the Official Magazine of the Emergency Nurses Association
connection
November 2014 Volume 38, Issue 10
teamed up
AT THE TABLE
ENA and Partners Are Steering National Dialogue on ED Security and Food Allergies PAGES 6 - 8
Comprehensive Online Course to Help Improve Patient Outcomes for Older Adults The New Geriatric Course Provides the Tools to: § Assess special needs of older adults
§ Implement best geriatric practices § Coordinate care for better patient outcomes
§ 17 Interactive Modules
§ 15.21 Contact Hours
§ Geriatric Evidence-based Research
Purchase Today Group Pricing Available
www.ena.org/GENE or 847.460.4073 The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Dates to Remember Dec. 2, 2014 Deadline to apply for the Academy of Emergency Nursing’s 2015 Class of Fellows Feb. 4, 2015 Deadline for applications for 2015 ENA Annual Achievement Awards Feb. 25, 2015 Deadline to apply for 2015 Lantern Award
ENA Exclusives PAGE 5 New White Paper on Affordability Through Patients’ Eyes PAGE 6 Healthcare Security/Safety Leaders Join ENA Against Workplace Violence PAGE 8 ENA Part of Awareness Efforts for Food Allergies, Anaphylaxis PAGE 10 Repeat ENA Election Candidates: What Keeps Them Coming Back PAGE 13 ENA Connection Reader Survey: What We’ve Found PAGE 14 Reworking the Menu at the Journal of Emergency Nursing PAGE 15 Meet the Deputy Executive Director for Member Relations
FROM THE PRESIDENT | Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN
Safety in Every Moment
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patient-safety expert recently asked me how often emergency nurses should think about patient safety. My answer: ‘‘All the time.’’ When he asked how often we actually think about patient safety, I replied, ‘‘Probably not enough.’’ Every interaction with a patient should start with a thought about safety. When I was an EMT student, the first thing I learned about was scene safety. Never focus solely on the patient when you are walking up to the scene. Instead, take a look around, survey the scene and determine if it is safe for you to approach the patient. As a lifeguard, I learned to make sure I was always safe and that it isn’t always safe to go into the water to rescue someone. As an emergency nurse, I have learned many things in the last 17 years. I have learned to perfect an across-the-room-assessment. I can rattle off dosages of the most common medications we give to children in an emergency department. I am incredibly skilled at drawing epinephrine into 1 mL syringes without spilling a drop. And I can talk a 3-year-old into doing just about anything. However, it’s only been in the last five years that I have really thought about safety in the ED. There is much on our plates these days. In addition to direct patient care, we are electronically documenting, measuring for meaningful use, scanning medications, rounding hourly, negotiating with families, partnering with multidisciplinary members of the healthcare team and watching out for our co-workers. In many EDs, patient satisfaction has become the No. 1 priority. Many of us are under pressure to provide excellent customer service in an environment where everyone is doing the best they can with limited resources. What if we shifted our focus? Perhaps, instead of customer service, we focused on providing error-free care in a safe environment. Imagine weaving safety into absolutely everything thing you do in the ED. Here are some ideas: • Start before you head to work, when you are assessing whether you are too sick to practice safely. • To create an environment that fosters safe practice, create patient assignments that pair a newer nurse with a clinical expert on a team. • No interruptions allowed when you are in the medication room, as your teammates understand how interruptions lead to errors.
PAGE 20 The Emergency Management and Preparedness Committee Reaches Out
• Clear, closed-loop communication with every interaction with each and every team member.
Regular Features
• ID band checks at every patient handoff.
PAGE 4 Free CE of the Month
• Patients are referred to by name, not room number.
• Partnering with patients and families to facilitate safe practice. • Stopping the line when patient safety is in jeopardy.
PAGE 12 ENA Foundation
• Teamwork and collaboration across all disciplines.
PAGE 18 Academy of Emergency Nursing
• A system of continuous improvement in place to address systems and processes in need of improvement.
PAGES 22 CourseBytes PAGES 23 Members in Motion
• Near-misses reported regularly.
Continued on page 19
Assessing pediatric patients is this month’s focus in the latest free continuing education offering from ENA.
Available to you starting Nov. 1 . . . ‘‘What’s the Score? Pediatric Early-Warning Scores,’’ presented by Alison Day, MSc, BSc (Hons), RN, and Carol Oldroyd, MSc, BSc (Hons), PGCE, RGN, RNT. Formulating a standardized and valid tool to identify an ill or clinically deteriorating pediatric patient can be challenging because of children’s varying physiological parameters. Learn to get the most of pediatric early-warning scores, one of the numerous tools available to emergency nurses.
To take this and other eLearning courses free as an ENA member: • Go to www.ena.org/freeCE, where you’ll log in as a member (or create an account). • Add desired courses to your cart and ‘‘check out.’’ • Proceed to your Personal Learning Page to start or complete any course for which you have registered or to print a final certificate. • To return to your Personal Learning Page later, go to www.ena.org and find ‘‘Go to Personal Learning Page’’ under the Education tab. Please be sure you are using the e-mail address associated with your membership when logging in. If you have questions about any free eLearning course or the checkout process, e-mail elearning@ena.org.
TOP O’ THE MORNING WITH TNCC
Trauma Nursing Core Course international instructors gathered at the Global Conference on Emergency Nursing and Trauma Care in Dublin in September. From left: Kathleen Carlson, MSN, RN, CEN, FAEN (United States); Harriet Hawkins, RN, CPEN, CCRN, FAEN (U.S.); Dianna Gillespie, RN (United Kingdom); Donna McGeary, RN (U.K.); Kevin Randall, RN (U.K.); Phil Johnson, RN (U.K.); Geraldine Byers, RN (U.K.); Jill Windle, RN (U.K.); Liz Cloughessy, MHA, RN, FAEN (Australia); Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN (U.S.); Paula Bemert, RN (U.K.); Gabby Lomas, RN (U.K.); Grant Williams, RN (U.K.); Gary Jones, RN (U.K.); Eoin McAinn, RN (Ireland); Jean Proehl, MN, RN, CEN, CPEN, FAEN (U.S.); Michael Moon, PhD, MSN, RN, CNS-CC, CEN, FAEN (U.S.); and Carole Rush, MEd, RN, CEN, FAEN (Canada). ENA Connection is published 11 times per year from January to December by: The Emergency Nurses Association 915 Lee Street Des Plaines, IL 60016-6569 and is distributed to members of the association as a direct benefit of membership. Copyright ©2014 by the Emergency Nurses Association. Printed in the U.S.A. Periodicals postage paid at the Des Plaines, IL, Post Office and additional mailing offices.
