ENA Connection May 2012 by ENA Connection

the Official Magazine of the Emergency Nurses Association

connection May 2012 Volume 36, Issue 5

Leaders Digest

What You Need to Know Before You Vote in ENA National Elections

Candidate Profiles and Instructions, Pages 11-21 PLUS: Rallying Together at Leadership Conference 2012 17 Pages of Coverage from New Orleans, Starting on Page 28

INSIDE

FEATURES

ENA Hosting Its First Workplace Violence Prevention Summit Academy of Emergency Nursing Fellows Continue to Contribute From the Future of Nursing Work Team

PAGE 10 PAGE 22 PAGE 26

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Dates to Remember May 10-June 8, 2012 Elections for ENA board of directors and Nominations Committee. May 2012 Early-bird registration opens for 2012 Annual Conference in San Diego, Sept. 11-15. June 1, 2012 Deadline for nominations for ENA Foundation Board of Trustees. June 4, 2012 Application deadline for international delegates for 2012 General Assembly at Annual Conference in San Diego, Sept. 12-13. August 1, 2012 Deadline for abstracts for poster presentations for Leadership Conference 2013, Feb. 27-March 3 in Fort Lauderdale, Fla. August 17, 2012 Deadline for requests to include recently deceased member colleagues in memorial presentation during 2012 General Assembly in San Diego, Sept. 12-13.

ENA Exclusive Content PAGE 10 ENA Hosting Its First Workplace Violence Prevention Summit PAGE 11 ENA National Elections Voting Overview PAGE 12 Candidate Profiles for ENA Board of Directors and Nominations Committee PAGE 22 Academy Fellows Continue to Contribute PAGE 28 State and Chapter Leaders Conference Coverage PAGE 32 Leadership Conference 2012 Coverage

Monthly Features PAGE 3 Letter from the President PAGE 4 Sue’s Views: Letter from the Executive Director PAGE 6 Washington Watch PAGE 8 Pediatric Update PAGE 24 Board Writes PAGE 25 Call to Action PAGE 26 From the Future of Nursing Work Team PAGE 46 Ready or Not? PAGE 48 Member Benefits and Resources PAGE 49 State Connection PAGE 50 ENA Foundation PAGE 51 Board Highlights

LETTER FROM THE PRESIDENT | Gail Lenehan, EdD, MSN, RN, FAEN, FAAN

We Can Make History ENA’s Leadership Conference 2012 in New Orleans was arguably the best ever. Attendance was at an all-time record, as more than 1,400 emergency nurses and educators gathered together to become illuminated and empowered as leaders in the emergency nursing profession. More than 320 state council and chapter leaders attended the State and Chapter Leaders Conference to network and share wisdom— another record-breaking number and a great success. It was truly a remarkable experience to see so many of our colleagues inspired with new insights and valuable skills. Surely the vibrant city’s setting added to the excitement by providing us with an opportunity to experience Mardi Gras, wonderful food, music and the chance to stroll around after sessions to grab a cup of chicory coffee and beignets. The opening session, with songs like “When the Saints Come Marching In,” led by an authentic New Orleans gospel choir, had everyone on their feet, singing and clapping to the beat. Conference attendees had an exciting opportunity to march in a police-escorted parade, New Orleans-style, complete with a marching band and festive masks and costumes. The educational sessions received rave reviews. There was something for everyone. We were energized by a speaker who demonstrated how to fearlessly have those crucial conversations in Conflict is Inevitable; Resentment is Optional. We were moved by the speaker who described a life-changing experience during the Vietnam baby airlift as Saigon fell. And we were encouraged to reconnect with our passion and discover our stories, the ones that define us as health care professionals. All of our speakers were terrific, none more so than our executive director, Sue Hohenhaus, who gave an excellent presentation on TeamSTEPPS® and what teamwork can look like in an emergency department. The knowledge we acquired at Leadership Conference was just the beginning—what we learned from speakers and shared with each other will continue

to develop us beyond our time spent in New Orleans. ENA designs Leadership Conference with opportunities to empower, educate and strengthen veteran nurse managers and nurse educators and emergency nurses who are unofficial leaders, as well as novices. My hope is that the inspiration from conference will continue to grow. Providing, promoting and expanding leadership opportunities is part of ENA’s 2012-2014 Strategic Plan. ENA recognizes the importance of developing exceptional leaders who will make a significant difference in emergency care and move the profession forward. As an emergency nurse, you have a voice with which to make a difference, by choosing the future leaders of your organization. You have the opportunity to elect who you want to represent you. Whether you joined ENA 20 years ago or five months ago, your vote counts. I encourage you all to become involved and proactive by exercising your right as a member to vote. Visit www.ena.org to meet the 2012 election candidates so that you can make a well-informed decision about ENA’s future voices. With more than 40,000 members, ENA needs everyone using his or her best judgment to bear about who should lead our organization. I challenge each and every one of you to lend your wisdom to the election process. Look for an e-mail on May 10 giving you your “voting number” and directions for the very quick and easy process of voting online. It takes one to two minutes. Seriously! The ballot includes helpful bios and pictures of the candidates, which are also found beginning on page 12 of this issue of ENA Connection. If you don’t get the e-mail, or if you have any questions, just call 800-2-GET-ENA (800-243-8362) and ask for Executive Services. Leadership Conference 2012 in New Orleans made history with a record turnout. Let’s make history again, with a record number of emergency nurses turning out to elect those who will help to create our future!

Start Planning for ENA 2012 Annual Conference in Sunny San Diego You’re going to want to be part of ENA 2012 Annual Conference, September 11–15 in San Diego. This conference will refresh your skills, revitalize your desire and invigorate your passion for practice. Take a few minutes to review the advance program enclosed with this issue of ENA Connection and note the exciting new opportunities. At this conference, you will: • Earn more than 20 contact hours by attending educational and poster sessions featuring prominent emergency health care faculty.

Official Magazine of the Emergency Nurses Association

• Reconnect with friends and colleagues through a wide variety of networking events. • Become invigorated with unique presentations by Drum Café and Doc Hendley. • Learn about the latest products and services in the Exhibit Hall. Start planning to be part of the largest gathering of emergency nurses in 2012. Look for an e-mail notification when registration opens in early May.

SUE’S VIEWS: LETTER FROM THE EXECUTIVE DIRECTOR | Susan M. Hohenhaus, MA, RN, CEN, FAEN

Positioning ENA for Success As every emergency nurse knows, taking care of a patient or procedure involves the use of some type of nursing process. You probably don’t even know that you are performing these processes with almost every task you accomplish because it is so much a part of the fabric of who you are and what you do. In the emergency care setting, the steps of the nursing process model are often done simultaneously, much like other tasks we complete. Taking care of an organization like ENA involves similar quality processes. Association management involves the ability to assess, diagnose, plan, implement and evaluate. It also involves the ability to develop a highly functional, efficient and reliable team. Over the past several months, your ENA staff team has followed this method to reorganize and realign the staff organization in order to best respond to the continuously evolving health care and association cultures and to best position ENA and the emergency nursing profession for growth, impact on the profession and organizational sustainability. Some changes in our staffing structure and organization were implemented fairly quickly after I accepted the position as ENA’s executive director. But unlike an assessment conducted in the emergency care setting, the most recent ENA organizational changes were the result of a longer, more detailed assessment. Some of the changes involve additions of key staff positions that will help us achieve our strategic plan; others involved eliminating a few positions that no longer aligned with the plan. Difficult decisions that are in the best interest of the organization were made, and the plan was implemented.

Here are some of the changes and what they mean to you: ENA’s Member Services Department has been combined with our Course Operations Department. This will soon provide you with a single point of contact at ENA when renewing your membership, signing up for a course or ordering a product. Staff will be cross-trained and work together as a team to ‘‘back each other up’’ and continue to provide you with exceptional service. Our web site is getting a much-needed makeover. Our innovative new media specialists, working with our combined marketing and public relations team, are working together to simplify the look and the navigation process. This team is also working with our Education Department to offer our members free and low-cost continuing education (CNEs and CERPs) through our new Learning Management System. The Education Department is also working with the Conference Department on enhancing the ENA conference experience. New media will soon allow for a more interactive way of enjoying onsite activities and education at our conferences, as well as providing opportunities for those who cannot attend to participate in some novel and innovative ways. Site selection for the 2014 Leadership and Annual conferences will soon be announced. Looking further ahead, we are beginning to plan for the transition in 2015 to one great big, exciting, combined ENA conference. We are also exploring options for smaller, specialty conferences like the Workplace Violence Prevention Summit we are conducting in Chicago on June 22, working with our Continued on page 45

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© 2012 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 Web Site: www.ena.org E-mail: connection@ena.org

Member Services: 800-900-9659 Non-member subscriptions are available for $50 (USA) and $60 (foreign).

