ENA Conference Connection, Sept. 25, 2013 by ENA Connection

Sept. 25, 2013 • Issue 4 of 4 • 13 PAGES

Closing Session

‘WE ARE SO GRATEFUL YOU ARE THERE’ Emergency Nurses Lauded as Heroes Who See It All

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his is not going to be a sad conversation — I am that person at the end of the conference who reminds you how wonderful you are,’’ Lee Woodruff told attendees Saturday at the closing session in Nashville. ‘‘You see the worst of us; you see us when we’re angry, scared, still processing what happened to a loved one or ourselves. . . . Even though we may not always act that way, we are so grateful that you are there.’’ Woodruff’s husband, Bob, on assignment for ABC News in 2006 in Iraq, was seriously injured by a roadside bomb while traveling in a convoy of American and Iraqi troops. Lee Woodruff shared the story of Bob’s recovery, which was ‘‘nothing short of

miraculous,’’ and praised the health care professionals who helped him and her family heal. She choked up when telling the story of the two medical personnel of the military helicopter crew who picked up Bob Woodruff and brought him to safety. They had ignored orders to turn around when fighting become too intense to land. ‘‘They heard the order to turn around, looked at each other and said, ‘Did you hear anything? I didn’t hear anything,’ turned the radio down and landed that helicopter,’’ she said. ‘‘You,’’ she told emergercy nurses, ‘‘do a form of that every single day.’’ Amy Carpenter Aquino

WHAT DID YOU LOVE ABOUT THE 2013 ANNUAL CONFERENCE? Click on the TV screen to hear attendees tell of their personal highlights from Nashville!

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General Session

DILIGENCE BEFORE DISASTER

Emergency Nurses Can Seize ‘Wonderful Opportunity’ By Joining Efforts for Local, State Readiness By Amy Carpenter Aquino, Conference Connection

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very day I think about bad things — things that will hurt us, things that will impact us, that are so significant it requires the nation’s response.’’ As director of the National Healthcare Preparedness Programs within the Office of the Assistant Secretary for Preparedness and Response, and as a practicing emergency physician, David Marcozzi, MHS-CL, MD, FACEP, provided a view of how health care coalitions (partners in preparedness) create local, state and national resilience to disasters and save victims. ‘‘I think about that not only as a fed — I think about that as a provider,’’ Marcozzi said. ‘‘I think about it from the standpoint of, when that first patient comes in, have all the things been done right before it hits the door of my ER? Am I giving that person the best chance to live?’’ In Saturday’s general session, ‘‘Functional Coalitions and Foundational Capabilities – The Path Forward for Emergency Preparedness,’’ Marcozzi recognized emergency nurses who are involved in disaster preparedness at the hospital level and at the state level as part of disaster medical assistance teams. He also showed how three main federal agencies involved in national disaster preparedness — Health and Human Services, the Department of Homeland Security and the Department of Defense — support local and state disaster preparedness initiatives. Showing slides of recent disasters such as the Boston Marathon bombings, Marcozzi pointed out the DMAT members who were on the scene assisting victims. ‘‘They need great nurses,’’ he said. ‘‘This is a wonderful opportunity.’’

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HEALING

BODY, MIND& SPIRIT IN OUR GROWING COMMUNITY Rooted in our humble beginnings more than 80 years ago, Saint Agnes Medical Center’s mission to heal Body, Mind and Spirit remains a constant. Growing from the original 75-bed hospital in downtown Fresno, we’ve evolved into a 436-bed state-of-the-art Medical Center campus, bringing together the most advanced equipment and facilities. No matter the challenge, the Saint Agnes team will continue to pursue advances in medical technologies and treatments to accomplish our goal of building a healthier community. If you believe in the mission and dedication Saint Agnes stands for, and are interested in enhancing your talents, then this is the place for you!

EMERGENCY ROOM NURSING OPPORTUNITIES Nurse Manager | Staff RNs Please stop by and visit us at Booth #468 at the 2013 ENA Annual Conference, September 19-21, 2013 in Nashville, TN The dedication and talent of our superior staff has earned us the Consumer Choice Award for the seventeenth consecutive year and the top 10% Specialty Excellence Award for Critical Care Services by Healthgrades. We are also continuing on our exciting journey toward Magnet status. If you are an RN with the skills, drive and flexibility to help us meet these challenging goals, join us today. As a member of our team, you'll not only benefit from an amazing work environment, but you'll also enjoy on-site child care services and a close-knit cosmopolitan California community that's just 90 minutes from the beautiful Yosemite Valley. For immediate consideration, please apply online at www.samc.com. We are an equal opportunity employer and a proud member of Trinity Health.

