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Profiles of Clinical Nurse Specialists and Nurse Practioners

Clinical nurse specialists are part of our team of health care professionals. They are cinical experts in a specialized area of nursing practice and in the delivery of evidence-informed care.

Click above on the area you are interested in to find out more.

Cardiac Sciences
Dr. Lorraine Avery

Clinical Program:
WRHA Cardiac Sciences

Email
Tel.: 204-258-1286

Certification:

  • Canadian Nurses Association Adult Critical Care
  • Advanced Cardiac Life Support

Education:

  • Doctor of Philosophy
  • Master of Nursing
  • Bachelor of Nursing
  • Adult Intensive Care Nursing Course

 

Lorraine provides regional support to cardiac patients and nurses through consultation, collaboration, system support as well as through the development of regional best practice tools. An area of responsibility is secondary prevention including linkages and support to the WRHA Cardiac Rehabilitation Program.

Lorraine is a leader in the development of practice tools including coauthor of the regional acute myocardial infarction clinical pathway. She also facilitates a Heart Health Fair for cardiac patients and is a facilitator for the WRHA evidence informed workshop series. Lorraine has completed additional education related to systematic reviews and guideline development.

Loraine is actively involved in professional development and supports the Clinical Nurse Specialist role through a variety of activities and committees. She represented Manitoba in the development of the Pan-Canadian Core Competencies for the Clinical Nurse Specialist (Canadian Nurses Association).

Lorraine’s research interests relate to knowledge sources used in clinical practice, CNS role evaluation and outcome measurement and cardiac rehabilitation. In 2016, Lorraine was awarded Clinical Nurse Specialist of the Year by the Clinical Nurse Specialists of Manitoba Interest Group.

 

Geriatrics
Lynda L. Mandzuk

Clinical Program:
Rehab Geriatrics
(2010 – Present)

Email
Tel.: 204-237-2455

Certification:

  • Canadian Nurses Association - Gerontological Nursing

Education:

  • Nursing Diploma (St. Boniface General Hospital)
  • Certificate in Adult and Continuing Education (University of Manitoba)
  • Bachelor of Nursing (University of Manitoba)
  • Master of Nursing (University of Manitoba)

 

Lynda is an advocate for excellence in care of the older adult at St. Boniface Hospital. Her clinical interests include dementia care, music and memory, quality of life, functional status and fall prevention. As a member of the interdisciplinary team, she promotes an awareness of issues facing older adults. Her thesis research focused on quality of life and functional status in total joint replacement patients. This research has yielded several publications as well as international, national, and local presentations. She is actively involved in hospital and regional committees and chairs the Care of the Older Person Strategic Committee. Lynda participates in the Canadian Gerontological Nurses Association, the Manitoba Gerontological Nurses Association, Manitoba Clinical Nurse Specialist Interest Group, and the Sigma Theta Tau International Honour Society of Nursing. She holds a Nil Appointment in the Faculty of Nursing and a Professional Affiliate Appointment at the Manitoba Centre for Nursing and Health Research (University of Manitoba).

 

Family Medecine
Joanne Parker

Clinical Program:
Family Medicine (1998-present)

Email
Tel.: 204-237-2880

Certification:

  • CNA Medical-Surgical Nursing (2010)

Education:

University of Manitoba

  • Bachelor of Nursing

Syracuse University (Syracuse, New York)

  • Master of Science in Nursing

 

As a clinical nurse specialist employed at the Family Medical Centre, a family medicine residency teaching program, Joanne’s role involves direct clinical care with an emphasis on family medicine resident education and teaching, medical student and other learner education, research, and leadership activities. She participates in the review of regional primary care clinical practice guidelines and develops guidelines to promote safe processes within the clinic. Joanne has taken a leadership role in preparing the clinic for the past three cycles of accreditation. Her research includes patient satisfaction and quality of care, and diabetes education. Previous research includes acting as principal investigator evaluating the impact of a provincial health literacy and communication initiative, co-investigator of school based adolescent health education, and supervisory roles in medical student research on smoking cessation and patient satisfaction. Research results have been presented at national conferences. Joanne is involved on clinic, hospital and regional committees such as the Regional Primary Care Quality Team, Regional Primary Care Professional Council, and is Chair of the Family Medical Centre Quality Team. She holds an appointment with the University of Manitoba Faculty of Medicine.