ENA Announces New National Office Nursing Staff ENA is pleased to announce that two experienced emergency nurses and dedicated members have joined the national office staff. Betty Mortensen, MS, BSN, RN, FACHE, joined ENA on April 2 as the chief nursing officer. Mortensen brings with her valuable experience as an emergency nurse, director of Emergency Services and CNO in multiple hospital settings, as well as involvement in several nursing associations. She is an experienced ENA member who is looking forward to the opportunity to have a more global impact on the profession of emergency nursing. Her knowledge, enthusiasm and experience are a welcome addition to the association. Lisa Wolf, PhD, RN, CEN, FAEN, joined ENA in March on a part-time basis and will join ENA full-time June 1 as director of the Institute for Emergency Nursing Research. Wolf is wrapping up her semester courses in her current role as a clinical assistant professor at the University of Massachusetts School of Nursing in Amherst, Mass. She is an experienced emergency nurse, researcher, faculty at several ENA conferences and a former member of the IENR Advisory Council. Her experience and enthusiasm for practical research are a welcome addition to the staff organization. ENA is thrilled to welcome both of these talented emergency nurses to its staff. Look for more information on Mortensen and Wolf and their goals for ENA in the June/ July issue of ENA Connection.

Editor in Chief: Amy Carpenter Aquino Assistant Editor, Online Publications: Josh Gaby Writer: Kendra Y. Mims Editorial Assistant: Dana O’Donnell BOARD OF DIRECTORS Officers: President: Gail Lenehan, EdD, MSN, RN, FAEN, FAAN President-elect: JoAnn Lazarus, MSN, RN, CEN

Secretary/Treasurer: Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN Immediate Past President: AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN Directors: Kathleen E. Carlson, MSN, RN, CEN, FAEN Ellen H. (Ellie) Encapera, RN, CEN Mitch Jewett, RN, CEN, CPEN Marylou Killian, DNP, RN, FNP-BC, CEN Michael D. Moon, MSN, RN, CNS-CC, CEN, FAEN Matthew F. Powers, MS, BSN, RN, MICP, CEN Karen K. Wiley, MSN, RN, CEN Executive Director: Susan M. Hohenhaus, MA, RN, CEN, FAEN

May 2012

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WASHINGTON WATCH |

Kathleen Ream, MBA, BA, Director, ENA Government Affairs

From the States

Missouri Bills Could Increase Nursing’s Scope of Practice New bills in the Missouri legislature could lessen the requirements advanced practice registered nurses face in practicing to the full extent of their scopes of practice. HB 1371 and SB 679 would apply to nurse practitioners, clinical nurse specialists, midwives and clinical nurse anesthetists and would remove the need for physicians to delegate authority to treat patients. Missouri law requires that APRNs be in a collaborative practice agreement with a physician within 30 or 50 miles, depending on population and health care availability. Additionally, the nurse must practice at the same site as the physician for 30 days before practicing elsewhere. The physician must review a portion of the patient charts and often receives payment from the nurse for doing so. If passed, the legislation would give advanced practice nurses full scope of practice. Nurses no longer would need a collaborative practice agreement with a physician to treat patients, letting them practice to the fullest extent of their abilities. Sixteen states and the District of Columbia allow nurses to have full scope of practice. According to the U.S. Department of Health and Human Services, 109 of Missouri’s 114 counties are health care provider shortage areas. Proponents of the bills say the new legislation would increase access to health care in the state.

Nebraska Legislature Passes Bill Making Assaulting a Nurse a Felony The Nebraska legislature has toughened penalties on those who assault nurses and others who work in hospitals and health clinics. Under LB 677, sponsored by State Sen. Steve Lathrop (Omaha), assaulting a health professional woulc bring the same potential penalty as assaulting a police officer: a class 3A felony, punishable by up to five years in prison or up to a $10,000 fine, or both. The bill also requires emergency departments and clinics to post a sign at their

entrance warning that assaulting workers is a felony. Currently, a typical assault would result in a misdemeanor charge, which carries less serious penalties. Lathrop said health professionals deserve special treatment because they are particularly vulnerable and because of the work they do. Nurses, he said, must work in close proximity to patients and assume a level of trust with them. “Nurses open themselves up to provide care to someone and, unexpectedly, they’re assaulted,’’ he said. ‘‘They’re not expecting to be hit. It’s becoming more and more of a problem.’’ Lathrop, an attorney, represented a registered nurse at Papillion’s Midlands Hospital who was assaulted by a mentally disturbed patient in 2007. The nurse was left with permanent eye injuries. Gov. Dave Heineman (R) signed the bill into law March 7.

New York Bill Requires Bachelorʼs Degrees for RNs Under a bill that renews debate on the “BSN in 10” initiative, New York lawmakers are again considering requiring new RNs to earn bachelor’s degrees within 10 years in order to keep working in the state. Similar legislation died in committee last session, but this year it has bipartisan support in both chambers. The bill’s main sponsors, Assemblyman Joseph Morelle (D) and Sen. James Alesi (R), say the bill is needed to professionalize nursing. Both legislators serve on their respective higher education committees and represent districts that include the University of Rochester Medical Center and St. John Fisher College, both of which have BSN programs. As part of the national push to raise educational standards for nurses, some nursing associations and major health policy organizations back the “BSN in 10” initiative. Currently, most RNs have two-year associate’s degrees, and no state requires a four-year degree for initial licensing or afterward, though New Jersey and Rhode Island have considered proposals similar to New York’s over the last several years. Demand for more skilled nurses is increasing with the growth of an aging population (which includes the high numbers of nurses expected to retire in the coming years), with that population having more chronic diseases, and with the new federal health care law’s promises to help 32 million more Americans gain insurance within a few years. While some in the health care industry worry that increased education requirements could worsen the problem by discouraging entrants into the field, advocates say that in addition to improving patient care, a key reason for requiring more education is to put more nurses in position

May 2012

to move on to jobs in administration and in-demand specialties, such as oncology, and to teach at nursing schools, where the average faculty age is 53. For more than a decade, federal health officials have recommended upgrading the entry-level degree for nurses to BSN. The idea got a boost in the 2010 report, The Future of Nursing, issued by the Institute of Medicine and the Robert Wood Johnson Foundation. As of 2008, about a third of RNs had a bachelorâ&#x20AC;&#x2122;s degree or higher according to federal statistics, and the IOM recommended increasing that to 80 percent by 2020. The sponsors of the New York bill maintain that, as patient care has become more sophisticated, added education and critical thinking skills are needed. They point to studies showing that staff with higher levels of education serve patients better. To prevent driving more nurses from the field, current RNs in New York would be exempt from the billâ&#x20AC;&#x2122;s education requirement. William Van Slyke, spokesperson for the Healthcare Association of New York State, said that while his organization supports having a better educated nursing workforce, it opposes a four-year degree mandate. One problem, he said, is the lack of nursing facultyâ&#x20AC;&#x201D;the same issue advocates say the bill would address. The association has proposed legislation that would provide incentives such as loan forgiveness to encourage people to become nurse educators, he said, but lawmakers have not taken up the idea. Other concerns include the stateâ&#x20AC;&#x2122;s community collegesâ&#x20AC;&#x2122; fear that the billâ&#x20AC;&#x2122;s requirement would cut into the number of people seeking two-year degrees. And, it appears that New York City metropolitan-area hospitals are increasingly requiring new RNs to have a bachelorâ&#x20AC;&#x2122;s degree or earn one within five years, creating a disparity in standards between the downstate area and upstate, where fewer candidates have four-year degrees.

Rhode Island Seeks to Improve Emergency Care for People with Behavioral Health Problems In Rhode Island, the Senate Commission on Emergency Department Diversion says mental health cases strain hospital resources, increase Medicaid costs for taxpayers and often leave patients without the care they need. In its final report, the commission says the state should work with mental health facilities to ensure they can accept patients that otherwise would go to emergency rooms; the state must find an alternative to emergency rooms for people struggling with acute mental illness and substance abuse. The commission also recommends changing a regulation that requires ambulances to take intoxicated patients to emergency rooms and not mental health facilities. The Rhode Island Medicaid program reports spending $52 million on emergency department expenses in 2008.

states, requiring interlock ignition devices is left to the discretion of judges. In Nevada, licenses are revoked for shorter periods for convicted drivers who agree to use the devices. A review of 15 research studies published last year found that interlock devices significantly reduce the likelihood that people convicted of driving while drunk will reoffend. According to the Centers for Disease Control and Prevention, when installed, interlocks are associated with about a 70 percent reduction in arrest rates for impaired driving.