POSTMASTER: Send address changes to ENA Connection 915 Lee Street Des Plaines, IL 60016-6569 ISSN: 1534-2565 Fax: 847-460-4002 Website: www.ena.org E-mail: membership@ena.org
Member Services: 800-900-9659 Non-member subscriptions are available for $50 (USA) and $60 (foreign). For editorial inquiries, e-mail connection@ena.org
Publisher: Kathy Szumanski, MSN, RN, NE-BC Editor-in-Chief: Amy Carpenter Aquino Associate Editor: Josh Gaby Senior Writer: Kendra Y. Mims
BOARD OF DIRECTORS Officers: President: Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN President-elect: Matthew F. Powers, MS, BSN, RN, MICP, CEN
Secretary/Treasurer: Kathleen E. Carlson, MSN, RN, CEN, FAEN Immediate Past President: JoAnn Lazarus, MSN, RN, CEN Directors: Ellen (Ellie) H. Encapera, RN, CEN Mitch Jewett, AA, RN, CEN, CPEN Michael D. Moon, PhD, MSN, RN, CNS-CC, CEN, FAEN Sally K. Snow, BSN, RN, CPEN, FAEN Jeff Solheim, MSN, RN-BC, CEN, CFRN, FAEN Joan Somes, PhD, MSN, RN-BC, CEN, CPEN, FAEN, NREMT-P Karen K. Wiley, MSN, RN, CEN Executive Director: Susan M. Hohenhaus, LPD, RN, CEN, FAEN
What Does Healthcare Affordability Mean to Patients?
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white paper from the National Quality Forum, ‘‘Measuring Affordability From the Patient’s Perspective,’’ released Sept. 16, addresses healthcare affordability from the patient perspective. The report was funded with a grant from the Robert Wood Johnson Foundation. As health insurance premiums have increased by almost 130 percent in the last decade, healthcare costs have also risen and become a significant burden on Americans, according to the NQF’s research. The NQF gathered information this March during a two-day meeting of stakeholders, including patients, consumers, health plan administrators, researchers, clinicians and community health experts. Key findings include the following: • Patients judged the affordability of healthcare based on how much of their budget it consumed. • Patients also considered associated costs, such as lost work days, increased child-care fees and co-pays. • Patients shopped around for the highest-quality care at lowest possible cost. • Different groups of patients made decisions based on their health status; someone who managed a chronic health condition would use a different decision-making process than a consumer with an acute condition. The report also outlined the common challenges facing patients in their search for affordable healthcare: Difficulty Navigating the Healthcare System: Patients expressed frustration with understanding how the healthcare system works. Patients need to be included in the development of tools to improve system navigation to ensure the tools are accessible, understandable and actionable. Understanding What Questions to Ask: Based on their lack of knowledge about the healthcare system, consumers expressed little confidence in their ability to determine if a treatment was affordable. Confusing and Uncoordinated Healthcare Billing: Patients were frustrated by confusing billing terminology, receiving multiple bills for the same treatment and managing bills for chronic conditions. Finding Out Prices and Costs in Advance: Patients do not know the price of healthcare procedures and services. Cost estimates should be more readably available to help patients make informed decisions. Difficulty Obtaining Meaningful, Usable Information About Quality: Patients want more information on healthcare options but don’t know where to find it.
Official Magazine of the Emergency Nurses Association
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SAFETY
‘LEAN ON US’
ENA Partners With Healthcare Security and Safety Leaders About ED Violence By Amy Carpenter Aquino, ENA Connection
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NA’s efforts to collaborate with industry partners on the issue of violence in the emergency department continued when the organization hosted representatives of the International Association for Healthcare Security & Safety on Aug. 21. ENA representatives included Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN, 2014 president; Matthew F. Powers, MS, BSN, RN, MICP, CEN, 2014 president-elect; Kristine Powell, MSN, RN, CEN, NEA-BC, Emergency Department Operations Committee member; Susan M. Hohenhaus, LPD, RN, CEN, FAEN, executive director; Catherine Olson, MSN, RN, director of the Institute for Quality, Safety and Injury Prevention; and Lisa Wolf, PhD, RN, CEN, FAEN, director of the Institute for Emergency Nursing Research. Representing IAHSS at the meeting, held at ENA headquarters in Des Plaines, Ill., were Tony York, CPP, CHPA, past president; Tim Portale and Kevin Tuohey. Emergency nursing and hospital security share the same goals in addressing violence in the ED. A starting point for better collaboration is sitting down at the same table.
That’s happening at some facilities. Powell, director of emergency services at Baylor Scott & White Health in Texas, shared at the meeting that her ED has been inviting the hospital’s public safety department representatives to safety meetings for the last two years. ‘‘When we first reached out to our DPS at Baylor and said, ‘We’d like you to start coming to our ED Safety Committee meetings,’ they were really excited,’’ Powell said. ‘‘We thought we’d get one person there … and they showed up in full force. Honestly, why didn’t we think of this sooner? We’ve had this ongoing issue for years.’’ The group discussed how for any collaboration to be effective, there needs to be shared understanding of terminology, particularly around the types of patients who pose a potential
security threat in the ED. ‘‘How are we defining high-risk patients?’’ York asked. ‘‘Even in our conversation this afternoon, we’ve used ‘behavioral health,’ which we all agree is a limiting term, but who represents this, and how do we define the patients themselves who are creating the concern, and what characteristics and traits of that patient are we most concerned about?’’ Patients who present potential security issues include those at high risk for elopement or suicidal ideation and those with a history of violent acts or aggression, among others. ‘‘I think it’s important that we have clarity amongst ourselves to be able to define ‘when do we start taking different action,’ because now this individual is in our care setting, and this is now changing the way that we are rendering care,’’ York said. Wolf suggested a short-term data collection period looking at three different types of hospitals — including a large urban hospital, a critical access hospital and a community hospital — to get a sense of what people feel is important and why regarding their own patient population and security needs. ‘‘People may say, ‘What we really want is armed security guards,’ but for whose safety is that?’’ Wolf said. ‘‘Do
“It’s not whether you have a gun or a Taser — it’s really, ‘What’s my relationship with the staff that I’m working with?’ I think about all the places I’ve been, and the places where we had a relationship with our security officers were the places that you felt the most safe.” DEENA BRECHER, ENA President
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November 2014
Attending the Aug. 21 meeting between ENA and the International Association for Healthcare Security & Safety were (back row, from left): ENA senior administrative assistant Ashley Daly; ENA executive director Susan M. Hohenhaus, LPD, RN, CEN, FAEN; Tim Portale and Kevin Tuohey of IAHSS; Catherine Olson, MSN, RN, director of the Institute for Quality, Safety and Injury Prevention; Lisa Wolf, PhD, RN, CEN, FAEN, director of the Institute for Emergency Nursing Research (on screen via video conferencing); 2014 ENA President Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN; IAHSS past president Tony York, CPP, CHPA; (seated, front) 2014 ENA President-Elect Matthew F. Powers, MS, BSN, RN, MICP, CEN; and Kristine Powell, MSN, RN, CEN, NEA-BC, of the Emergency Department Operations Committee. you feel safer? Do the patients feel safer? Does it actually make a difference? This is the sticky point in any of these interventions — understanding the perception of safety and the result of safety.’’ The relationship piece (or lack of relationship) is what matters most when measuring how secure ED staff feel in their facility, Brecher said. ‘‘It’s not whether I have a gun or a Taser — it’s really, ‘What’s my relationship with the staff that I’m working with?’ ’’ she said. ‘‘I think about all the places I’ve been, and the places where we had a relationship with our security officers were the places that you felt the most safe.’’ Based on input from the ENA member listserv, a definition of the high-risk patient is important to members. ‘‘How do I know what to look for so that I know what to do?’’ is a common question on the listservs, Hohenhaus said. ‘‘I think we absolutely need to define, and I see the educational product coming from that,’’ Brecher said.