THE STAR TREATMENT Second Annual Awards Gala Recognizes ENA’s Shining Examples

NA President JoAnn Lazarus, MSN, RN, CEN, and master of ceremonies Terry M. Foster, MSN, RN, CEN, CCRN, FAEN, celebrated the ‘‘best of the best’’ on Saturday at the second annual ENA Awards Gala. Recipients of the 2013 ENA Annual Recognition Awards and the Lantern Awards, along with nine Academy of Emergency Nursing inductees, received red carpet treatment at the Gaylord Opryland Resort and Convention Center. Awards gala attendees enjoyed an elegant reception and dinner during the three-hour ceremony. All award recipients were brought on stage to receive their awards and pose for a picture with Lazarus, whose cowboy hat and boots added some Nashville flavor to her awards ensemble. Some line dancing demonstrations with Foster and a live local band completed the country music theme, but the evening was clearly focused on the recipients and inductees as they were recognized for their contributions to ENA and the practice of emergency nursing.

ENA President JoAnn Lazarus, MSN, RN, CEN, shows off her line-dancing skills on stage with the Awards Gala's master of ceremonies, Terry M. Foster, MSN, RN, CEN, CCRN, FAEN.

Amy Carpenter Aquino

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The nine new inductees of the Academy of Emergency Nursing (holding award certificates) are honored in front of their peers at the gala.

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A NIGHT AT THE GRAND OLE OPRY — AN ENA FOUNDATION EVENT

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Friday night was a smash hit for the ENA Foundation, with 1,200 emergency nurses heading to the Grand Ole Opry to hear performances by country music stars Kristen Kelly, Jimmy C. Newman, Wade Hayes, The Henningsens, Jesse McReynolds, The Willis Clan, Jim Lauderdale, Jeannie Seely, The Whites, George Hamilton IV and John Conlee. The ENA group represented the largest contingent attending from one organization in the history of the Opry.

Kristen Kelly

Jim Lauderdale

Chris Hollo, Grand Ole Opry

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BID BUSINESS More than 200 pieces of men’s and women’s jewelry were up for grabs at the ENA Foundation jewelry auction from Thursday to Saturday, raising more than $23,000 that will be used to fund ENA Foundation scholarships and research grants.

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TRY IT LIKE SEW

Education

Presession Participants Practice Advanced Suturing Techniques

hands-on advanced wound closure workshop Sept. 18 allowed Annual Conference participants to practice advanced stitching techniques using beef tongue models and three types of woundclosure materials. ‘‘If you sew anything other than people, you may be familiar with this first technique,’’ said Andrew Galvin, MSN, BSN, RN, ACNP-BC, CEN, about a running percutaneous suture. The stitch can work for children or intoxicated patients, Galvin noted, because it’s fast, easy and does not require staples. ‘‘It’s basically a hem stitch,’’ he noted. All that is required is a needle driver and a sharp pair of scissors. Participants also practiced the same stitch with a ‘‘lock’’ for extra strength.

GETTING AHEAD OF LATERAL VIOLENCE IN THE NURSING WORLD

ateral violence among nurses isn’t only a problem in the United States but worldwide, and one issue is that the nursing profession fails to recognize it as a problem. On Thursday, Robin Weingarten, MSN, RN, CEN, presented ‘‘Lateral Violence Among Nurses in the ED: Resolving the Conflict,’’ which defined lateral violence, examined the

Top: Andrew Galvin, MSN, BSN, RN, ANCP-BC, CEN, demonstrates suturing methods which attendees then practiced themselves (left) on cow tongue models.

Galvin cautioned about stitch alignment in lip and facial lacerations: ‘‘These are devastating lacerations, and meticulous care is required. If you wouldn’t close this on a family member,

extent of the problem in nursing and provided suggestions for what nurses could do when they recognize the problem in their unit. ‘‘All meaningful communication stops with violence,’’ Weingarten said. Signs of lateral violence include aggressive body language and obscenity, as well as clique-forming and gossip within a unit. One issue Weingarten noted with the problem of lateral violence is that many nurses see this as a ‘‘rite of passage’’ — experienced nurses are mean until the newer ones learn the ropes in the department.

don’t do it on a stranger. Get help.’’ Sydney Gay, MSPA, PA, was on hand to help participants refine their techniques in constructing deep or buried sutures. ‘‘Parents love these stitches because you can’t see them,’’ Galvin said. Participants practiced running percutaneous sutures, running subcuticular sutures and vermilion border sutures in the session. Margo Schafer

Effects of lateral violence include decreased productivity and decreased focus on patient care as well as high rates of turnover, which lead to increased costs. This can impact patient safety and satisfaction and increase errors. While conflict is natural and a sign of growth, Weingarten said, unresolved conflict is the problem. Suggestions for resolving conflict include creating a blame-free environment, having zero-tolerance policies in place and not avoiding difficult conversations. Renée Herrmann