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States Deliberating on Requiring Ignition Interlock for First-Time Drunk Drivers Legislation passed by the Virginia Senate would require ignition interlocks for first-time drunk drivers, regardless of their blood alcohol level. Under current state law, the device is required only for repeat offenders or for anyone who registers a blood alcohol level of .15 or higher. The Virginia House has passed similar legislation. Connecticut became the 15th state to require ignition interlock devices for people convicted of drunk driving, even if they are first time offenders. At least 24 other states require the devices for repeat offenders or for those with blood alcohol levels of .15 or more. In some

Official Magazine of the Emergency Nurses Association

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PEDIATRIC UPDATE |

Elizabeth Stone Griffin, BS, RN, CPEN

Adolescent HIV Screening in the Emergency Department

Reducing the Stigma, One Hospital at a Time In 2006, the CDC issued recommendations that all adults and adolescents ages 13-64 be screened for HIV in all health care settings.1 However, despite these recommendations, despite the availability of inexpensive salivaand blood-based point-of-care testing devices,2 and despite the fact that adolescents comprise at least 50 percent of new cases of HIV infections in the U.S.,3 few adult and even fewer pediatric emergency departments have screening programs that perform rapid HIV testing.3 According to the 2005 CDC Youth Risk Behavior Survey,4 47 percent of high school students have had sexual intercourse at least once, and 37 percent of the sexually active students didn’t use a condom during their most recent sexual encounter. The following are some key points from the 2006 CDC revised recommendations1: In all health care settings, screening for HIV infection should be performed routinely for all patients aged 13-64 years (this is the age range at which people are most likely to be infected with HIV and not know it). Health-care providers should initiate screening unless prevalence of undiagnosed HIV infection in their patients has been documented to be <0.1%. HIV screening is recommended for patients in all health-care settings after the patient is notified that testing will be performed unless the patient declines (opt-out screening). Persons at high risk for HIV infection should be screened for HIV at least annually. Separate written consent for HIV testing should not be required; general consent for medical care should be considered sufficient to encompass consent for HIV testing. Prevention counseling should not be required with HIV diagnostic testing or as part of HIV screening programs in health care settings. Many barriers, ranging from cost considerations to interdepartmental conflict (between the lab and emergency department, for example), to counseling, confidentiality and even stigma-related concerns, have hindered emergency departments nationwide from adopting the CDC recommendations for HIV testing. However, recent studies indicate that a

discord between patient and staff attitudes regarding HIV testing may represent one of the largest challenges. Multiple studies have found that from 48 to 80 percent of emergency department patients agree to receive an HIV test when asked as part of a routine opt-in emergency department-based HIV screening program.5 Despite this large margin of patient support, emergency department staff remain uncomfortable with delivering test results and fear that HIV testing will add to their work burden.5 Hospital policy and individual state laws (regarding consent and counseling, specifically) also may provide barriers to simplified HIV testing. Many, but not all, state laws have been updated to reflect the CDC revised recommendations for HIV testing.6 Poster 400-C at ENA Leadership Conference 2012, Rapid Human Immunodeficiency Virus Testing in a Pediatric Emergency Department, was presented by Mary Ellen Amici, BSN, RN, CCRN, PHRN. It detailed the Rapid HIV testing program implemented by St. Christopher’s Hospital for Children in Philadelphia.3 Many adolescents use the pediatric emergency department at St. Christopher’s Hospital for Children as their primary source of health care; therefore, it is in an ideal position to test adolescents for HIV. The St. Christopher’s project included the implementation of a patient survey (to identify adolescent attitudes toward HIV counseling and

testing) and then the development of a rapid HIV testing program for adolescent patients ages 14-21. Before project implementation, rapid HIV testing was unavailable to their patients. Eighty percent of survey recipients stated that they were, in fact, more likely to get HIV testing if rapid testing were available in the pediatric emergency department. In response to the survey results, a rapid HIV testing initiative for the pediatric emergency department was designed by the hospital’s chief of immunology in concert with a grant-funded HIV counselor/educator and the pediatric emergency nursing and medical staff. Rapid HIV tests were offered to patients ages 14-21 by patient request and by a “targeted screening”6 process, which included patients who met CDC high-risk criteria1 (a systemic review of literature published by the National Emergency Department HIV Testing Consortium7 noted that such targeted screening, although not the type of screening most recommended by CDC, may represent an effective model for HIV testing in the emergency department). St. Christopher’s Pediatric Emergency Department now hangs posters in its lobby announcing the availability of its rapid HIV testing. Such hospital support and the resulting public awareness of the testing have led some adolescents to seek testing independently. The data from St. Christopher’s Hospital support the possibility that any experience with HIV testing increases the adolescent’s comfort level associated with such testing and increases the likelihood that he or she will seek or accept future HIV testing.3 Any increase in testing, whether targeted or non-targeted, is a step in the right direction. I personally commend the progressive efforts made by the project team at St. Christopher’s Hospital in reaching out to their adolescent population through routine HIV education and testing. I believe that every health care facility that adopts such progressive attitudes and practices helps to diffuse the stigma associated with HIV and brings HIV testing one step closer to becoming ‘‘just another routine lab test.’’

May 2012

Contact the author I would like to answer your questions and share your stories. Please e-mail me at ELGriffin@WakeMed.org with questions, problems and any special stories or learning experiences you would like to share about taking care of children in the emergencydepartment. I will weave them into the column whenever possible.

References /Resources 1) Centers for Disease Control and Prevention (2006). Revised recommendations for HIV testing of adults, adolescents and pregnant women in health-care settings. MMWR 2006; SS (RR-14). 2) Torres, M. Rapid HIV screening in the emergency department. Emerg Med Clin North Am. 2010 May;28(2):369-80. 3) Haines CJ, Uwazuoke K, Zussman B, Parrino T, Laguerre R, Foster J. (2011). Pediatric emergency department-based rapid HIV testing: adolescent attitudes and preferences. Pediatr Emerg Care. Jan;27(1):13-6. 4) Centers for Disease Control and Prevention (2011). Sexual Risk Behavior Fact Sheets. Accessed 3/23/2012: www.cdc.gov/ healthyyouth/yrbs/factsheets/sexualrisk. htm. 5) Hecht CR, Smith MD, Radonich K, Kozlovskaya O, Totten VY. (2011). A comparison of patient and staff attitudes about emergency department-based HIV testing in 2

Feedback Frame

urban hospitals. Ann Emerg Med. Jul;58(1 Suppl 1):S28-32.e1-4. 6) National HIV/AIDS Clinician’s Consultation Center (2011). 2011 Compendium of State HIV Testing Laws. University of California, San Francisco. Accessed online 3/23/12: www. nccc.ucsf.edu.

7) Haukoos JS, White DA, Lyons MS, Hopkins E, Calderon Y, Kalish B, Rothman RE; National Emergency Department HIV Testing Consortium (2011). Operational methods of HIV testing in emergency departments: a systematic review. Ann Emerg Med. Jul;58(1 Suppl 1):S96-1

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Official Magazine of the Emergency Nurses Association

ENA Hosting Its First Workplace Violence Prevention Summit By Kendra Y. Mims, ENA Connection Do you want to know how to mitigate violence in your emergency department? Do you and your colleagues know how to respond properly to an active shooter by using proper de-escalation techniques and concepts? Are you interested in creating a safe environment in your emergency department for your patients and health care professionals?

the International Association for Healthcare Security and Safety, will host its first workplace violence prevention summit from 8 a.m. to 5 p.m. June 22 in Chicagoâ&#x20AC;&#x201D;an event sponsored by Tyco Integrated Security.

Why Is This Summit Important?

Preventing violence in the emergency department is a clinical priority for ENA. According to ENAâ&#x20AC;&#x2122;s 2010 Violence in the Emergency Care Setting position statement, â&#x20AC;&#x153;Lack of a violence-prevention program is associated with an increased assault risk in hospitals. Health care If you answered yes to any of these questions, there is an exclusive organizations should implement an interdisciplinary approach to opportunity designed specifically for you to address the issues of establish a workplace violence-prevention program. Emergency nurses workplace violence in a health care setting. ENA, in collaboration with should play an integral role in all aspects of violence-prevention planning and monitoring.â&#x20AC;? This summit will provide critical information on how to prevent workplace violence, thus creating a culture of safety while building a necessary bridge between Emergency Nurses Association (ENA) in Collaboration with the International clinical staff and security professionals. Would you like to network with professionals from the health care and security industry, emergency nursing and medicine, architecture and staff from OSHA, the CDC and hospital systems?

Association for Healthcare Security and Safety (IAHSS) Presents:

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Who Should Attend? â&#x20AC;˘ Health care professionals (nurses, physicians, allied health professionals) â&#x20AC;˘ Health care safety and security professionals â&#x20AC;˘ Health care facilities management executives â&#x20AC;˘ Health care administrative executives

Violence invades the healthcare workplace each day; Violence rates against emergency nurses hold steady1 The purpose of the summit is to bring together a multidisciplinary team of experts to stimulate collaboration in mitigating workplace violence in the emergency department setting. Learn how to change the equation and reduce violence in your facility at this one-day summit.