Tuohey suggested that joint studies — such as mining data to identify hospitals that have very good or poor ED staff-security relationship scores and beginning a benchmarking process — would help raise the visibility and professionalism of hospital security and erase the ‘‘Barney Fife mentality’’ that exists in some facilities. ‘‘We want to draw and quarter Barney Fife, too,’’ Brecher said. ‘‘From our members’ perspective, the people sitting here at this table can say that that is not what hospital security needs to look like in 2014. And so how do we partner to identify and share those best practices?’’ Workplace violence is top of mind right now, Brecher said, which is why ENA is leveraging its partnerships to bring more focus and more funding to the issue. Collaborating with ED designers on design guidelines is incredibly important, for example. ‘‘Every ED now is thinking about space and how to use space,’’ Brecher said. ‘‘To start from the beginning and make safety and security the No. 1
Official Magazine of the Emergency Nurses Association
priority when you’re designing an emergency department, and not how many beds am I going to squish into a floor plan, that is going to be really important from a nursing leadership perspective.’’ Multiple opportunities to enhance an ongoing partnership, including joint position statements, studies, collaborative reviews and routine meetings of organizational leaders, will work to raise awareness of the issue and the organizations’ commitment to provide a safe working environment for all ED patients and staff. ‘‘We are representative of a lot of people who are trying to change your perceptions and your colleagues’ perceptions and the industry’s perceptions of protection, and how do we raise that bar together?” York said. ‘‘Know that your safety, that of your colleagues and the patients, are very important to all of us. We take it with great seriousness. ‘‘We’re going to do some good things, and we’re excited about this. So lean on us.’’
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PRACTICE AND SAFETY
READY FOR THE REACTION ENA Part of Efforts to Raise Awareness of Food Allergies and Anaphylaxis By Amy Carpenter Aquino, ENA Connection
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ood allergies are the No. 1 cause of anaphylaxis, affecting up to 15 million Americans, including one in 13 children, according to the Food Allergy Research & Education organization. Reactions to food allergies, which can be life-threatening, send someone to the emergency department every three minutes in the United States. On Sept. 18, ENA participated in a national, multidisciplinary conference sponsored by FARE to inform healthcare providers about the prevalence of food allergies and anaphylaxis and the need for immediate treatment with epinephrine. ‘‘It was a very exciting, collegial exchange,’’ said Catherine Olson, MSN, RN, director of the Institute for Quality, Safety and Injury Prevention. Nurses, emergency physicians, allergists, pharmacists and policymakers were among the attendees. Olson and ENA member Rebecca Steinmann, MSN, RN, CEN, FAEN, represented emergency nursing. Attendees learned that healthcare providers should not delay in giving epinephrine for anaphylactic reactions, as delays can result in poor patient outcomes. ‘‘There’s no reason not to give epinephrine. The studies have shown that there is very minimal risk in giving epinephrine and giving it as soon as possible,’’ Olson said. One of the most important results of the conference was the opportunity for providers across the healthcare spectrum to increase collaboration regarding how they handle treatment of patients with allergies and anaphylaxis. ‘‘This was time to pull together and really get collaborative in how we establish protocols, so there is consistency in how EMS, ED and allergists are treating anaphylaxis,’’ Olson said.
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The development of a future consensus guideline for treatment was a major focus of the event, as was discharge criteria that emphasizes to patients — especially those who are newly diagnosed — the need to follow up with an allergist. Another eye-opener was hearing the personal stories of parents of children with severe food allergies. The three parent participants are very active, passionate advocacy leaders who shared their personal situations and experiences working throughout the country to raise awareness of the risks of food allergies and anaphylaxis in children. Attendees also learned they should give discharged patients an epinephrine auto-injector in addition to a prescription to take home in case of an emergency. More information is available on the FARE website (www. foodallergy.org). A new discharge toolkit created in partnership by FARE and ACEP contains information helpful to a newly diagnosed patient or a patient who is discharged with anaphylaxis. That toolkit can be downloaded in English or Spanish at www.allergicreactiontoolkit.com.
