSGNA gave out 12 scholar-

ships at $700 and this will be increased next year to 12scholarships @ $1,000. This year we were also fortunateto have 30 scholarships sponsored by Carsen, 2 by CAG,one by SciCan. For the first time next year there will a new$1,000 new member scholarship.

4. BYLAWS: There were four new bylaws and two amendedfor 2005, these bylaws were accepted as voted in the 2005annual report.

5. WGOC: Presentation by Cindy Hamilton SIGNEA onWGOC duties for the executive board members. Theseduties included responsibilities for Nurses registration desk,CSGNA booth, introduction of the speakers and silent auc-tion. SIGNEA arranged for donations to be collected atthe conference for New Orleans at the welcome reception.There was also a proposal to have Doctors to match thisdonation. Regina Chileshe a nurse from Zambia was in-troduced to the group. She was co-sponsored by CSGNA& SIGNEA to attend WCOG.

6. NEWSLETTER: The Guiding Light continues to im-prove. There has been much positive feedback from themembers as well as more input. The “Spotlights” appearsto be popular. Members are encouraged at the local chap-ter level to continue to send information regarding theireducation days for publication in the Guiding Light. TheCSGNA is very grateful to Pentax for their support of TheGuiding Light and look forward to working with them inthe future. The new sponsor for The Guiding Light for2006-2007 is Carsen. Thank you for your support.

7. EDUCATION: Michelle was elected by the Board to rep-resent CSGNA at the CSA (Canadian Standard Associa-tion) meeting which was held in July 2005. C.S.A. is lookingat developing of a document on reprocessing and steriliza-tion of endoscopes and accessories. She will keep us up-dated; the next meeting is scheduled to be held in QuebecCity January 2006.

8. MEMBERSHIP: Membership 588, up from 554 fromlast year at this time, 117 true new members. New mem-bership level for 2006, there will be an article in FebruaryGuiding Light. Reminder cards were sent out with 25%renewal response. Next year membership renewal will belooked at closely. Chapter presidents will be approached bythe membership director, to enquire the reason for lack ofmembership renewal. This will be done via e-mail at thesame time as well being asked the reasons for not renew-ing. Chapter of the Year award, new award for next yearwas introduced at the annual chapter dinner meeting andat the annual business meeting. The selection criteria for

this award was handed out to all Chapters Presidents at theChapter dinner in Montreal.

9. PUBLIC RELATIONS: Things have been quite sinceApril due to WGOC. Regular updates were made on thewebsites. Approached by the drug companies who are veryinterested in sponsoring the website.

10. PRACTICE: Bronchoscopy and Sigmoindoscopy prac-tice guidelines are finalized and will be appearing on thewebsites soon.

11. DUTIES AND TIME LINES: Nala has almost com-pleted duties and timelines document for the executive boardmembers.

12. 2005-2006 EXCECUTIVE COMMITTES: The com-mittees for Bylaws, nominations, Vendor, education andfinance were selected.

13. CHAPTER DINNER MEETING SEPTEMBER 11TH

2005: Discussed 2two strategies to have education ses-sions, Ray Chileshe GI nurse from Zambia spoke regard-ing her GI unit in Lusaka Zambia (was cosponsored byCSGNA & SIGNEA). Elaine Burgess presented the newChapter of the Year Award, new award commencing nextyear.

14. EXCITING NEWS FOR CSGNA: Nancy Campbell andDeb Taggart met with Lucille Aufrey C.N.A who is inter-ested in supporting to set up a Canadian Colon Screeningprogram. They want to try and use the model from UK setup by Sarah Harding.

15. SGNA CONFERENCE: Currently CSGNA president andpresident elect attend the SGNA conference. It voted thatother board member on a rotational basis to be sent to theconference to replace the president and president elect.

16. NEW EXECUTIVE POSITIONS FOR RENEWALNEXT YEAR:

President electMembershipNewsletterCanada CentrePublic relations

17. REGINA CONFERENCE 2006: The dates of the con-ference are September 12-14. Conference will not only beendoscopy focused but there will be other topics such aspathophysiology of IBD and nursing liabilities. Regina islooking forward to seeing all of you at the 2006 annual GIconference.Winner for the 2006 conference registration for Regina isSheila Lanteigne.

18. UPCOMING CSGNA MEETINGS: Email meeting atthe end of November and face to face meeting March 3, 4& 5 2006 Location to be determined.

Submitted by Usha ChauhanCSGNA Secretary.

SYNOPSIS OF CSGNA at WGOG 2005SEPTEMBER 9TH-15TH2005

CSGNA EDUCATION COMMITTEEPOINT SCORING SYSTEM

FOR AWARDING SCHOLARSHIPSEach year as a member (cumulative points) 1 PointEach year served on National Executive (cumulative points) 3 PointsEach year served on Annual Conference Planning Committee 3 Points(cumulative points)Each year served on Chapter Executive (cumulative points) 2 PointsEach time submitted an article for publication in “The Guiding Light” 2 Pointsnot reports (cumulative points)Can demonstrate actively recruited members 1 PointEach time has acted as speaker at a CSGNA conference or seminar 2 Points(cumulative points)Each time served on an ad hoc committee of the CSGNA (e.g.) Bylaws 2 Points(cumulative points)Outlines geographical location and travel expenses 1 PointActively participates in Chapter events (E.G.) fundraising 1 PointEach year as a member on the planning committee for a regional conference 1 Point(cumulative points)CGN(C) 3 PointsCBGNA certification 1 PointTyped format 1 Point

REVISED September 2002M. Paquette, Education Director

6596 Delorme Avenue, Orleans, Ontario K1C 6N6

20

NOMINATION FORMPlease complete this form and submit to the Chair of the Nominations Committee (currently the Presidentof the CSGNA) 150 days (April 20th, 2006) before the Annual Meeting for national office. Ballots will besent to the active members 120 days before the Annual Meeting and must be returned within 90 days.