â&#x20AC;˘ Architects â&#x20AC;˘ Researchers, educators â&#x20AC;˘ Hospital executives â&#x20AC;˘ Risk management professionals

Who Should Attend This one day summit is vital for those individuals responsible for the safety and security of patients and healthcare professionals within their organization.

t Healthcare professionals (nurses, physicians, allied health professionals) t Healthcare safety and security professionals t Healthcare facilities management executives t Healthcare administrative executives t Architects t Researchers, educators

During this summit, you will learn to

t Implement multi-faceted methods to foster synergy in the emergency department environment in regards to workplace violence prevention

What to Expect From This Premier Exclusive Event

between security and safety professionals and emergency department staff

â&#x20AC;˘ The morning guest speakers, Dan Hartley, EdD (NIOSH), Roland Ouellette and Bonnie Michelman, will focus on defining and diffusing workplace violence. After the networking lunch, there will be a multidisciplinary approach on the topic of workplace violence in an afternoon panel environment featuring 2012 ENA President Gail Lenehan, EdD, MSN, RN, FAEN, FAAN; Bryan Warren, CHPA, 2012 IAHSS president; Terry Kowalenko, MD, FACEP (ACEP); Larry Rubin, CHFM, CPE, CEM (The Joint Commission); Belinda Currin, AIA (AIA); and Mikki Holmes, PhD (OSHA). Attendees will be able to address the panelists with any of their concerns or questions during a Q&A session.

t Employ effective communication strategies t Develop interdisciplinary violence

prevention policies and procedures in the ED setting

t Integrate design elements that can mitigate violence in the emergency department

Emergency Nurses Association, Institute for Emergency Nursing Research. (2011). Emergency Department Violence Surveillance Study. Des Plaines, IL 1

Continuing education credits are available for both nursing and security professionals.

Sponsored by

View the program and register today at www.ena.org The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centerâ&#x20AC;&#x2122;s Commission on Accrediation.

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Continued on page 45

May 2012

Vote in the ENA National Election:

May 10 to June 8

unique, identifying E-Signature password, which will be included in the broadcast e-mail. Your member ID and E-Signature password are required to access the online ballot. Completed online 2012 election ballots must be received at SBS by 5 p.m. Central time June 8. There will be no exceptions.

Meet the Candidates

The 2012 election for national ENA board of director and Nominations Committee positions begins May 10. The following 10 pages feature candidates’ biographical information, photographs and responses to the position statement question. Only active ENA members as of May 1, 2012, are eligible to vote in the 2012 election. ENA members will be able to vote for president-elect, secretary/treasurer, three director positions and three openings on the Nominations Committee.

Your Right to Vote To keep our association strong, we need as much member involvement as possible. ENA provides many resources to help us in our daily work and gives us a national voice. Voting is your opportunity to ensure that the association remains strong. State and chapter leaders can help encourage their members to vote by sending e-mail reminders to all chapter or state members telling them to expect the ballot e-mail and to call (800) 900-9659, ext. 4095, if they do not receive it. Getting the vote out is your call to action.

Online Voting Only ENA members may only cast their votes online. On May 10, 2012, Survey & Ballot Systems, Inc., ENA’s election vendor, will send a broadcast message with voting instructions to all members who have an e-mail address on file with the ENA national office. This e-mail will be sent from noreply@directvote.net. (Please add the domain, @directvote.net to your trusted sender, safe list or white list. If you receive your e-mails at work, contact your IT department for assistance.) Members will be able to access the online ballot directly with SBS or with a hyperlink to SBS from the ENA website’s homepage. If you have not received an electronic ballot by May 18, please contact the Executive Services office at (800) 900-9659, ext. 4095, or elections@ena.org. To ensure the validity of ballots, each member will be assigned a

Official Magazine of the Emergency Nurses Association

To meet your national election candidates, visit www.ena.org and click on Meet the Candidates. They appear in the random order by balloting category as determined before the Candidates Election Forum. This candidate order will remain the same whenever it is included in any ENA publication, on the election ballot and the ENA website. All candidates have submitted biographical information and a statement to the membership and have responded to a position statement question. Board of director candidates also participated in the Candidates Election Forum at the ENA Leadership Conference 2012 in New Orleans. If you were unable to attend this event, please view the video files online.

New This Year: Candidates on ENAʼs Facebook Page ENA is encouraging candidates to use ENA’s Facebook page for campaigning activity. Each candidate’s demographic information will be accessible via the page. You may access ENA’s Facebook page from www.ena.org to ask candidates questions, post comments of support and view responses by the candidates. This forum provides a neutral environment for the candidates to campaign.

Candidate Publicity and Campaigning ENA believes the candidates for ENA national office must have equal opportunity to access the entire membership. In order to maintain a professional atmosphere and in fairness to all candidates, as well as to prevent disparity during the campaigning process, ENA will promote the integrity of the elections process by providing an environment of neutrality which is intended to inhibit any real or perceived impropriety regarding elections. Refer to Policy 3.12, National Candidate Publicity and Campaigning, at www.ena.org, in the Members Only section, under Policies and Procedures, Governance.

Election Results The results of the election will be published in the Members Only section of www.ena.org and in the August issue of ENA Connection and announced at the 2012 General Assembly at the formal installation ceremony. ____________________________________________ Contact Nominations Committee members by visiting www.ena.org/about/elections/NomComm/Pages/default_roster. aspx.

Meet the Candidates President-elect Mitch Jewett, RN, CEN, CPEN

Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN

Current Employer

Education

Halstead, Kansas

Emergency Department Staff Nurse Galichia Heart Hospital, Wichita, Kansas

RN, AA, 1985 JCCC, Overland Park, Kansas Administration of Justice, AA, 1981 JCCC, Overland Park, Kansas

Wilmington, Delaware

Clinical Nurse Specialist - Emergency Department Nemours/A.I. duPont Hospital for Children, Wilmington, Delaware

MSN, 2004 University of Texas Health Science Center, Houston, Texas BSN, 1997 University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania

Professional Credentials/Certifications

CEN; CPEN; ENPC and TNCC Instructor; ACLS; BLS

ENA Participation National 2012 2011-2012 2011 2010-2011 2010 2010

2008 2007-2012 2007-2009, 2011 2007-2009 2007-2008 2007 2007 2003-2006

State

2005 2004 2003 2002-2006 2002

Local

2006

Other

2007 2006-2008 2006-2008 2006 2006 2005 2004 2003-2004

ACNS-BC; CEN; CPEN; ENPC Affiliate Faculty; TNCC Affiliate Faculty; PALS Instructor; ACLS Provider Geriatric Committee Awards Advisory Committee CPEN Review Manual Work Team Psychiatric Care Committee Violence Work Team Psychiatric Patient Education Product Development Work Team Resolutions Committee ENA Board of Directors Journal of Emergency Nursing Editorial Board ENA/ASPMN/APS Pain Task Force State Council Compliance Work Team Clinical Guidelines Committee Nurse Managers Work Team Government Affairs Committee (Chairperson, 2004-2005)

ENA Participation National 2010-2012 2008-2011 2008-2010 2008-2010 2006-2008 2001-2002, 20042005, 2007-2008

State

2008 2007-2011

Local President, Kansas State Council President-elect, Kansas State Council President, Kansas State Council Chairperson, Government Affairs President-elect, Kansas State Council President, ENACK Chapter Chairperson, KSNA Resolutions Committee Member, KSNA Resolutions Committee Kansas Organization of Nurse Leaders Member, Kansas Department of Transportation The Driving Force Task Force Chairperson, Kansas Hospital Association Emergency Preparedness Committee Vice-Chairperson, Kansas Hospital Association Emergency Preparedness Committee Rural Trauma Team Development Course Kansas Hospital Association Emergency Preparedness Committee

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Social media has the potential to mold and shape our elections. I believe that we should embrace this change in our organization and work with our members in this manner.

Professional Credentials/Certifications

2004 2003-2004 2003 2002 2001-2004

ENA Board of Directors (Secretary/Treasurer, 2012) CPEN Item Writer ENA Leadership Conference Committee CPEN Exam Construction and Review Committee BCEN Pediatric Expert Panel General Assembly Delegate (Alternate, 2005)

Delaware State Council Bylaws Committee Delaware State Council Education Committee

Chairperson, Education Committee Director, Houston Chapter Chairperson, Pediatric Committee Chairperson, ENCARE Committee Member, Conference Committee

Other Delaware Excellence in Nursing Practice Award 2009 Finalist Advanced Practice 2004-Present Sigma Theta Tau 2004 ENA/Micromedex Best Nursing Research Abstract Award

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? The success of our elections process relies solely on active participation from our members. The methods of communicating information about our candidates are evolving, and I believe we must continue to explore each and every option to get the word out, including social media. We need to engage our members and increase participation in our national election. Social media is a great way to engage the next generation of emergency nurses. It allows for interaction with the candidates and can only serve to enhance our elections process.