November 2014
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Potential complications may include local or systemic infection, hematoma, extravasations or other complications associated with percutaneous insertion of sterile devices. References: 1. Rogers JJ, Fox M, Miller LJ, Philbeck TE. Safety of intraosseous vascular access in the 21st century [WoCoVA abstract O-079]. J Vasc Access. 2012;13(2): 1A-40A. 2. Paxton JH, Knuth TE, Klausner HA. Proximal humerus intraosseous infusion: a preferred emergency venous access. J Trauma. 2009;67(3):1-7. 3. Cooper BR, Mahoney PF, Hodgetts TJ, Mellor A. Intra-osseous access (Ez-IO ® ) for resuscitation: UK military combat experience. J R Army Med Corps. 2007; 153(4):314-316. 4. Dolister M, Miller S, Borron S, et al. Intraosseous vascular access is safe, effective and costs less than central venous catheters for patients in the hospital setting [published online ahead of print January 3, 2013]. J Vasc Access. doi:10.5301/jva.5000130. *Research sponsored by the Vidacare Corporation. Teleflex and EZ-IO are trademarks or registered trademarks of Teleflex Incorporated or its affiliates. © 2014 Teleflex Incorporated. 2014-2673
Roll With That Passion Take It From Three Repeat Candidates: Love For ENA, Commitment to Serve Are Stronger Than Any Setbacks While Seeking Office By Amy Carpenter Aquino, ENA Connection
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inning a director or officer position on the ENA Board of Directors takes persistence and a strong belief in yourself and your message. The decision to run usually starts at the local level — members are appointed to a chapter committee, then rise through the ranks of state offices and national committee positions before considering their potential to win a national ENA elected position.
Mary Ellen (Mel) Wilson, 2004 ENA President That was the path Mary Ellen (Mel) Wilson, MS, RN, FNP, CEN, COHN-S, FAEN, followed. Wilson served on a committee in her local Mel Wilson chapter in New York and became the committee chairperson and then chapter president. She repeated the pattern at the state level, serving on a state council committee before becoming the chairperson, then the chapter representative to the New York ENA State Council. ‘‘Eventually,’’ she said, ‘‘I was approached to see if I would like to become president of the New York State Council. I thought about it, and I
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thought, ‘OK, I can do this because I could give back.’ ’’ It was after serving as state council president and being appointed to a couple of national committees, including the Annual Conference Planning Committee, that Wilson ‘‘got bit by the bug’’ and decided to pursue a national ENA board position. That was where her path abruptly stalled. After handily winning every chapter and state election she took on, Wilson lost in her first bid to serve on the ENA Board of Directors. ‘‘I think the initial decision to actually run for a national office is the one that’s the hardest because you’re putting yourself out there to the world,’’ Wilson said. She took the loss in stride and ran again the next year. She ran three times before winning a director term. The first time she was elected, Wilson said, she felt ‘‘overwhelmed and honored, enormously blessed that people believed in me that much to do the job.’’ She advises potential national ENA board candidates to persevere and to not take a loss personally. ‘‘If you believe in yourself, that you know you can offer the members your expertise and your willingness to serve them, then go for it,’’ said Wilson, now the past ENA board member on the Nominations Committee.
Ellie Encapera, 2014 ENA Board of Directors Encapera, RN, CEN, quickly found her call to serve ENA after joining in 1988. ‘‘I got really active within a year because I admired so many Ellie Encapera people that were members,’’ she said. She went up through the ranks of chapter and state committees and officer positions, becoming involved nationally in the late 1990s while serving on the Membership Committee. ‘‘The more I did, the more I wanted,’’ Encapera said, recalling getting caught up in the shared enthusiasm of members serving at the national level. ‘‘I loved the work, I loved the people, and that’s what made it enjoyable, and that’s what makes you come back time and time again.’’ Like Wilson, Encapera also ran in national elections three times before securing a term on the board. Although it took persistence, Encapera took inspiration from her unwavering commitment to promoting membership recruitment and retention. Maintaining a strong membership base is vital to the future of ENA, ensuring that emergency nurses are the ones who dictate what is best for nursing.
November 2014
‘‘I think it’s important to have a purposeful message and a desire to pursue your dreams,’’ Encapera said. She advises national candidates to make sure they’re ready and to have experience at both the local and state levels of ENA, if they live in a threetier state, so that they understand the business of the organization. ‘‘Get your message out and make certain that you speak honestly and from the heart, and that you’re not there for personal gain but because you have a passion for what you’re doing,’’ she said.
JoAnn Lazarus, 2013 ENA President
JoAnn Lazarus
JoAnn Lazarus, MSN, RN, CEN, who has served as president of two ENA state councils — Texas and Louisiana — was first elected to the ENA Board of Directors in
2002. She has been an active ENA member for more than 30 years. Lazarus ran for ENA president-elect four times before winning in 2011. ‘‘My first thought after every election was, ‘I’m not doing this again,’ ’’ she said. After working through the emotion of the loss, she asked herself, ‘‘Is this something that I really want to do, and am I willing to put myself out there again?’’ After some soul-searching, Lazarus always came back to the fact that she had dedicated much of her life to emergency nursing and she had something to give back. ‘‘If you have that commitment to this specialty of emergency nursing and you have the commitment to ENA, and you think you have something to offer, then you need to do it,’’ she said. ‘‘The people who get on the board are no different than the people who are members of this organization. We just choose to put our names out there. And if you never do it, you’ll never know.’’
Official Magazine of the Emergency Nurses Association
Call for 2015 ENA Election Candidates This fall, watch www.ena.org for application information for candidates seeking election in 2015 to serve on the ENA Board of Directors and the Nominations Committee. For questions, contact Executive Services at 800-9009659, ext. 4095, or e-mail elections@ena.org. Lazarus said support from her family was equally important. Her husband reminded her that Abraham Lincoln lost several elections for various offices before becoming president. ‘‘I’m not using this analogy about myself and Lincoln in any form or fashion, but just to say if this is your vision, if this is your passion, if this is where you truly want to be and feel like this is the place for you, then you have to pursue it,’’ she said.
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ENA FOUNDATION
THE GAINS FROM YOUR GIVING Behold the Difference a Donation Can Make in One Nurse’s Growth By Alexandra Pecci, for ENA Connection
ENA Foundation awards thousands of dollars in inning the ENA Foundation’s scholarships and grants to 2013 Charles Kunz Memorial nurses like Potter who are Undergraduate Scholarship has working to advance their done so much more for Bee educations and conduct Potter, RN, than help to important research. It’s thanks to advance her education. generous donors that the ENA Potter, a nurse at Brigham Foundation is able to do so. and Women’s Faulkner Gathering with friends and Hospital’s Emergency family at Thanksgiving is a time Department in Boston, had when we contemplate what’s Bee Potter been working toward earning important, as well as the many her bachelor’s degree slowly, able to things we’re thankful for in our lives. pay for just one class at a time. But the What better way to express that scholarship allowed her to take two gratitude than with a donation to the classes at once for the first time. ENA Foundation? ENA Foundation Returning to school also has helped donors get a chance to experience the Potter to improve her patient care, wonderful feeling that comes from even before her graduation day. helping people like Potter become ‘‘I think it’s just made me a more better emergency nurses, and equipping well-rounded nurse,’’ she said. ‘‘I’ve them to provide the best possible care. got more to pull on than just my For Potter, winning the Charles Kunz experience.’’ Memorial Undergraduate Scholarship Potter is not alone. Each year, the affirmed her love of nursing, in addition
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to providing financial help. She says it has sparked a new interest in government affairs and opened her eyes to the many ways nurses can change healthcare for the better. Potter also says the scholarship serves as an important re-affirmation of her role as a nurse, adding that the encouragement she received when she applied for the scholarship was worth nearly as much as the scholarship itself. When she’s in the midst of a tough course or overwhelmed with homework, remembering she is a scholarship recipient gives her the reinforcement and encouragement she needs to succeed. ‘‘It’s a nationally awarded scholarship, and when you’re awarded something nationally, it makes you feel like, ‘I’m in the right field. I’m doing the right thing. I’m on the right path,’ ’’ she said. ‘‘There were people who believed in me. I can do this.’’
