ENA Conference Connection, Sept. 21, 2013 by ENA Connection

Sept. 21, 2013 • Issue 3 of 4 • 16 PAGES

LETTING ULTRASOUND BE YOUR GUIDE Lab Addresses Ways to Solve Difficult Access

hether your patient is obese, elderly or an infant, hypovolemic, fragile veins and varying depth can make difficult access a real challenge. For the first time at an ENA conference, attendees had the opportunity to try ultrasound-guided IV access at several labs Friday, following a didactic lecture in which instructors reviewed the physical anatomy of the body via ultrasound, focusing on the kidneys, liver, eyes, gallbladder and spleen. During 30-minute lab sessions, attendees were able to see the vein, measure the depth, view volume and see whether the vein was obstructed. During the lab, attendees saw how the ultrasound guides selection of catheter size, both length and gauge. The screen shows the moment the catheter enters the vein, limiting risk of puncture of the distal vein wall, and then calculates the length of the catheter inside the vein. Several attendees said the lab provided a good overview of ultrasound-guided IV access.

‘‘The application of the ultrasound, where it can be used, kind of extends your practice a little bit more,’’ said Erma Kinzie, BSN, RN, CEN, of Mercy Hospital in Chicago. Cherry Tanjapatkul, BSN, RN, CEN, MICN, of Newport Beach, Calif., tried the ultrasound for the first time Friday. ‘‘To get the actual hands-on was very helpful,’’ she said. ‘‘It was a good orientation.’’ ‘‘I thought it was great,’’ said Cassie Richard, RN, CEN, of Oregon Health and Science University in Portland. ‘‘It was hands-on — we got an opportunity to practice what they taught us in the lecture to get a feel for it to take it home with us.’’ In-kind support for ultrasound equipment and supplies was provided by Bard Access Systems, Inc. Marlene Bokholdt, MS, RN, CPEN, Nursing Education Editor, Institute for Emergency Nursing Research, and Amy Carpenter Aquino, Conference Connection

WHY IS IT IMPORTANT TO COME TO ANNUAL CONFERENCE? Click on the TV screen to hear from your fellow emergency nurses on site in Nashville!

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General Assembly

POSITIONS OF STRENGTH

Leaders Passionate About ENA’s Health and Legacy and the Importance of Raising Questions By Amy Carpenter Aquino, Conference Connection

upport one other, ask the tough questions and focus on building strong legacies. These were some of the messages shared by ENA’s national leaders Wednesday at the opening of General Assembly. ENA President JoAnn Lazarus, MSN, RN, CEN, said the highlight of her year was speaking to 700 student nurses at the National Student Nurses’ Association annual conference in April. ‘‘I have no doubt our future is in good hands,’’ she said. ENA’s future looks equally bright, as Lazarus reported an increase in membership and the fact that 10,000 members are under age 34. ENA’s future is supported by its enduring legacy, as ENA co-founder Judith C. Kelleher ‘‘was able to see the difference she made in our organization . . . to the thousands who are receiving better care in EDs around the country because of her passion to improve emergency care for everyone,’’ Lazarus said. Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN, president-elect, shared the story of a medication error she made with a pediatric patient which — while having no negative outcomes — changed her outlook on errors in the ED. ‘‘As nurses, we make lots of mistakes,’’ Brecher said. ‘‘It’s time we started talking about them.’’ She encouraged members to ‘‘celebrate the great catches’’ in their EDs and to make the ED the safest place in health care for patients. Secretary/Treasurer Matthew F. Powers, MS, BSN, RN, MICP, CEN,

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Clockwise from top: 2013 ENA President JoAnn Lazarus, MSN, RN, CEN; Secretary/ Treasurer Matthew F. Powers, MS, BSN, RN, MICP, CEN; Executive Director Susan M. Hohenhaus, LPD, RN, CEN, FAEN; and President-elect Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN. reported that the organization has a positive financial status, with a reserve ratio of 65 percent. The ENA Foundation endowment stands at more than $1.2 million, and the Judith C. Kelleher endowment raised $148,000. ‘‘We want to make sure we are always diligently watching over your funds,’’ Powers said.