May 2012

Meet the Candidates Secretary/Treasurer Matthew F. Powers, MS, BSN, RN, MICP, CEN

Pleasant Hill, California

Current Employer

Emergency Department-Assistant Manager Kaiser Permanente, Vacaville, California Battalion Chief-EMS North County Fire Authority, Daly City, California

Education

MS, 2007 California State University, Long Beach, California BSN, 1995 San Jose State University, San Jose, California

Professional Credentials/Certifications

CEN; TNCC; ACLS Instructor; PALS Instructor; PEPP Coordinator; Paramedic-California State Licensed; Approved Nursing Faculty by CA Board of Registered Nurses

ENA Participation National

2010-2012 2008 2007 2007 2003

State

2007-Present 2007-2008 2006 2005 2004

Local

2004-2006 2003

Other

2007-2008 2007 1994

ENA Board of Directors Leadership Conference Speaker Contributing Author, Journal of Emergency Nursing ENAF Scholarship Review Committee Rising Star Award Recipient

ENA Representative to the Emergency Medical Services Commission by Governor Arnold Schwarzenegger President, California State Council President-elect, California State Council Treasurer, California State Council Treasurer-elect, California State Council

Contra Costa County Emergency Medical Care Committee President East Bay Chapter

Nursing Director Liaison to Statewide Conference (CFEDWest) California State University-Long Beach Academic Achievement Award Paramedic of the Year Award San Mateo County

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? This is an exciting time for ENA. The revision of our National Candidate Publicity and Campaigning Policy certainly demonstrates that our membersâ&#x20AC;&#x2122; voices have been heard. The use of social media now and in the future allows candidates to connect with members both nationally and internationally. We must connect with our ever-changing generations utilizing the tools accessible to our members. Working with the board of directors and Nominations Committee expresses the teamwork and collaboration through the voice of our membership.

Official Magazine of the Emergency Nurses Association

Meet the Candidates Director Daniel S. Andrews, MBA, RN, CEN

James J. Hoelz, MS, MBA, RN, CEN, FAEN

Current Employer

Education

Lexington, Kentucky

Unit Manager, Emergency Department St. Joseph Jessamine, Nicholasville, Kentucky

MBA, 2010 Franklin University, Columbus, Ohio BBA, 2007 Northwood University, Midland, Michigan ADN, 1985 Delta College, University Center, Michigan

Professional Credentials/Certifications

CEN; TNCC Instructor/Faculty; ENPC Instructor

ENA Participation National 2009-2011 2005

MICHIGAN 1997-2005 1996 1995

Local

2010

General Assembly Delegate, Kentucky State Council Member, Communications Workgroup

Treasurer President Chairperson, Student Nurse Committee President-elect Chairperson, Trauma and Pediatrics Committee

MBA, 1992 Temple University, Philadelphia, Pennsylvania MS/Nursing, 1984 Pace University Lienhard School of Nursing, Pleasantville, New York BA, 1981 Johns Hopkins University, Baltimore, Maryland

Professional Credentials/Certifications ENA Participation National 2009-2011 2008-2009 1998 1994-1995 1992-1993 1992-1993

State

Member, Trauma Committee President President-elect

2012 2009-2011 1997 1992 1990-2002

President, Bluegrass Chapter, Kentucky ENA

Local

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Social media has drastically changed the way we communicate. The ability to send a message instantaneously to a multitude of people has already impacted our culture in both positive and negative ways. As with any method of messaging, I believe it is incumbent on the individual to know and follow the established guidelines related to this media. Having the ability to get ones message out to a large number of members does more to even the campaigning field and in the long run, makes for a more informed electoral body. It would benefit everyone to have a social media based forum, either live or stored, at which members could pose questions to the candidates. This would allow the candidates the opportunity to get their message out to others and hear what the members have to say about important topics within the organization.

Chief Nurse Executive/Managing Partner Blue Jay Consulting, LLC, Orlando, Florida

Fellow, Academy of Emergency Nursing; Certified Emergency Nurse; Commonwealth Fellow

State

KENTUCKY 2012 2011 2011 2010 2009-2010

Philadelphia, Pennsylvania

1991 1990

Reviewer, Journal of Emergency Nursing Member, Annual Conference Committee Member, Leadership Conference Committee Chairperson, Resolutions Committee Member, Resolutions Committee Member, National Elections Task Force Chairperson, Emergency Care Conference Chairperson, Finance Committee Treasurer, New Jersey State Council President, New Jersey State Council Member, Emergency Care Conference (Chairperson, 1996-1997, 2001-2002) President, Southern Chapter President-elect, Southern Chapter

Other

American Organization of Nurse Executives American College of Healthcare Executives Completed Family Nurse Practitioner internship, Pace University Lienhard School of Nursing

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? I believe that increasing the use of social media in ENA elections will encourage more ENA members to vote. Historically, communication about candidates, their backgrounds and their views, has appeared in written publications with some limited electronic exposure. This practice has not facilitated open dialogue. Using social media, such as blogs, Facebook and Twitter, allows candidates to reach out actively to members to share their experiences and vision and allows the membership to ask direct questions of and solicit clarification from a particular candidate. Using social media provides a “candidate’s forum” for all members.

May 2012

Meet the Candidates Director Ellen (Ellie) H. Encapera, RN, CEN

Nicholas Chmielewski, MSN, RN, NE-BC, CEN

Current Employer

Aiken, South Carolina

Retired Staff Nurse with over four decades of direct patient care experience. 21 years in emergency nursing including Charge Management.

Diploma in Nursing, 1969 Hospital of the University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania

Professional Credentials/Certifications

CEN 1984-2012; BCLS and ACLS Provider

2011-2012 2005-2010 2004 2001 1999-2000 1991-2010

State

1998-2011 1998-2010 1997-2011 1996-1997

Local

2000-2011 1998-2011 1993-1994,1999 1990-1991

Other

2006, 2009

Clinical Information Systems Coordinator, Contingent Staff Nurse Mount Carmel West Emergency Department, Columbus, Ohio

Education

ENA Participation National

Columbus, Ohio

ENA Board of Directors Member, ENA Nominations Committee (Chairperson, 2007-2008) Member, ENA State Council and Chapter Relations Work Group Member, ENA International Task Force Member, ENA Membership Committee General Assembly Delegate Chairperson, California State Membership Committee Delegation Coordinator, California State Council Member, California State Council Education Committee Secretary, California State Council Member, Orange Coast Education Committee Chairperson, Orange Coast Membership Committee President, Orange Coast Chapter Secretary, Orange Coast Chapter National ENA State Council Achievement Award for Best Membership Practices

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Recent enhancements to ENA’s National Candidate Publicity and Campaigning Policy will heighten all members’ privileges and widen candidate accessibility to ENA members at large. Both candidates and their supporters can now enjoy greater opportunities to network, interact and campaign together via popular, informational technology channels. I will support, promote and participate in approved social media campaigning and professional networking in a manner that promotes both dignity and respect toward my ENA colleagues. I support these expanded, personal social media campaigning capabilities and applaud ENA’s willingness to engage both candidates and our members in promoting higher voter turnout in this and future elections.

Official Magazine of the Emergency Nurses Association

MSN, 2007 Capital University, School of Nursing, Columbus, Ohio BSN, 2004 Mount Carmel College of Nursing, Columbus, Ohio

Professional Credentials/Certifications

CEN; NE-BC; TNCC Provider; ACLS; PALS

ENA Participation National 2011-Present 2011 2007-2011

State

2011-Present 2010-Present

Local

2011

Other 2010

2009 2008-Present 2004-Present

Member, Resolutions Committee Recipient, State Council Government Affairs Award General Assembly Delegate, Ohio ENA State Council Director-at-Large, Ohio ENA State Council Government Affairs Liaison, Ohio ENA State Council Recipient, President’s Award, Greater Cincinnati ENA Chapter Member, Strategic Planning Committee, American Organization of Nurse Executives AONE Nurse Manager Fellow Member, American Organization of Nurse Executives Member, Rho Omicron Chapter, Sigma Theta Tau

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? As ENA continues its dialogue to increase membership engagement and voter participation, it is important that we recognize and value social media as an essential communication tool. Its pertinence is evident in political elections, national debates, and worldwide movements. Social media provides relevant, timely, two-way dialogue on a variety of issues. This decentralized communication method is a perfect adjunct to our professional organization that is itself grassroots in nature and membership driven. I strongly support the use of these applications to engage colleagues in professional dialogues on a variety of issues, including but not limited to positive campaigning and the elections process. Social media’s use remains a continuous evolution, and ENA needs to stay current to remain relevant.