QUALITY PLAYBACK Senior staff from the St. Mary Mercy Hospital Emergency Department in Livonia, Mich., were recently honored for their innovative work with the local coalition STARForUM (Safe Transition of All Residents for yoU & Me). The group was recognized as a 2012 Robert Wood Johnson semifinalist for its video on transitions of care for older adults and as a 2013 solution by Nurses Improving Care for Healthsystem Elders.
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November 2014
Stronger Connection
format for future editions, but two in five would like to see an interactive PDF version or new interactive app. • Twenty-five percent save their print ENA Connection issues for future reference, with about 40 percent esults are in on an ENA passing issues on to colleagues. YOU WANT MORE Connection readership survey • Free CE of the Month, ENA conference sent to a random sample of coverage and CourseBytes were identified The types of articles readers said U.S.-based members this summer as the most useful features, with all they’d like to see more often in to determine readership habits, other listed features identified as ENA Connection: satisfaction with certain features being at least ‘‘somewhat useful’’ by TYPE % DESIRED and more. Among the findings: at least seven in 10 respondents. Practice-related 85 • More than four in five • One-third of respondents have ED technology 81 respondents report reading every made a decision about whether to Safety 56 or almost every issue of ENA attend an ENA conference as a result of Career development 56 Connection, with four in five reading ENA Connection, and one-third ENA conferences 54 indicating they read 50 percent or indicated they would like to see more of each issue. expanded post-conference State/chapter activities 53 • More than four in five read coverage. Health and wellness 47 ENA Connection in print format • More Committees, work teams 30 only, with 15 percent reading the than three ENA Foundation 16 PDF version of the magazine in five believe Other 9 available at www.ena.org and the ads in ENA just over one in 10 respondents Connection are a accessing both. valuable source of product and • More than three in five respondents prefer a print service information.
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The Power of One:
Engaging Generations of Nurses to Give Back and Do Incredible Things The Emergency Nursing 2015 scholarship fund will help bring more emergency nurses to next year’s new, integrated conference. Empowering young nurses with education, networking, and advocacy skills will give them the tools to do incredible things. If you were unable to attend the Foundation event at the 2014 Annual Conference, you can still make a difference!
Donate to the Emergency Nursing 2015 Scholarship Fund Today! Go to www.ena.org/powerofone Tax Deductible
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Official Magazine of the Emergency Nurses Association
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PUBLICATIONS
Reworking the JEN Menu New Editor-in-Chief Manton Intends to Serve Up the Best Mix for Everyone By Josh Gaby, ENA Connection
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here’s addition by subtraction going on at the Journal of Emergency Nursing, where the ‘‘interim’’ came off Anne Manton’s editor-in-chief title in late August. Installed officially after just under a year in the job, Manton, PhD, APRN, PMHNP-BC, FAEN, FAAN, now feels she has the permanence to bolster ENA’s official peer-reviewed journal in a few key places — starting with the Internet. A recent reader survey indicated only a small portion of ENA members view JEN articles online at www.jenonline.org, but Manton already is working to change that by presenting some of the juicier studies and reports there exclusively. ‘‘I think it’s so underused,’’ Manton said. ‘‘We have some articles in most issues that are online-only. And so I’ve tried to give them top billing in the hard copy in the table of contents. There’s a shading behind them, and when you click on JEN online, they’re the first articles that come up. We try to give them an increased presence because as we move from the generation that most predominates in ENA right now — which is probably mid- to late-40s — and as younger people come on board, it’ll be more important for us to have a really strong online presence.’’ A JEN app for mobile devices recently became available, and interactive and video elements are part of the long-term vision online.
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In the meantime, Manton’s plan for JEN’s print version is to emphasize variety by clearing some space. She hopes to conduct a survey this fall or early next year to see which of 12 monthly sections — trauma, triage, pediatrics, geriatrics, international nursing and seven others — are needed in every issue and which can be alternated or eliminated altogether. That would free up room for submissions on an assortment of fresh topics and address one of Manton’s biggest goals: decreasing the time from submission to publication. As of early October, her queue was down to only one article that had been under review longer than 100 days. In the past, a prolonged review and revision process combined with a finite number of pages in JEN meant some articles — 70 to 80 percent of which arrive unsolicited — waited two years or more for publication, which just isn’t good, Manton said. ‘‘If authors are having to wait that long to get their articles published, they’re just not going to submit to JEN,’’ she said. ‘‘That’s a challenge.’’ If there’s anyone up to it, it’s Manton, with managing editor Annie Kelly and a supportive editorial board jumping in to help guide the way. Manton’s work with JEN dates back to the 1980s, when she was a contributing editor providing issue-byissue updates as president of the Board of Certification of Emergency Nursing. After a period in ENA
Anne Manton
governance, including serving as the 1998 ENA president, she became a regular reviewer for ENA. She also spent six years reviewing and editing manuscripts for Western Schools, a continuing education provider for nurses. The work is natural for her. An invitation to become JEN’s interim editor last September just made sense. And the job gives her a chance to emphasize the issues in nursing that drive her. Manton specializes in the care of psychiatric patients, working per diem at Cape Cod (Mass.) Hospital as a psychiatric nurse practitioner. She remembers caring for behavioral health patients in the ED and not having the background to address their needs as they experienced long delays and difficulties in getting services. Seeking to learn more about the care of these patients eventually led to her practitioner’s role. JEN is an obvious platform for sharing the latest information. The journal used to consist of clinical and research articles, Manton said. Now it’s clinical, research and practice improvement — applying the literature to an array of everyday problems that all emergency nurses face. ‘‘What I like most,’’ she said, ‘‘is that I now have this ability to make JEN into an outstanding vehicle to provide members with up-to-date knowledge. It’s an exciting opportunity.’’ Manton lives in Bourne, Mass., with her husband, Jack. She has three grown children and five grandchildren.