Executive Director Susan M. Hohenhaus, LPD, RN, CEN, FAEN, described 2012 as a ‘‘year of change’’ for ENA and directed delegates to the 2012 Annual Report. ‘‘We’ve come a long way since the vision of Anita Dorr and Judy Kelleher,’’ Hohenhaus said.

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Joined Together By Judy ENA Remembers Kelleher With Roses, Reflections By Amy Carpenter Aquino, Conference Connection

eneral Assembly participants honored ENA co-founder Judith C. Kelleher in a warm and touching tribute Wednesday. As the rich sound of bagpipes filled the room, ENA’s Board of Directors, past presidents and state council leaders lovingly placed yellow, white and red roses in two large vases at the front of the room. ENA President JoAnn Lazarus, MSN, RN, CEN, said the roses represented friendship, remembrance, sincere love, courage and respect and that the white and red roses together signified unity. A glass case containing Kelleher’s nursing cap and cape stood on display and soon will have a permanent home at ENA headquarters in Des Plaines, Ill. ‘‘ENA lost an exemplary leader when Judy passed away this year,’’ Lazarus said. ‘‘She was a part of our family, and as her family, I know that we will

continue to make Judy proud as we work to move her dream forward.’’ Kelleher’s granddaughter Charlene Wilson described attending her first ENA conference with her grandmother 15 years ago. ‘‘I offered to listen to her practice her speech, and she looked at me like I was crazy,’’ Wilson said. ‘‘She had no cards, she needed no rehearsal, because she spoke from her heart. She spoke of caring and of community and of change. She spoke of vision. It was easy for her because she spoke to a group of like-minded people she considered her family.’’ Wilson said it was at that conference that a special group of members ‘‘strongly encouraged’’ her to become an emergency nurse, which she did.

‘‘Like I had a choice,’’ she quipped. ‘‘I am proud and I am grateful for this opportunity to speak on Judy’s behalf and to thank all of you for the love and the friendship, for all the cards and the notes; she kept them all,’’ Wilson said. ‘‘Thank you for being kind and caring, and as strong and as spirited as she was. Thank you for continuing her legacy.’’ State leaders felt honored by the opportunity to pay tribute to a visionary and much admired leader. ‘‘Someone stepped up 40 years ago and recognized that emergency nursing is a separate specialty,’’ said Nebraska ENA State Council President Cindy Slone, RN, CEN, who soon will celebrate her 40th year in nursing. ‘‘She organized us and made us what we are and put us on the map.’’

Charlene Wilson (left photo) talks to leaders and delegates about her grandmother, ENA co-founder Judith C. Kelleher. Emergency nurses at General Assembly filled vases with roses in Kelleher's honor (right photo).

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NEVADA TAKES TOP TURTLE ENA President JoAnn Lazarus, MSN, RN, CEN, announced the winners of the turtle decorating contest at General Assembly on Wednesday. State councils and chapters created and decorated toy or ornamental turtles with an ENA flair. The theme was inspired by Lazarus’ president-elect address to the 2012 General Assembly in which she urged delegates to ‘‘Behold the turtle — he makes progress only when he sticks his neck out.’’ Lazarus will make donations to the 2014 ENA Foundation State Challenge campaign in honor of the top three winners. They are as follows: • First place – Nevada ENA State Council (pictured below) • Second place – Greater Twin Cities ENA Chapter • Third place – Nebraska ENA State Council Turtles were judged by representatives of Friends Life, a Nashville organization that provides services for adults with intellectual and developmental disabilities. Lazarus also shared that the first ENA Party With a Purpose held Tuesday evening raised $910 for Friends Life. Amy Carpenter Aquino