Meet the Candidates Director Sally K. Snow, BSN, RN, CPEN, FAEN

Joan Somes, PhD, MSN, RNC, NREMT-P, CEN, CPEN, FAEN

Current Employer

Education

Fort Worth, Texas

Trauma Program Director Cook Children’s Medical Center, Fort Worth, Texas

BSN, 1974 University of Texas

Professional Credentials/Certifications

Fellow, Academy of Emergency Nursing; ENPC Provider-InstructorFaculty; TNCC Provider-Instructor-Faculty; CPEN 2010-present

2010-2013 2006-Present

Pediatric Committee (Chairperson, 2011) ENA Liaison, American Academy of Pediatrics: Committee on Pediatric Emergency Medicine 2006 TNCC International Dissemination – South Africa 2004-2007 Awards Committee (Chairperson, 2007) 1994-1999 ENPC International Faculty 1994 ENPC International Dissemination, Canada 1982-1999, 2005-2011 General Assembly Delegate

State

2009-2010 2007 2006 1993-2012 1991

Parliamentarian, Texas State Council President, Texas State Council President-elect, Texas State Council Pediatric Committee, Texas State Council Emergency Nurse of the Year Award, Texas State Council 1990 President, Texas State Council 1989 President-elect, Texas State Council 1988 Secretary, Texas State Council 1988-1989, 2006-2007 EMS Conference Co-Coordinator, Texas State Council 1986-1999, 2006-2012 Trauma Committee, Texas State Council 1993-1999 1983-1984 1982

MSN, 1989 University of Minnesota PhD Health Administration, 2002 Columbia Southern University Orange Beach, Alabama

Professional Credentials/Certifications ENA Participation National 2010-Present 2009-2010 2004-Present

Chairperson, Pediatric Committee, Tarrant County Chapter President, Tarrant County Chapter Secretary, Tarrant County Chapter

2000-2012 Society of Trauma Nurses 2000-2009, 2011-2013 Governor’s EMS and Trauma Advisory CouncilPediatric subcommittee

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Effective communication is essential to being informed about candidates. Informed members are more likely to vote. The use of social media as a campaign method will enhance that process. Timely, concise and immediately available messages will motivate our generationally diverse members and sustain a desire to participate. If a text message or Facebook post meets the needs of our members, we should deliver. If chosen to serve, I will stay informed and support technologies that prove to enhance trends in communication.

Co-editor of the geriatric column, Journal of Emergency Nursing Introduced resolutions to the General Assembly Presented multiple lectures at Scientific and Leadership Assembly’s Geriatric Committee (Chairperson, 2004)

Joined ENA in 1976 During last 35+ years, recurrent positions Minnesota State Council and Greater Twin Cities Chapter, delegate/alternate to General Assembly

State

2010-Present 2008-2009 3 terms

Minnesota State Council chapter representative President, Minnesota State Council Secretary/Treasurer, Minnesota State Council

Local

Greater Twin Cities Chapter: secretary, board of directors, chapter president (1 term) Chairperson/member, Educational Conference Committee (multiple years)

Other

Staff nurse / department educator St. Joseph’s Hospital, St. Paul, Minnesota

CEN; CPEN; Certified – Geriatrics; NREMT-P; TNCC-I/IT; ENPC-I/IT; ACLS-I/IT; PALS-I/ IT

ENA Participation National

Local

Apple Valley, Minnesota

2008-Present

American Heart Association Regional Faculty PALS and ACLS

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? As an old dog that is willing to learn new tricks from the young pups, I think we need to remember many of us are still learning how this social media works, as well as the implications/repercussions of its use. I suspect there will be advantages, disadvantages, good and bad that can develop when this media is used. I do not know enough to state a profound answer, but am willing to investigate, learn, and make an informed decision in the future.

May 2012

Director Stephen J. Stapleton, PhD, MSN, RN, CEN Normal, Illinois

Current Employer

Assistant Professor Mennonite College of Nursing at Illinois State University, Normal, Illinois

Education

PhD, 2010 University of Illinois at Chicago College of Nursing, Chicago, Illinois MSN, 1994 Aurora University, Aurora, Illinois BSN, 1982 Saint Louis University, St. Louis, Missouri MS, 1980 Western Illinois University, Macomb, Illinois BS, 1979 Western Illinois University, Macomb, Illinois

Professional Credentials/Certifications CEN

ENA Participation National 2010-2011 2010-2011 2009-2011 2007-2009 2007-2011

State

2011-2012 2009-2010 2005-2007

RN Core Competencies in Emergency Care Work Team BCEN CEN Exam Construction and Review Committee Leadership Conference BCEN CEN Item Writer General Assembly Delegate President, Illinois ENA State Council President-elect, Illinois ENA State Council Evidence-Based Practice Committee

Local

Illinois Nurses Association

Other

American Nurses Association Oncology Nursing Society Midwest Nursing Research Society American Assembly for Men in Nursing

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? The social media phenomenon rapidly became a major form of communication for many Americans, yet it is not used by all. As an organization we need to embrace this phenomenon to broadcast our message. We also need to realize that social media has its downside and incorporate other forms of media to our communication strategy. I am strongly in favor of utilizing the power of social media as a campaign method. I believe the use of social media will increase our voter turnout because consumers will have the opportunity to acquaint themselves with candidates in a format that is familiar and comfortable to them.

Official Magazine of the Emergency Nurses Association

Meet the Candidates Nominations Committee Region 1

Region 3

Louise Hummel, MSN, RN, CNS, CEN

Mary L. Scott, BSN, RN, CEN

Current Employer

Education

San Diego, California

Lecture and Clinical Faculty, School of Nursing California State University, San Marcos, California

MSN, 1993 California State University, Dominguez Hills, California BSN, 1984 University of Phoenix, Orange County, California ADN, 1970 Santa Monica College, Santa Monica, California

Professional Credentials/Certifications

Clinical Nurse Specialist (California); CEN; TNCC Instructor; ENPC Instructor; GENE Provider; ACLS, PALS & BLS Instructor

ENA Participation National 2010-2011 2010-2011

2010–2011 2008-2009 2005 2004 1994–Present 1980–Present

State

2011 2007-Present 2003 2002 2001, 2008, 2010 2000, 2007, 2009 1996-2001 1995–Present

Local

1998–2001 1996 1994–1995

Other

1994–Present 1990–Present 1972–1976

Bismarck, North Dakota

Clinical Coordinator Saint Alexius Medical Center, Bismarck, North Dakota

BSN, 1978 Minot State University, Minot, North Dakota

Professional Credentials/Certifications CEN; TNCC Instructor; PALS Instructor

ENA Participation National 2009-2011

ENA Workplace Injury Prevention Work Team

State Member, Nominations Committee Pediatric Emergency Nursing Certification Review Online Program Subject Matter Expert & Item Writer CPEN Review Manual, Contributing Author CEN Review Manual Workgroup, Section Editor Member, International Relations Committee Member, Annual Meeting Committee General Assembly Delegate Member, Emergency Nurses Association General Assembly Delegate Coordinator Member, Trauma Committee President, California State Council President-elect, California State Council Treasurer, California State Council Treasurer-elect, California State Council Member, Education Committee Member, Government Affairs Committee

2000 Secretary, North Dakota State Council 1999, 2009 Treasurer, North Dakota State Council 1998, 2002, 2004, 2007, 2011 President, North Dakota State Council

Local

2000, 2002, 2004, 2006, 2008, 2010, 2012 President, Missouri River Chapter

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Sixty-three percent of companies using social media say it has increased their marketing effectiveness. The Internet has opened up communications across world boundaries. Social networking now accounts for 22 percent of all time spent online in the US.

Treasurer, San Diego Chapter President-elect, Orange Coast Chapter Treasurer, Orange Coast Chapter

I can understand why ENA has taken the futuristic approach to allowing this method for members that are familiar with these web-based and mobile technologies to be available for campaign reasons. These methods help turn communication into an interactive dialogue.

Member, Sigma Theta Tau, Xi Theta Chapter Member, American Association of Critical Care Nurses Member, American Association of Critical Care Nurses

As always ENA has given us tools to help us move in this direction with the support of Anthony Phipps the chief communications strategist. I thought that the slide presentation he did for the State Presidents Orientation was excellent.

Position Statement

I do feel at a disadvantage running for an office when I am very much a novice to all these tools. If I am elected to the Nominations Committee, I am willing to embrace and learn these modes of communication. As always ENA has helped me develop my professional and personal skills.

Social media: bringing people closer together is the communication movement for today and the future. ENA Facebook will promote direct access to candidates, allowing members where ever they are, whenever they want the opportunity to talk to the candidates, share ideas and network simultaneously.