 

Medicine
Kimberly Jabusch

Clinical Program:
Medicine Program (2002-Present)

Email
Tel.: 204-235-3098

Certification:

  • CNA Medical-Surgical Nursing (2010)

Education:

University of Manitoba

  • Bachelor of Arts (1991)
  • Bachelor of Nursing (1994)
  • Master of Nursing (1998)

 

Kimberly acts as a consultant to the interprofessional health care team regarding the treatment and discharge planning for internal medicine patients with complex health needs.  She has led the development of clinical practice guidelines for indwelling urethral catheters as well as nursing algorithms to guide clinical decision-making. Her previous research has focused on pain prevalence in hospitalized adults, and nurses’ knowledge regarding chronic wound care and pain management which she has published and presented at national conferences.  Currently, she is undertaking a collaborative research project evaluating the effects of standardized self-care education for patients with heart failure on hospital readmission rates.  Kimberly is actively involved in numerous hospital, regional and provincial committees including the College of Registered Nurses of Manitoba Continuing Competency Program, and the Clinical Nurse Specialists of Manitoba Interest Group.  She is the current Co-Chair of the Clinical Nurse Specialist Committee at St. Boniface Hospital. She holds a nil-salaried appointment with the University of Manitoba, Faculty of Nursing and a professional affiliate appointment with the Manitoba Centre for Health and Nursing Research (MCNHR).

 

Palliative Care
Karen Schnell-Hoehn

Nurse

Clinical Program:
Palliative Care

Email
Tel.: 204-237-2236

Certification:

  • Canadian Nurses Association - Cardiovascular Nursing

Education:

University of Manitoba

  • Bachelor of Nursing
  • Adult Intensive Care Nursing Certification
  • Master of Nursing

     

 

Karen provides leadership and support to the inter-professional health care team regarding the management and provision of evidence-informed care for palliative care patients. She is a member of the Palliative Care Consult Service which provides expertise to the health care team related to pain control and symptom management for hospitalized palliative care patients outside of the Palliative Care Unit. Karen acts as a resource with regards to a palliative care approach to patient care and participates in discharge planning as needed for this patient population to bridge the gap between the hospital and the community. With a diverse nursing background, Karen has led the development of patient educational material and evidence-informed practice tools.

Karen participates in research and quality initiatives, including acting as the principal investigator for the Cardiac Nurses’ Knowledge of Palliative Care study. She is a member of the Editorial Board for the Canadian Journal of Cardiovascular Nursing. Karen has published case studies, clinical columns and research articles in peer review journals and has presented locally and nationally. She is actively involved with professional associations and committees related to advanced practice nursing, palliative care, and cardiovascular nursing. Karen has received recognition for her professional work, including being awarded the St. Boniface Hospital Nursing Excellence Award in Leadership and Advocacy Award in 2016. She also holds a nil academic appointment with the University of Manitoba, Faculty of Nursing.

 

Surgery
Anna Fedorowicz

Clinical Program:
Surgery Program CNS (2007-present)

Email
Tel.: 204-235-3547

Courses:

  • C.V.T. Course (HSC 1985)
  • FINIB Course (2004)

Education:

University of Manitoba

  • Adult Intensive Care Program (1990)
  • Bachelor of Nursing (2000)
  • Master of Nursing (2006)

 

Anna Fedorowicz holds a nil academic appointment with the University of Manitoba. She has been involved in the activities of several hospitals, regional and international nursing committees/organizations such as: General and Critical Care Nursing Policy and Procedure Committee, IV Practice Vascular Access Standing Work Group, Nursing Research Evaluation & Evidence-Based Practice Committee, Advanced Practice Nursing Steering Committee, and American National Association of Clinical Nurse Specialists. Anna has been a Surgery Programs’ Lead for the regional Postoperative Delirium Protocol roll out. She has been providing support/mentoring to the nursing and other health care professionals in recognition, assessment, prevention, and management of patients experiencing acute delirium. Anna has been involved in the research study Utilizing Best Practice to Manage (U-MAT) acute care patients tobacco dependence. Currently, Anna has been leading a group of nurses working on finalizing the nursing Insulin Infusion Protocol for the Surgery Program Inpatients.

 

Barbara Wheeler

Clinical Program:
Woman and Child Program

Email
Tel.: 204-237-2946

Education:

University of Manitoba

  • Bachelor of Nursing
  • Fellowship in Perinatal Nursing
  • Master of Nursing

Certification:

  • International Board Certified Lactation Consultant (IBCLC)

Diploma:

  • Nursing

Barbara provides leadership to the interdisciplinary health care team regarding the provision of comprehensive, evidence-informed care to newborns. Her research exploring the concept of breastfeeding self-efficacy in the ill and preterm infant population, and nurses’ knowledge regarding pain management, has been published in peer- reviewed journals and presented at local and national conferences. She is leading an interdisciplinary research team exploring knowledge and attitudes of caregivers toward newborn palliative care.

Barbara is a Neonatal Resuscitation Program (NRP) Instructor Trainer. She is actively involved in hospital, regional, and provincial committees including the College of Registered Nurses of Manitoba Registration Committee, the Manitoba Clinical Nurse Specialist Interest Group, and the Manitoba NRP Advisory Committee. Barbara is the current Chair of the Manitoba Neonatal Developmental Care committee and is the past Co-Chair of the Clinical Nurse Specialist Committee at St. Boniface Hospital. She holds a nil academic appointment with the University of Manitoba, Faculty of Nursing, and is a Professional Affiliate of the Manitoba Centre for Nursing and Health Research (MCNHR).