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BOSTON BOMBINGS OFFER INSIGHT INTO CRISIS BEST PRACTICES

he Boston Marathon is considered a ‘‘planned’’ mass casualty incident each year. Five local trauma centers surround the marathon route, and the city’s first responders, health department and elected officials work together annually to plan for all possible marathon outcomes and scenarios. ‘‘We were ready,’’ Dan Nadworny, BSN, RN, emergency department clinical manager at Beth Israel Deaconess Medical Center, told ENA members at the ‘‘Boston Strong’’ educational session Friday. The 54-bed ED beefs up staff and reconfigures its layout to prepare for a surge in patients experiencing heat exhaustion, aches, pains, heart attacks and sprains. Historical data has shown that a typical marathon surge might bring in anywhere from 10 to 54 patients. Still, on April 15, when two pressurecooker bombs exploded near the marathon’s finish line, the city’s emergency response system was challenged to an extreme level. Within 10 minutes of the first explosion, BIDMC received its first two patients. ‘‘People who make bombs don’t make bombs out of nice things,’’ said Nadworny, who said the staff received 10 patients in 39 minutes, plus 14 more, all requiring immediate surgery. Many were single or double amputations. A hazmat tent was set up in minutes, and all patients were screened with a Geiger counter and X-rayed for shrapnel and nails. Triage was moved outside the hospital. ‘‘In the early stages, we didn’t have a good understanding of who had done this,’’ Nadworny said. ‘‘We needed to keep a sterile environment in the ED. We needed a fast turnaround because of the seriousness of the incident. Changing the triage traffic flow allowed us to screen patients more quickly.’’ Margo Schafer

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Lounge Leads Researchers in New Directions O

n Saturday, attendees brought their burning questions to the experts at the IENR Research Lounge. Doctorally prepared emergency nurses from the Academy of Emergency Nursing, the Institute of Emergency Nursing Research’s Advisory Council and the general membership came to help other nurses participate in the research process. The six-hour format was new to this year’s conference, said ENA senior research associate Altair Delao, MPH. Within the first hour, 30 people had signed up to talk to an expert researcher, and traffic was steady throughout the day. Walk-ins and appointments were accepted. Kris Corwin, MSN, RN, CEN, CPEN, came to the lounge to find resources and assistance for a research project on resuscitation in her emergency department. Denise Edge, MSN, RN, a doctoral student, spoke with Diane Salentiny-Wrobleski, PhD, RN, CEN, about her capstone project on blood culture contamination. ‘‘She was pointing me in

directions I didn’t even think about,’’ Edge said. Salentiny-Wrobleski said a key part of research is ensuring that the key players are at the table at the beginning of any project; otherwise, solving the problem can be difficult. She also noted that the library is a researcher’s most important resource. ‘‘I don’t think most people know how much our librarians can do for us,’’ she said. She encouraged Edge to speak with her librarian to establish a personal relationship. Renée Herrmann

REVIEWS CONTINUE FROM NASHVILLE

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Click on the TV screen to hear what more of your fellow ENA members loved about the conference.

NOW PRESENTING . ..

POSTER WINNERS

The following Poster Award recipients were announced at Friday's General Session:

BEST RESEARCH POSTER

Emergency Provider Attitudes Towards Sickle Cell Patients • Paula Tanabe, PhD, MSN, RN, MPH • David M. Cline, MD • Jontue’ Hinnant, BSN, BA, RN • Susan Randolph, RN, CEN • Susan G. Silva, PhD • Dori Taylor Sullivan, PhD, RN, NE-BC, CPHQ, FAAN • Victoria L. Thornton, MD, MBA, FACEP • Ann White, MSN, RN, CEN, CCNS, CPEN • Caroline Freiermuth, MD

Jontue' Hinnant, BSN, BA, RN, and Paula Tanabe, PhD, MSN, RN, MPH.

BEST EVIDENCE-BASED PRACTICE POSTER

An Emergency Department’s Journey: Implementation of Evidence-based Tools Reduce Restraint Usage • Brenda Luchs, MSN, RN, CEN • Mary Bigowsky, MSN, RN, NEA-BC • Michelle George, BSN, RN, CEN • Senka Pavetic, RN Brenda Luchs, MSN, RN, CEN, presents the information in the winning poster she co-authored.

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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.

FAB LABS Conference attendees were able to pick up valuable education using their own hands Friday during two procedural cadaver labs sponsored by Vidacare and an ultrasound lecture and labs made possible through in-kind support and supplies from Bard Access Systems.

ENA Strategic Sponsor

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FAREWELL UNTIL PHOENIX! Pre-registration for Leadership Conference 2014 begins in mid-October. Watch for updates at www.ena.org.

Full coverage of the 2013 Annual Conference will appear in the December issue of ENA Connection.

2013 Annual Conference photography by Jules Clifford Diane M. Schertz, BS, RN, FAEN (left), a longtime friend of ENA co-founder Judith C. Kelleher, joins Kelleher's granddaughter Charlene Wilson in holding the portrait of Kelleher on display at General Assembly and in the exhibit hall.

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