May 2012

Nominations Committee Region 3

Region 3

Terry M. Foster, MSN, RN, CEN, CCRN, FAEN

Diane A. Hochstetler, BSN, RN, CEN

Current Employer

Education

Taylor Mill, Kentucky

Critical-Care Clinical Nurse Specialist, Emergency Department St. Elizabeth Medical Center, Edgewood, Kentucky

MSN, 1997 Critical-Care & Trauma Nursing, University of Cincinnati, Cincinnati, Ohio BSN, 1994 Graceland College, Independence, Missouri RN Diploma, 1981 The Christ Hospital School of Nursing, Cincinnati, Ohio LPN, 1977 Booth Memorial Hospital School of Practical Nursing, Covington, Kentucky

Professional Certifications/Credentials

CEN; CCRN; ACLS Instructor; PALS Instructor; TNCC

ENA Participation National 2011 2009 2001 2000-2001 1986-1987

State

1984

Fellow, Academy of Emergency Nursing Recipient, Judith C. Kelleher Award Lifetime Achievement Award Member, National Membership Committee Member, Trauma Committee Kentucky Emergency Nurse of the Year

Local

2010 2008-2011 2007 2002-2007 1993-1995 1990-2012 1990-2004 1986-1987 1985-1986

Member, Board of Directors, Greater Cincinnati Chapter Member, Emergency Nurses Day Committee Emergency Nurses Day Award, Greater Cincinnati Chapter Member/Faculty, Emergency Nurses Education Consortium Member, Workshop Committee, Greater Cincinnati Chapter Hospital Representative Chairperson, CEN Review Workshop Committee, Greater Cincinnati Chapter President, Greater Cincinnati Chapter Vice President, Greater Cincinnati Chapter

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Using social media as a campaign method is essential in using instant communication to its fullest extent. We can use this format to get real time information out to thousands of people in seconds. At the same time, we can gain instant and direct information from our members as to their opinions and concerns. It’s making use of the latest technology to enhance our association and its members.

Official Magazine of the Emergency Nurses Association

Syracuse, Indiana

Clinical Practice Specialist Indiana University Health Goshen Hospital, Goshen, Indiana

MSN-FNP, Anticipated completion 8/2012 Goshen College, Goshen, Indiana BSN, 1990 Cleveland State University, Cleveland, Ohio

Professional Credentials/Certifications CEN

ENA Participation National 2011-2012 2011 2010 2009-2010 2008-2011

State

2011-2012 2010-2011

Local

2011 2005-2008

Other

2009-Present 2004-Present 1993-2003

International Delegate Review Committee General Assembly presenter Leadership Conference presenter Workplace Violence Work Team General Assembly Delegate Nominations Committee Awards Committee President, Michiana Chapter President, Michiana Chapter Sigma Theta Tau International Chairperson, Health Advisory Board, Muncie YMCA, Indiana Ohio Children’s Conservation League

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? With social media use, candidates need to be mindful to the nature of campaigning pursued. Neutrality, honesty and integrity need to be elements inclusive in a national ENA election. ENA’s Facebook page and other media sources provide opportunity to ask questions and discuss issues. Familiarity of the candidates fosters informed decisions during the election. The candidates have opportunity to network with greater numbers of members. Sharing ideas, clarifying topics and discussing issues increase candidates outreach to ENA constituents. With social media use, the slippery slope of this outreach campaigning needs to be considered. As cyber technology becomes more sophisticated, it will be important for members to evaluate the integrity of social media use. The guidelines established need to be adhered to and candidates need to be held accountable to the rules set forth by ENA. Again, the elements of neutrality, positive campaign, truthfulness and veracity need to be the mainstays when seeking an ENA elected office.

Meet the Candidates Nominations Committee Region 3

Region 5

Ron Kraus, MSN, RN, CNS, EMT, CEN, ACNS-BC

Faye P. Everson, RN

Current Employer

Indianapolis, Indiana

Clinical Nurse Specialist Indiana University Health Methodist Hospital, Emergency Medicine and Trauma Center, Indianapolis, Indiana

Brewster, Massachusetts

Clinical Educator Emergency Department UMass Memorial Medical Center, University Campus Per Diem Staff Nurse SouthCoast Hospital Group - Tobey Hospital Campus

Education

MSN, 2009 Indiana University, School of Nursing, Indianapolis, Indiana BSN, 1996 Indiana University, School of Nursing, Indianapolis, Indiana

Professional Credentials/Certifications

CEN; ACNS-BC; TNCC Instructor; ACLS; PALS

ENA Participation National 2011 2010, 2011 2007-2009

State

2011 2007-Present 2004-Present

Local

2005 2004 2004-Present

Other

2009-Present 1996-Present 1988-Present

Diploma, 1968 Newton Wellesley Hospital School of Nursing, Newton, Massachusetts BSN currently enrolled, Curry College, Plymouth, Massachusetts

Professional Credentials/Certifications Co-author resolution - Site Selection Committee General Assembly Delegate Membership and Components Relations Work Team President-elect, Indiana State Council Member, Trauma Committee, Indiana State Council Chairperson, Membership Committee, Indiana State Council President, Indy Roadrunners Chapter President-elect, Indy Roadrunners Chapter Chairperson, Membership Committee Indy Roadrunners Chapter National Association of Clinical Nurse Specialists Emergency Nurses Association Life Member, National Eagle Scout Association

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? The utilization of social media as a tool in the campaigning platform is a step in the right direction as our organization keeps pace with the rapidly changing and dynamic information age. The additional use of social media will aid the candidates to reach additional members at a more rapid and efficient rate. With so many things vying for our time, any attempt to put forward information to the membership rather than members having to gather knowledge will bolster the election process and increase engagement. Social media optimization allows candidates to express their views and intentions therefore engaging the membership and bridging knowledge gaps for voters.

Education

TNCC-ENPC Instructor Faculty; ACLS Instructor; PALS Instructor; BLS Instructor

ENA Participation National 2008-2010 2000-Present

State

2010-Present 2010 2009 Awarded 2006-Present 2000-Present

Local

1998-2000

Other

1980-Present

Nominations Committee Section Editor, Journal of Emergency Nursing Member, Education Committee Immediate Past President, Massachusetts State Council Karen Oâ&#x20AC;&#x2122;Neil Professionalism Award for New England Member, Massachusetts State Council Board of Directors (President-elect, 2006; President, 2007-2009) Member, TNCC-ENPC Committee President, Mayflower Chapter Massachusetts Nurses Association

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Social media is one of our current, widely used methods for communicating in our technology world. We need to utilize all methods to reach our members, to get them involved and to improve our member participation in the election process. We do need to have guidelines for the use of social media for campaigning so that our election process remains fair and equitable for all. Concerns have been raised about the potential for information to be posted that could be detrimental to another candidate and that the Emergency Nurses Association would have no means for preventing damaging information from being posted. This did not happen in the last election and I would hope that members of our professional organization would continue to follow the guidelines to have a fair election process for all candidates.

May 2012

Nominations Committee Region 5 Lucinda W. Rossoll, MSN, RN, CEN, CPEN, CCRN Lebanon, New Hampshire

Current Employer

Registered Nurse Emergency Department, Alice Peck Day Memorial Hospital, Lebanon, New Hampshire

Education

MSN, 1980 University of New Hampshire, Durham, New Hampshire BSN, 1980 University of Rhode Island, Kingston, Rhode Island BA, 1974 University of New Hampshire, Arts Durham, New Hampshire

Professional Certifications/Credentials

CEN; CPEN; CCRN; TNCC Instructor; ENPC Instructor; PALS; ATCN

ENA Participation National

1998, 2002, 2005, 2007- 2011 General Assembly Delegate

State

2004â&#x20AC;&#x201C;Present

Treasurer, New Hampshire State Council

Position Statement

The recently revised National Candidate Publicity and Campaigning policy has been enhanced to provide for the use of social media to support candidates. How do you perceive the use of social media as a campaign method now and in the future? Use of social media within ENAâ&#x20AC;&#x2122;s Web site should enhance the election process. Historically, a small percentage of the members actually participate in the election process. This may be partially due to a lack of knowledge about candidates and their positions. Having the equal opportunity for any member to become a delegate, vote or run for an office makes ENA a unique organization. Social media provides an opportunity for communication with candidates and ensures that the same information is available to all members. Though the years, as social media changes and the way the public uses such media changes, this policy should be revisited to ensure it is still current. Keeping the membership informed and providing a way for communication by using social media is one more step towards involving the membership in the election process. Offering new opportunities for the membership to become involved in the election process, will serve to enhance ENA as an organization that actively involves all members in most if not all, aspects of the organization, resulting in an even stronger organization.

Official Magazine of the Emergency Nurses Association

Academy Fellows Continue to Contribute Vicki Sweet, MSN, RN, CEN, CCRN, FAEN, 2012 Chairperson, Academy of Emergency Nursing Membership in the Academy of Emergency Nursing is based on enduring and sustaining contributions to the profession of emergency nursing. Not only must fellows demonstrate these contributions, but they must also be committed to continuing to give back to the profession. A note from Susan Hohenhaus, MA, RN, CEN, FAEN, reads, “Perhaps you’d consider my appointment as the ENA and ENA Foundation executive director as an accomplishment?” We do! Read on to see what else some of the other fellows have been up to in the past year. The CPEN Role Delineation Study Group includes Maureen Curtis Cooper, BSN, RN, CPEN, CEN, FAEN. This group of nurse experts was tasked to define current pediatric nursing practice as a basis to develop the certification exam for pediatric emergency nursing for the Board of Certification in Emergency Nursing and the Pediatric Nursing Certification Board. Gordon Gillespie, PhD, RN, PHCNS-BC, CEN, CPEN, FAEN, was awarded a CDC-NIOSH R-13 grant to host a national conference on workplace violence in Cincinnati, Ohio, in May 2012. In October 2011, Harriet Hawkins, RN, CCRN, CPN, CPEN, FAEN, spent a week in El Salvador teaching physicians and nurses basic life support, pediatric advanced life support and advanced cardiac life support. She worked with people in the public hospitals.