November 2014
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Members Have a New Close Friend By Kendra Y. Mims, ENA Connection
C
indy Meehan is no stranger to the association world. The certified association executive began her career in the industry more than 30 years ago and has focused the majority of it on marketing and membership development for nonprofit organizations. She has implemented IT systems and developed marketing strategies for smaller associations and managed membership and chapter relations at national organizations. She brings her passion and strong association leadership background to her new role as ENA’s deputy executive director for member relations, which she began Aug. 25. ‘‘This position fits everything I’ve
“You can’t say enough about emergency nurses, so it was like the planets aligned and everything fit into place for me to share membership best practices with the association and to support an industry and profession I truly admire.” CINDY MEEHAN done. It’s a great fit,’’ Meehan said. ‘‘What keeps me excited about working for associations is I have to respect the industry. I have to feel like I can do something to help [members]. You can’t say enough about emergency nurses, so it was like the planets aligned and everything fit into place for me to share membership best practices with the association and to support an
industry and profession I truly admire. I can’t say enough about the talent and compassion of this group.’’ As the former director of membership development at Rotary International and a member of Rotary’s senior leadership team, Meehan is used to quick decision-making and creating solutions to overcome challenges. She says two of her greatest strengths are
MAKE HISTORY WITH ENA! September 28 – October 3, 2015 Orlando, Florida
Emergency Nursing 2015 will integrate the leadership and annual conferences into one new and exciting ENA conference experience. Start planning now for Orlando – the perfect destination for you, your colleagues, and your family. § Both clinical practice and leadership tracks § Interactive demonstrations of cutting edge technology § New hands-on learning labs
Save the date for this inaugural event!
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EN15 Save the Date Ad_Connection_half_10 2014.indd 1
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GETTING TO KNOW . . . Cindy Meehan, Deputy Executive Director, Member Relations Meehan is a CAE and has served five years on the American Society of Association Executives Membership Section Council. Hometown: Chicago. I also have a second home in Ireland. We just celebrated our first Christmas there last year. Favorite things to do: I love the Cubs. I’m a season-ticket holder. I’ve also become a Blackhawks fan. I enjoy the arts. I like to paint and draw. I also love to garden. Family life: My husband. I also have 34 nieces and nephews and 26 greatnieces and nephews. We have a very large family. Travel: Australia is the place I really want to visit one day. I’ve been to India and to Dar es Salaam, Tanzania. I’ve also been to Paris, London and Lisbon.
creativity and decisiveness. ‘‘I love problem-solving,’’ she said. ‘‘I’m not one to fuss about a problem. I just look at, ‘What else can we do?’ I like to figure out a way to make it work. I look at things differently than
other people do.’’ At ENA, Meehan will oversee and provide strategic leadership to the marketing, member services, component relations and IT departments. Her goals include
growing and maintaining ENA’s membership, developing structure for membership plans, communicating member value to members and creating a more member-centric and member-focused association. ‘‘They are paying us dues, and we need to give them value for that and make them feel that yes, we appreciate you for being a member of ENA,’’ she said. ‘‘That’s what I intend to bring as part of the team that can grow ENA because I can easily see that we can grow ENA.’’ Meehan wants ENA members to know that she cares about them and their world and looks forward to getting to know them. ‘‘Whatever I can do to make it easier for them and to make them feel they are being listened to and to help them succeed,’’ she said, ‘‘because for me, that’s my job. I can’t admire them enough for everything they do.’’
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What It Means to Be an AEN Fellow By Kendra Y. Mims, ENA Connection
S
ept. 28 marked the 10-year anniversary of the Academy of Emergency Nursing, established by ENA in 2004 to honor emergency nurses who have made substantial contributions to the profession and who provide visionary leadership and guidance to ENA. Since then, 110 nurses have been inducted, including 10 during last month’s 2014 ENA Annual Conference in Indianapolis. Maureen Curtis-Cooper, BSN, RN, CEN, CPEN, FAEN, the 2014 AEN chairwoman, was among the first group inducted into the Academy in 2005 and has been actively involved on the AEN committee since 2010. Maureen ‘‘I felt it was Curtis-Cooper important to be involved in the academy to move it forward as it developed to its full potential,’’ Curtis-Cooper said. ‘‘I wanted it to be a committee that did more than look at the guidelines each year. I wanted it to actually make an impact on emergency nursing. As we’ve grown, we’ve developed the Eminence Mentoring program, where we have fellows who volunteer their talents to mentor non-fellow ENA members in whatever specialty the ENA member needs help in. It’s really important for the AEN fellows to do things like that to mentor other fellow emergency nurses along.’’ Curtis-Cooper urges emergency nurses who have made continuous and significant contributions to apply to become an AEN fellow. Fellowship honors the work emergency nurses have
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Call for Applications: 2015 Class of Fellows The Academy of Emergency will accept online applications for the 2015 class of fellows through noon Central time Tuesday, Dec. 2. Information and a link to the applications are available under “Get Involved” at www.ena.org. E-mail academy@ena.org with any questions.
Curtis-Cooper presents an AEN pin to inductee Stephen J. Stapleton, PhD, MS, RN, CEN, at the Awards Gala at the 2014 Annual Conference in Indianapolis on Oct. 11. done and recognizes their achievements on a broader level, she said. ‘‘The important thing is that you have a forum to continue future contributions,’’ she said. ‘‘Part of our mission as an academy is to provide expertise not only to the organization but to other emergency nurses. I think you get a double bonus. You are recognized for the significant work that you’ve done as a professional in the emergency nursing setting, but then you also have a forum to spread [your
work] and to continue to make significant contributions at a high level — not just in your local hospital or region, but you can also have a national and international impact.’’ For instance, fellowship has given Curtis-Cooper a large platform to develop pediatric emergency nursing, her niche. ‘‘I think that because I am an AEN fellow, I’ve gotten into communities that I may not have been sought out for,’’ she said. ‘‘I was involved from the very beginning in developing the certification exam in pediatric emergency nursing, which is something we needed to have as a subspecialty because pediatrics is so unique. By developing this exam to offer it to emergency nurses across the country, we recognize that children have special needs and we do need a group of dedicated emergency nurses to meet those needs and validate the knowledge base.’’ She considers her involvement in developing the exam the highlight of her professional career. ‘‘It was an exciting experience for me to do that because I met with my peers across the country,’’ she said. Joining the Academy allows a member to experience a special networking and camaraderie. ‘‘You meet the most wonderful, dedicated emergency nurses through the academy,’’ Curtis-Cooper said. ‘‘They’re the ones you can brainstorm with, and if you have a particular issue you’re dealing with and that’s their area of expertise, the sharing that goes on among the fellows is very valuable. You don’t have to reinvent the wheel every single time. You can look at and pull on the model of fellow AEN fellows.’’