Candidates must be active CSGNA members in good standing.

Please include a curriculum vitae with the nomination form.

C/O EDUCATION CHAIR: MICHELE PAQUETTE, 501 SMYTH ROAD, OTTAWA, ON. K1H 8L6

APPLICATION FORMFOR CSGNA ANNUAL SCHOLARSHIP AWARD

The Annual National Conference award of $1,000.00 is to be used for travel and accommodation to theAnnual National Conference in Canada.

EXCEPTIONS:

1. Applicant cannot have received THIS award in the previous two years.2. Current members of the Executive and Conference Planning Committee are not eligible for this award.3. Scholarships are available only to active members.

PLEASE SUBMIT THE FOLLOWING WITH THIS APPLICATION:

1. A written summary of how this scholarship and attendance at the proposed meeting would benefit youin your work.

2. A current Curriculum Vitae.3. Please specify your past involvement in the CSGNA: e.g., acted as speaker at a meeting, actively

recruited new members for CSGNA, aided in the formation of a local Chapter, served on an Ad HocCommittee, and any Newsletter articles submitted. Describe your current involvement with yourChapter: e.g., fundraising or planning Chapter conferences.

4. Outline projected financial needs to attend this meeting.5. Geographical location and related travel expenses will be taken into consideration by the Education

Committee when scoring applications.6. Copy of CSGNA Membership Card.

APPLICATION FORM AND SUBMISSIONS MUST BE RECEIVED BY THE EDUCATION CHAIR ATTHE ABOVE ADDRESS BY MAY 1 OF THE CURRENT YEAR.

NAME: ________________________________________________________________________

CIRCLE ALL THAT APPLY: RN BSN BAN MSN OTHER ___________________________

HOME ADDRESS: ______________________________________________________________

CITY: ____________________________________________ PROV: __________________

POSTAL CODE: ___________________ HOME TELEPHONE: ( )____________________

FAX: ( ) ___________________________ E-MAIL: __________________________________

HOSPITAL/EMPLOYER: ________________________________________________________

WORK ADDRESS: ________________________________

CITY: ____________________________________________ PROV: __________________

POSTAL CODE: ___________________ JOINED THE CSGNA IN _____________ (year).

SIGNATURE ______________________________________ DATE ___________________

PRESIDENT ________________________ NEWSLETTER EDITOR_____________ PRESIDENT ELECT ____________

NANCY CAMPBELL LESLIE BEARSS DEBBIE TAGGART6596 Delorme Avenue GI Unit Pasqua Hospital Foothills Medical Centre, UCMCOrleans, ON 4101 Dewdney Avenue 1403 29th Street NWK1C 6N6 Regina, SK Calgary, AB613-837-4743 (H) S4T 1A5 T2N 2T9613-837-5049 (Fax) 306-766-2441 (W) 403-944-2717 (W)Email: [email protected] 306-766-2513 (Fax) 403-944-1575 (Fax)

Email: [email protected] [email protected]

SECRETARY _______________________ CANADA EAST DIRECTOR ________ MEMBERSHIP DIRECTOR ______

USHA CHAUHAN MABEL CHAYTOR ELAINE BURGISHamilton Health Sciences McMaster 78 Petten Road Scarborough Hospital,1200 Main Street W HSC. RM 4W6 CBC NL A1X 4C8 General DivisionHamilton, ON 709-744-2378 (H) 3050 Lawrence Avenue EastL8N 3Z5 [email protected] Toronto, ON905-521-2100 Ext. 73543 (W) M1P 2V5905-521-2646 (Fax) 416-431-8178 (W)Email: [email protected] 416-431-8246 (Fax)

Email: [email protected]

TREASURER _______________________ PRACTICE DIRECTOR ____________ CANADA CENTRE DIRECTOR __

CINDY JAMES BRANKA STEFANAC MONIQUE TRAVERSHamilton Health Sciences McMaster GI Resource Nurse OR 4 Ottawa General Hospital1200 Main Street W HSC RM 4W1 St Mary’s General Hospital 501 Smyth RoadHamilton, ON 911 Queen’s Boulevard Ottawa, ONL8N 3ZS Kitchener, ON 613-737-8383 (W)905-521-2100 Ext. 75350 (W) N2M 1B2 613-737-8385 (Fax)905-521-4958 (Fax) 519-749-6445 (W) Email: [email protected]: [email protected] 519-749-6415 (Fax)


EDUCATION DIRECTOR _____________ CANADA WEST DIRECTOR _______ PUBLIC RELATIONS ___________

MICHELE PAQUETTE JOANNE GLEN JENNIFER BELBECKOttawa Hospital General Hospital Endoscopy Unit McMaster University501 Smyth Road Red Deer Regional Hospital Henderson Hospital SiteOttawa, ON Red Deer, AB 711 Concession StreetK1H 8L6 403-343-4858 (W) Hamilton, ON613-737-8384 (W) Email: [email protected] L8V 1C3Email: [email protected] 905-527-4322 Ext.42541(W)or: [email protected] 905-575-2661(Fax)


www.csgna.com

Page Forty The Guiding Light, October 2005

CSGNA 2004-2005 Executive

OCTOBER 2005 VOL. 14 #56 Montreal 2005 a Great Success!

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