‘KICKING THE TIRES’ ON REVISED TNCC By Renée Herrmann, Conference Connection

ashville is known as Music City, but on Tuesday and Wednesday, it was pilot season. Seventeen individuals attended the full two-day The TNCC pilot instructors in Nashville. pilot of the new edition manual, lectures, hands-on skill of Trauma Nursing Core stations and testing, so that the work Course, or TNCC. A team of team could get a sense for the flow instructors were selected to teach and feel of the new course. The the course, led by Ray Bennett, group represented nurses ranging in BSN, RN, CEN, CFRN, CTRN, NREMT-P, chairperson of the Course experience from novice to expert. In addition to the two-day Administration Faculty. Members of course, more than 100 participants TNCC Revision Work Team, headed sat for a test validation session on by Diane Gurney, MSN, RN, CEN, Wednesday. Each individual was FAEN, oversaw the program. asked to review a draft of the ‘‘The purpose of the pilot was to provider manual and include take the car out of the garage, kick feedback on both the manual the tires and make sure all of the content and test questions. parts were working,’’ Bennett said. Feedback provided at the pilot ‘‘We tried to use the new material sessions will be reviewed by the under real course structure and TNCC Revision Work Team for conditions, just as they will be used consideration in the final product, [when the course is launched].’’ which is due to launch in early 2014. The participants went through all ‘‘Overall, the two days were a of the components of the revised success,’’ Bennett said. course, including the provider

THE TEAM BEHIND THE TNCC PILOT WORK TEAM • Kathleen Carlson, MSN, RN, CEN, FAEN • Diane Gurney, MS, RN, CEN • Ray Bennett, BSN, RN, CEN, NREMT-P • Jami Blackwell, BN, RN, CEN • Joseph Blansfield, MS, RN, NP • Melanie Crowley, MSN, RN, CEN • Dawn McKeown, RN, CEN, CPEN • Vicki Patrick, MS, RN, CEN, FAEN

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INSTRUCTORS • Gail Dodge, MSN, RN, CEN • Jan Elliott, RN • Sandy Waak, RN, CEN • Beth Broering, MSN, RN, CEN, CPEN, CCNS, CCRN, FAEN • Judy Leverette, MSN, RN, APRN, FNP, EMT-B, CEN, NP-C • Rhonda Manor-Coombes, RN • Sean Varricchio, MSN, BS, RN, CEN • Rachel Schumate, RN, CEN, CPEN

FAMILY COMES TOGETHER Emergency nurses made the scene Tuesday in Music City for conference registration and reconnecting with colleagues.

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DOWN TO BUSINESS ENA leadership and more than 600 delegates gathered Wednesday and Thursday for the 2013 General Assembly. Look for more coverage in the Sept. 25 Conference Connection.

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Anita Dorr Lecture and Luncheon ENA 2013 President JoAnn Lazarus, MSN, RN, CEN, and husband Richard Lazarus.

Celebrating the Past Along With the Presence By Renée Herrmann, Conference Connection

AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN, receives the Judith C. Kelleher Award.

HEALING

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ttendees gathered Wednesday in the Delta D Ballroom for the Anita Dorr Memorial Lecture and Luncheon. ENA President JoAnn Lazarus, MSN, RN, CEN, began the luncheon by presenting the Judith C. Kelleher Award to AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN. According to those who nominated her, Papa demonstrates knowledge and expertise in emergency nursing practice, education and research. She is active in numerous nursing associations and is an ENA past president. ‘‘Her passion for emergency nursing leadership is apparent in her interactions with colleagues and her undying willingness to help others achieve their own goals,’’ Lazarus said. Upon receiving her award, Papa asked previous recipients to stand and be recognized. ‘‘This is about Judy’s legacy,’’ she said, referring to ENA co-founder Judith C. Kelleher, who passed away in January. After lunch, Lazarus introduced the ‘‘wind beneath my wings’’ — her husband, Richard Lazarus, who focused on the importance of family and began his address by providing a history of family presence during resuscitation and ENA’s efforts to promote this practice. He next discussed the second kind of family presence, among those in the workplace. ‘‘Colleagues are like family. Some you get along with, some you’d rather not see, but they are there every day,’’ he said. Citing several studies, he noted that camaraderie is a key to job satisfaction. Finally, he described the third kind of family presence through the story of his and JoAnn’s marriage. He recounted struggles and joys but noted that the biggest lessons he learned were while he was along for the ride, traveling with his wife during her ENA and work engagements. ‘‘I image your co-founder brought her family along with her,’’ he said.