 

Kris Robinson

Clinical Program:
Woman and Child Program (1983- Present)

Email
Tel.: 204-235-3720

Certification:

Education:

  • Bachelor of Arts (University of Saskatchewan)
  • Bachelor of Science Nursing (University of Saskatchewan)
  • State Certified Midwife (Princess Anne Maternity  Hospital, Southampton, UK)
  • Master of Science-Community Health /Faculty of Medicine, University of Manitoba

 

Kris holds a part time position as a Clinical Nurse Specialist. She has provided primary care in the Adolescent Prenatal Clinic in ACF Women’s Health since 1994. The clinic provides a multidisciplinary team approach to the care of pregnant adolescents and young adults. Kris acts as a preceptor to nurse practitioner students from the University of Manitoba each year and also lectures in the nurse practitioner program in the area of prenatal care and contraception. Kris regularly holds workshops for nursing staff to support skill development in supportive care in labour techniques as well as the education and development of advanced perinatal nursing skills for labour and delivery staff. Kris is active in the area of maternity care research both locally and at a national level.

Kris is also a registered midwife and is the Clinical Midwifery Specialist for the Winnipeg Regional Health Authority. She is the current Chairperson of the Canadian Midwifery Regulators Consortium.

 

Profiles of Nurse Practioners

Diane Labossière

Clinical Program:
Family Medicine

Email
Tel.: 204-237-2872

Education:

  • Bachelor of Nursing - University of Alberta, Edmonton

  • Adult Intensive Care Nursing Certification - St. Boniface Hospital, Winnipeg.
  • Diploma-Primary Health Care Nurse Practitioner – Université d’Ottawa, Ottawa
  • Masters of Science in Nursing -  Université d’Ottawa, Ottawa

Currently working as an Nurse Practitioner (NP) at the Family Medical Centre (FMC), a University of Manitoba family practice residency training site, Diane’s principal responsibilities are to care for patients/families of all ages both clinic-based and through home visits.  Modeling excellent interdisciplinary patient care within the NP scope of practice is important within this teaching environment.  Diane regularly precepts NP students from the Faculty of Nursing, University of Manitoba, as well as family practice residents.  Diane holds a nil academic appointment with the University of Manitoba, Faculties of Nursing and Medicine.  Diane is currently the co-chair of the Canadian Nurse Practitioner Examination (CNPE) Committee, a member of the Advanced Practice Nursing Steering Committee (Winnipeg region) and a member of the Continuing Professional Development Planning Committee.

 

Debbie Fraser

Clinical Program:
Woman and Child

Email
Tel.: 204-237-2985

Certification:

  • National Certification Corporation, Neonatal Intensive Care Nursing Education

Education:

  • Bachelor of Nursing
  • Master of Nursing

 

Debbie works in an advanced practice role in the Neonatal Intensive Care Unit where she attends high-risk deliveries and provides care to neonates in the NICU. She provides education and support to bedside nurses, medical residents and also parents. Debbie provides lectures and workshops in all levels of neonatal orientation as well as in the Neonatal Pediatric Critical Care Program. Debbie has a nil appointment with the University Of Manitoba Faculty Of Nursing and Department of Pediatrics and the University of Toronto. She is an Associate Professor and Program Director for the Nurse Practitioner Program at Athabasca University. Debbie is the Editor-in-Chief of Neonatal Network, the Journal of Neonatal Nursing and is a member of the NIC test committee for the National Certification Corporation. She has published two neonatal textbooks and over 70 peer-reviewed articles and book chapters and speaks both nationally and internationally on topics related to high risk newborns.

 

Susan Mertin

Clinical Program:
Cardiac Sciences (2006-present)

Email
Tel.: 204-237-2467

Education:

  • Diploma of  Nursing (1985), St. Boniface General Hospital
  • Adult Intensive Care Nursing Course (1988), St. Boniface General Hospital
  • Bachelor of Nursing (1992), University of Manitoba
  • Cardiovascular and Thoracic Nurse Clinician Certificate (1996), St. Boniface General Hospital
  • Masters of Nursing (2006), University of Manitoba
  • Anticoagulation Therapy Management Certificate (2007), University of Southern Indiana, College of Nursing and Health Professionals
  • Advanced Graduate Diploma: Advanced Nursing Practice (2009), Athabasca University
  • Diabetes Management Certificate (2011), University of Southern Indiana,College of Nursing and Health Professionals

Susan Mertin has clinical experience with advanced education specializing in cardiovascular and thoracic patients. Susan has over 25 years of nursing experience. The majority of her nursing experience has been focused on patients with cardiovascular disease. She has completed both the Adult Intensive Care Certificate and the Cardiovascular and Thoracic Nurse Clinician Program.