November 2014
Statement of Ownership, Management and Circulation (Required by 39 U.S.C. 3685). Title of publication: ENA Connection. Publication no.: 1534-2565. Date of filing: October 1, 2014. Frequency of issue: Monthly. Number of issues published annually: 11. Annual subscription price: members, free; non-members, $50 U.S., $60 foreign. Complete mailing address of known office of publication: 915 Lee Street, Des Plaines, Cook County, Illinois, 60016-6569. Complete mailing address of the headquarters or the general business office of the publisher: 915 Lee Street, Des Plaines, Cook County, Illinois, 60016-6569. Publisher: Emergency Nurses Association, 915 Lee Street, Des Plaines, Cook County, Illinois, 60016-6569. Amy Carpenter Aquino, Editor-in-Chief: 915 Lee Street, Des Plaines, Cook County, Illinois, 60016-6569. Owner: Emergency Nurses Association, 915 Lee Street, Des Plaines, Cook County, Illinois, 60016-6569. Known bondholders, mortgagees and other security holders: None. Issue Date for Circulation Data: October 2014. Extent and nature of circulation: A. Total Number of Copies: Average number of copies each issue during preceding 12 months (hereinafter “Average”), 42,415. Actual number of copies of single issue published nearest to filing date (hereinafter “Most recent”), 45,276. B. Paid circulation: B1. Outside-county paid subscriptions stated on Form 3541: Average, 41,817. Most recent, 44,671. B2. In-county paid subscriptions stated on Form 3541: Average, 0. Most recent, 0. B3. Paid distribution outside the mail, including sales through dealers and carriers, street vendors, counter sales and other paid distribution outside USPS: Average, 418. Most recent, 425. B4. Paid distribution by other classes of mail through the USPS: Average, 0. Most recent, 0. C. Total paid distribution (sum of B1, B2, B3 and B4): Average, 42,235. Most recent, 45,096. D. Free or nominal fee rate distribution. D1. Outside-county copies included on Form 3541: Average, 0. Most recent, 0. D2. In-county copies included on Form 3541: Average, 0. Most recent, 0. D3. Copies distributed through the USPS by other classes of mail: Average, 0. Most recent, 0. D4. Copies distributed outside the mail: Average, 10. Most recent, 10. E. Total. Free or nominal rate distribution (sum of D1, D2, D3 and D4): Average, 10. Most recent, 10. F. Total distribution (sum of C and E): Average, 42,245. Most recent, 45,106. G. Copies not distributed: Average, 170. Most recent, 170. H. Total (sum of F and G): Average, 42,415. Most recent, 45,276. I. Percent paid (C divided by F times 100): Average, 99.976%. Most recent, 99.977%. This Statement of Ownership will be printed in the November 2014 issue of this publication. I certify that the statements made by me above are true and complete. Amy Carpenter Aquino, Editor-in-Chief. Date: October 1, 2014.
From the President
Continued from page 3
Why is it that patient and environmental safety are not at the forefront of everything we do in the ED? The lessons learned Day 1 in my EMT program are just as important in the ED, and yet I think they get missed. How do we make patient safety an expectation? It is easier than it seems. Each of us has to make a commitment to think about patient and workplace safety all the time — not just once a shift but all shift long. Every interaction you have, each skill or task you complete, ask yourself, ‘‘Am I doing this safely? Am I engaging in reckless behavior by working around a safety practice?’’ We need to change the profession. It might be easy to sit and wait for someone else to do it first. It might feel like you are the only one who is focused on patient safety in your department. It might take you a little bit longer to get some of your tasks done. It is going to take each one of us individually to make this change happen. Our patients, their families, our co-workers and our friends are counting on us to provide safe care in a safe environment. Let’s commit to providing that safe care each and every day. Let’s start today.
Save the Date April 28-29, 2015
Plan to join ENA in Washington, D.C. to advocate for issues that are important to emergency nurses.
Details about the event and registration information will be available in January 2015. Day on the Hill 2015 Ad_Connection_half_10 2014.indd 1
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Preparedness Extended Beyond Our Doors By Amy Carpenter Aquino, ENA Connection
guidelines, has no direction for mass transport of pediatric
E
disaster on the scale of Hurricane Katrina. This is concerning
mergency nurses seem instinctively drawn to working in emergency management and disaster preparedness. ‘‘We’re always looking at mechanism of injury and wanting to know how someone got sick or how they got hurt, and how to be able to give better treatment to them,’’ said Paul David Meek, MA, BSN, RN, CEN. For Meek and the other members of ENA’s Emergency Management and Preparedness Committee, going beyond the ED and into community processes to see what needs improvement also comes naturally. This past year was all about preparing to care for the most vulnerable ED patients during a disaster. ‘‘Our main project is looking at the lack of capability for mass pediatric transport in disasters,’’ explained Meek, the committee chairperson. Emergency Support Function No. 8 (Public Health and Medical Services Annex), a grouping of preparedness
patients during a hospital evacuation or a major natural because, as Meek said, ‘‘Nothing that I can think of will lock an ER up faster than having a bunch of critical pediatric patients and no place to put them.’’ There are several special considerations when transporting pediatric patients, mostly around the capabilities of the equipment: monitors, bloodpressure cuffs, beds and more. ‘‘As we say in ENPC, they’re not just small adults,’’ he said. The committee has reached out to several organizations, including the American Academy of Pediatrics, Emergency Medical Services for Children, the Air and Transport Nurses Association and ENA’s own Pediatric Committee to work on raising awareness of the issue and is exploring the best method for disseminating its research to emergency nurses. Other committee focuses have included a project that would give emergency nurses who are working on their own
The ENA Lantern Award Celebrates Exemplary Emergency Departments.