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E m e r g e n c y N u r s e s A s s o c i a t i o n a n d G e n e n t e c h

Partnering in the fight against stroke Explore online educational modules and increase your knowledge of stroke ENA and Genentech have partnered together to provide online training, with educational resources to help you better identify, diagnose, and treat stroke, featuring: • Quick, easily accessible interactive lessons that teach proper recognition and management of stroke • Knowledge assessments and progress checks • Certificate of completion*

Module 1:

Stroke basics

Module 2:

In-hospital diagnosis of stroke

Module 3: Treatment and management of stroke

To learn more about this online learning management system, visit: • www.ena.org/education/onlinelearning/Pages/Stroke.aspx or • http://learn.healthstream.com/accesspoint/genentech *This program certificate does not satisfy requirements for Continuing Education credits.

Keynote Address

Chef Jeff: ‘You Have to Be Among the Best’ By Amy Carpenter Aquino, Conference Connection

‘M

y life journey has taken me to the darkest places.’’ Jeff Henderson, known as Chef Jeff, was the first African-American executive chef at Café Bellagio in Las Vegas, has appeared on the Oprah Winfrey show, hung out with Will Smith and is the author of the New York Times best-selling memoir Cooked. As a small boy growing up poor and fatherless in South Central Los Angeles, though, Henderson was told he wouldn’t live past age 18. He seemed on a trajectory to fulfill that prediction when at age 16 he arrived in the emergency department with a stab wound to the chest after a gang-related dispute. ‘‘It was the ER nurses who told my

mother that I was going to be OK,’’ Henderson said during Thursday’s keynote speech. ‘‘It was a nurse in a shopping mall who came to my aid, using her sweater to apply pressure to the stab wound in my chest.’’ Henderson shared his story of how he discovered his potential and gift during a 10-year incarceration for selling drugs. Prison is where he made the connection between education and the American dream, learning business skills from fellow inmates and finding his talent for cooking in the prison kitchen. Upon his release, he sought out acclaimed chef Robert Gadsby, who gave him his first kitchen job. ‘‘I knew that in order to become the best, you have to be among the best,’’ he said. ‘‘That’s why you guys are here. I did the same thing in my career.’’

TIP OF THE HAT FROM THE ENA FOUNDATION ‘‘It has been an absolutely fantastic year with many outstanding fundraising and program accomplishments,’’ said Julie Jones, BS, RN, CEN, chairperson of the ENA Foundation Board of Trustees. Speaking at Thursday’s Opening Session, Jones invited attendees to visit the ENA Foundation booth to see the wall of names of members who have received academic scholarships and research grants this year thanks to donations from groups and individuals. ‘‘In the audience are 20 members who received assistance to attend this conference,’’ Jones said to loud applause. Another 10 members received ENA Foundation scholarships to attend the 2013 Leadership Conference, and 13 more have

an opportunity to receive an ENA Foundation grant. Submissions are due this fall. ‘‘All these scholarships and grants are made possible by donations from state councils, chapters, our industry partners and individuals like you,’’ Jones said. The 2013 ENA Foundation State Challenge campaign broke all previous records, raising $121,500. ‘‘Because we raised more money, we

will have more scholarships and grants to give back to you next year,’’ Jones said. Donning a sparkly tiara, Jones invited attendees to visit the foundation’s jewelry auction in the Exhibit Hall; proceeds will support 2014 scholarships and research grants. Changing to a pink cowboy hat, Jones gave a shout-out to everyone who bought a ticket to the sold-out ENA Foundation Event at the Grand Ole Opry. ‘‘There are many ways to support the ENA Foundation,’’ Jones said, ‘‘and it all adds up.’’ Amy Carpenter Aquino

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GET UP TO SPEED ON

GENE

Click the screen to hear ENA eLearning manager Bree Sutherland explain the new course!

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