 As the first Nurse Practitioner hired by the Cardiac Sciences Program, Susan’s first role was to develop a Post Operative Anticoagulation Clinic for cardiac surgery patients. In 2009, Susan was instrumental in the development of the Cardiac Pre Assessment Clinic where a multidisciplinary team prepares patients for cardiovascular surgery.  Her current role as a Nurse Practitioner is an extended practice role that has enabled her to use advanced nursing knowledge and skills focused on cardiac patient assessment, education and management in the Cardiac Pre Assessment Clinic.

Susan’s previous research interest has been focused on pain management and cardiac surgery in which she has published and presented at national conferences. Susan has also published a case study/review article on pleural effusions in the Journal of the American Academy of Nurse Practitioners.

 

Sylvie Beaudry

Clinical Program:
Women and Child - ACF Pediatrics

Email
Tel.: 204-237-2278

Certification:

  • International Board Certified Lactation Consultant (IBCLC)

 

Education:

  • Bachelor of Science, Collège universitaire de Saint-Boniface, Manitoba (1992)
  • Bachelor of Nursing, University of Manitoba (1996)
  • Combined Master of Nursing Science/Nurse Practitioner certification, University of Ottawa (2006)

In her role as a Pediatric Nurse Practitioner Sylvie offers primary care to children of all ages, including teenagers and newborns. She works in collaboration with a multidisciplinary team of nurses, pediatricians, midwifes and many more professionals to meet the needs of her patients. In her role as an NP, Sylvie utilizes advanced nursing knowledge and skills focused on assessments, education/health promotion and management of chronic stable illness. In addition, Sylvie actively participates in the development of in house guidelines, is on the Women and Child team committee and is Co-Chair of the Nurse Practitioner Interest Group of St. Boniface Hospital. She is also the treasurer for the Nurse Practitioner Association of Manitoba and is actively involved in advocating the role of nurse practitioners at both the provincial and national level. Within her role she also participates in the education of nursing, medical and physician assistant students as a preceptor and mentor. She also holds a nil academic appointment with the University of Manitoba, Faculty of Nursing.

 

Angela Lesiuk

Clinical Program:
Cardiac Sciences

Post Op Cardiac Surgery Discharge Clinic

Anticoagulation Clinic

Email
Tel.: 204-235-3790

 

Certification:
  • Adult Intensive Care Nursing Program

  • Anticoagulation Management Certificate

Education:

  • Bachelor of Nursing

  • Master of Nursing

Angela has been working as a Nurse Practitioner in the Cardiac Sciences Program focusing on post operative cardiac surgery care. She is also involved in working with patients undergoing cardiac procedures. Angela has made presentations at conferences provincially on anticoagulation management, as well as locally to the advanced assessment students within the Cardiac Sciences Program.

 

Estrellita Estrella-Holder

Nurse

Clinical Program:
WRHA Cardiac Sciences (2002-present)

Email
Tel.: 204-235-3149

Certification:

  • Intensive Care Nursing (1981)
  • Cardiothoracic Nurse Clinician (1996)
  • CNA- Certification cardiovascular Nursing (2003; recertified in 2008, 2013)

 

Education:

  • Far Easter University - Bachelor in Nursing (1980)
  • University of Manitoba - Post RN-BN (1993)
  • Central Michigan University- MScA (1997)
  • Athabasca University- MN-ANP (2014)

     

 

Estrellita works as a Nurse Practitioner in the Cardiac Sciences Program’s Heart Failure clinic. She previously held the position of a Clinical Nurse Specialist in the same area for 12 years.  In her advanced nursing role, she independently provides care to heart failure patients. She collaborates with the interdisciplinary care team in providing holistic and evidence-based care to HF patients with complex needs. Continuing education for nurses is important to Estrellita. She teaches at the Advanced Nursing Assessment course in the Cardiac Sciences Program, helps organize the annual Keeping Current with Cardiovascular Care conference, and provides regular lectures about heart failure locally and nationally. She is actively involve as a preceptor to graduate nursing student from University of Manitoba. Her previous involvement in research includes research in nurses’ knowledge about pain, knowledge about palliative care, exercise in HF, caregivers’ and heart failure patients’ emotions, and heart failure patient education. She is serving as a primary panel member of the Canadian Cardiovascular Society Heart Failure  Management Guidelines. She is active in regional and national organizations and committees including the Canadian Council of Cardiovascular Nurses, the American Association of Heart Failure Nurses, and the Canadian Nurses Association Cardiovascular Nursing Certification. She holds a nil appointment at the University Of Manitoba Faculty Of Nursing. She established the Heart Failure Support Group of Manitoba, which is the first and only existing support group for patients and families with heart failure in Canada.

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