Re
cipie
nt 2015-20
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We recognize exceptional practice and innovative performance in the following areas: ª ª ª ª ª
Advocacy Education Leadership Practice Research
We invite your Emergency Department to apply for this distinguished award. The recipients will be recognized at the Annual Gala at Emergency Nursing 2015. Please follow the application guidelines on the website. Applications accepted through February 25, 2015.
www.ena.org/lanternaward
Development of the Lantern Award program criteria funded in part by
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Call for Lantern App Ad_Connection_Half_11 2014.indd 1
ENA Strategic Sponsor
10/2/14 1:46 PM
November 2014
THE EMERGENCY MANAGEMENT AND PREPAREDNESS COMMITTEE: Clockwise, from lower left: Mitch D. Jewett, RN, CEN, CPEN, board liaison; Paul David Meek, MA, BSN, RN, CEN, chairperson; Jennifer Wasielewski, MBA, BSN, RN, CEN, NE-BC; Leslie Gates, staff liaison; Dale Wallerich, MBA, BSN, RN, CEN, senior associate, Institute for Quality, Safety and Injury Prevention; Donna Lee Hovey, BSN, RN, CEN, CCRN. Not pictured: Elizabeth ‘‘Nikki’’ Austin, PhD, MA, RN, CEN; Steven D. Glow, RN, CEN, CFRN.
Thank you to the following organizations for their generous support.
STRATEGIC SPONSORS
emergency plans access to subject-matter experts, and reaching out to federal agencies such as the Department of Health and Human Services to establish contacts for when the committee has questions. ‘‘We’re re-establishing and firming up points of contacts with federal agencies so that we can better serve our members as we move forward,’’ Meek said. The committee members also answered a DHS request for input on the following documents: • Centers for Medicare & Medicaid Services, Medicare and Medicaid Programs, Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, Proposed Rule
STRATEGIC SUPPORTER
• Patient Decontamination in a Mass Chemical Exposure Incident: National Planning Guidance for Communities They are reviewing a report from the Office of the Inspector General, ‘‘Hospital Emergency Preparedness and Response During Superstorm Sandy,’’ and collecting information on Ebola screening and hospital response, exploring how to best share the information with emergency nurses. ‘‘We’re always looking to update our webpage, make sure the links are functional, as well as to ensure that the links will get them as directly as possible to the information,’’ Meek added. Meek looks forward to continuing the work of the EMPC in 2015, though not as its chairperson. ‘‘It’s been quite an honor to be chairperson of such a great group of people. I’ve really enjoyed it,’’ he said. ‘‘But I also hope I can give just as much as a committee member. I’ve asked a lot of the committee this year, and they’ve done a lot for me.’’
The ENA Strategic Sponsorship Program is designed to create partnerships with leading organizations whose objectives include supporting the emergency nursing profession.
Sponsorship Ad_Connection_half vert_08 2014.indd 1
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ENPC CD-ROMs
TNCC 7th Edition Instructors Thank you to all the TNCC instructors who have passed the seventh-edition update and will continue to teach TNCC. We appreciate your dedication.
ENPC Provider Course Schedule We received feedback that the recently revised ENPC 4th Edition Provider Sample Schedule and Course Agenda published in early July had an error related to contact hours. The total contact hours were correct; however, there was an omission related to testing time on Day 2. This correction has been made. There is no change to the contact hours; the total remains at 15.58 for the provider course. A newly revised Sample Schedule and Course Agenda have been posted to the Course Directors-only section of www.ena.org under the ENPC 4th Edition Provider Course, Forms. The CD-ROM with the course slides and paperwork has the corrected form. We apologize for any confusion.
The newly revised ENPC CD-ROMs began shipping in late August. All information contained on the CD-ROM is already posted in the Course Directors-only section of www.ena.org. If you also need a CD-ROM, please let us know, as we do not automatically send those out.
ENPC and TNCC New ENPC and TNCC marketing fliers are in the Course Directors-only section of www.ena.org, under the Provider course, Forms. Please use these to advertise for your courses and send a copy to Course Operations with the post-course materials to meet ANCC guidelines. The Notice of Disclosures form in the same forms location has been updated for both courses. Please use the form as a handout or use the introduction and disclosures slide to announce disclosures to students. Please send a copy of the document used to Course Operations with the post-course materials to meet ANCC guidelines. CourseBytes is the official communication to all TNCC and ENPC course directors and instructors. Topic ideas for future issues and feedback are welcome at CourseBytes@ena.org.
Fourth Edition
The Authoritative Course for Pediatric Emergency Nursing • Pediatric Assessment Triangle
Updated Teaching Strategies June 2014
• Early Intervention • Family Presence
2 Day Intensive Course 23 Chapter Comprehensive Manual 6 Hands-on Learning Scenarios 15.58 Contact Hours 5 Online Modules
Take the Course Today! www.ena.org/ENPC
The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
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connection
Stepping Up For Special Olympics Susan Sunyak, RN, CEN, president of the West Central New Jersey Chapter, and Elizabeth Mizerek, MSN, RN, CEN, CPEN, FN-CSA, chairwoman for research and practice for the New Jersey ENA State Council, recruited New Jersey ENA members to volunteer at the U.S. Do you have a recent professional Special Olympics in or educational success story you June in Mercer County, want to share about yourself or N.J. More than 3,500 another ENA member? E-mail athletes participated connection@ena.org with the with support from subject line “Members in Motion.” coaches and thousands of volunteers and family members. New Jersey ENA provided more than 300 hours of volunteer medical time. The care provided was diverse, Sunyak wrote — everything from basic wound care and orthopedics to care of exacerbated chronic medical conditions, particularly with high heat and humidity that week. Emergency nurses got a chance to talk with athletes and watch them compete in 16 Olympic-style events. ‘‘It was nice to focus on just caring — different from the usual hustle and bustle of the typical ED,’’ said New Jersey ENA member Brooke Zacheis, RN.
Recruitment & Professional Opportunities For ad rates and information, contact the ENA Development Department, 847-460-2626 or PartnerWithUs@ena.org.
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Visit the Board of Certification for Emergency Nursing (BCEN) website for details and resources to become a Certified Emergency Nurse (CEN®), Certified Flight Registered Nurse (CFRN®), Certified Pediatric Emergency Nurse (CPEN®), or Certified Transport Registered Nurse (CTRN®).
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BCEN ENA Connect Ad_FNL.Nov 14.indd 1
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9/29/14 2:13 PM
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