“The Judith Kelleher Award and the Diana Weaver Leadership award where I work are two very exciting accomplishments for me,” writes Patricia Kunz Howard, PhD, RN, CEN, CPEN, NE-BC, FAEN.

2011 Academy Chairperson Ruthie Robinson, PhD, RN, CNS, CEN, CCRN, FAEN, is the interim chief nursing officer for CHRISTUS Hospital-St. Elizabeth. They are in the midst of Magnet re-designation.

A prolific author and editor, K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, chaired the ENA Nurse Practitioner Committee in 2010-2011. She was also the state representative to the American Academy of Nurse Practitioners, and as a fellow is on the board of directors.

Ellen Ruja, MSN, RN, CEN, FAEN, serves on the ENA Nominations Committee. She is also the 2012 education chairperson/board member/secretary of the Southeastern Seaboard Symposium, an annual ENA regional conference.

Mary Kamienski, PhD, APRN-C, CEN, FAEN, writes, “Mentoring has been a significant part of my professional life. However, my experience with EMINENCE has been beyond special … I thoroughly enjoyed both experiences and I feel I made an impact. Mentoring is a very special and often very satisfying activity.”

Among the first group of international delegates at the 2011 ENA General Assembly was Carole Rush, MEd, RN, CEN, FAEN. She enjoys working with authors as a co-section editor of the International Nursing column of the Journal of Emergency Nursing. In addition, Rush is a member of the editorial board of the International Emergency Nursing Journal. She continues to be an active member of Canada’s National Emergency Nurses Affiliation.

One of the newest members of the ENA Foundation board of trustees is Thelma Kuska, BSN, RN, CEN, FAEN. Kuska also has three child safety articles pending publication in the Journal of Emergency Nursing. Benny Marett, MSN, RN, CEN, CCRN, NE-BC, FAEN, received a Circle of Excellence award by the American Association of Critical Care Nurses at the National Teaching Institute in May 2011. Marett also authored and contributed to chapters in ENA’s Sheehy’s Manual of Emergency Care and Emergency Department Management.

Renee SemoninHolleran, PhD, RN, CCRN, CFRN, CEN, FAEN, received the Utah ENA Lifetime Achievement Award. She also reports that the September 2011 issue of the Journal of Emergency Nursing, where she is editor, was the largest ever published. The issue was dedicated to the 10th anniversary of September 11.

May 2012

Sue Sheehy, PhD, RN, FAAN, FAEN, completed her doctoral work at Boston College Connell School of Nursing. Her dissertation was titled “Effects of a NurseCoached Exercise Program for People with Tetraplegic Spinal Cord Injuries on Muscle Strength, Quality of Life, and Self-Efficacy.” Sally K. Snow, BSN, RN, CPEN, FAEN, continues to represent ENA as the liaison to the American Academy of Pediatrics Committee on pediatric emergency medicine. She was also named to the Emergency Medical Services for Children National Resource Center Advisory Council and was named a Dallas/Ft. Worth Great 100 Nurse for 2012. Joan Somes, PhD, RN, MSN, NREMT-P, CEN, FAEN, serves on the revision committee for the GENE course. Somes also serves as a mentor in the Academy’s EMINENCE program. She spoke at the Mayo Clinic Search for Excellence conference last fall and will present at the Minnesota Stroke Conference.

The American Board of Nursing Specialties is being led by Jacqueline Stewart, MSN, RN, CEN, CCRN, FAEN, serving as 2012 president. ABNS is a membership organization comprised of representatives from all nursing specialty organizations. Bettina Stopford, MBA, RN, FAEN, was recently promoted to vice president and division manager of the Intelligence Training and Services Division of the Mission Services Operation; Mission Support Business Unit; Intelligence, Surveillance and Reconnaissance Business Group of Science Applications International Corporation, based in McLean, Va. Vicki Sweet, MSN, RN, CEN, CCRN, FAEN, continues to serve on the California Hospital Association’s EMS/ Trauma Committee. She was a nursing editor for the latest edition of Sheehy’s Manual of Emergency Care and was a contributing author for an upcoming publication on emergency department crowding through the Society for Academic Emergency Medicine.

Rebecca Steinman, RN, APN, CEN, CPEN, CCRN, CCNS, FAEN, had the privilege of serving as the editor of the online Emergency Nursing Orientation 2.0, a project that launched in February. She authored five program lessons. The project was more than two years in the making.

Official Magazine of the Emergency Nurses Association

Debbie Travers, PhD, RN, FAEN, and Nicki Gilboy, MS, RN, CEN, FAEN, along with two other authors, revised the 2012 edition of the Emergency Severity Index Implementation Handbook.

Mary E. (Mel) Wilson, RN, MS, CEN, COHN-S, FNP, FAEN, was awarded a CDC-NIOSH R13 grant to host a national workplace violence conference in Cincinnati, Ohio, during May 2012. A fellow from the most recent group of inductees (2011), Lisa Wolf, PhD, MS, RN, CEN, FAEN, gave a keynote talk to the Emergency Medicine Society of South Africa in Cape Town, Republic of South Africa, and participated in a workgroup to help delineate the practice standards for emergency nursing in Africa. ENA’s Sheehy’s Manual of Emergency Care, 7th ed., was co-edited by Polly Gerber Zimmermann, RN, MS, MBA, CEN, FAEN.

Criteria for induction into the Academy are posted at www.ena.org/about/academy/ membership/Pages/CallLanding.aspx Applications are posted online annually from October 15-January 2. For further information on the Academy, please contact Vicki Sweet, 2012 AEN chairperson at sweetv@cox.net or Ellen Siciliano, Academy manager at academy@ena. org.

BOARD WRITES | Marylou Killian, DNP, RN, SNP-BC, FNP-BC, CEN

APRNs in the ED:

Are We at a Tipping Point? Advanced practice registered nurses have been working in emergency care since the 1970s, and yet in many areas, our role is poorly understood. Finding jobs may be difficult for the inexperienced APRN due to the lack of understanding of our role and lack of formal validation competencies (Snyder, 2006). ENA has been working since 1995 to address the needs of APRNs. Efforts have included performing a Delphi Study to identify core competencies for the APRNs in the emergency department; sponsoring focus groups at national conferences to identify specific ways that ENA can better serve APRNs; and striving to incorporate educational sessions for APRNs into national conferences. In 2011, the revised National Policies and Procedures included a recommendation for states to form advanced practice committees; www.ena.org created a specific area for APRNs with

tabs for nurse practitioners and clinical nurse specialists; and in December 2011, the board of directors approved the development of a validation portfolio for nurse practitioners. While progress has been slow, a strong foundation has been developed for the next steps. We may be at a tipping point for APRNs within our organization. A tipping point is ‘‘that moment when ideas, products, messages and behaviors spread like viruses do” (Gladwell, 2000). In order for this to occur, three rules of epidemics need to be present: the power of context, the stickiness factor and the law of the few (Gladwell, 2000). The power of context: Epidemics are sensitive to the time, conditions and circumstances in which they occur. Two major events occurred in 2011 that helped create the conditions that may accelerate program development for APRNs: Emergency nursing is now recognized by the American Nurses Association as a nursing specialty, and the ENA General Assembly voted overwhelmingly to adopt the recommendations of the Institute of Medicine Future of Nursing report. The stickiness factor: The specific content of a message renders its impact memorable. The first recommendation of the Future of Nursing report is that nurses must be able to practice to the full scope of their education and training (IOM, 2011). APRNs face barriers to practice that need to be addressed. The law of the few: Gladwell (2000) states that the success of any social epidemic is heavily dependent on the involvement of people who can connect with others, problem-solve through the use of information and sell the idea or product. Here are just a few ideas to help APRNs who work in emergency departments become a more powerful force in emergency care: 1. Currently, only a small percentage of ENA members are APRNs. Encourage peers to join; increasing this number will strengthen our voice within our organization. 2. Submit course proposals that target APRNs for Member national, regional and state conferences. Jeff A. Solheim 3. Attend ENA-sponsored programs for APRNs. MSN, RN-BC, CEN, 4. Develop advanced practice committees to advocate CFRN, FAEN for APRNs and to help develop educational programs that meet their needs in your state. Member Every APRN who works in emergency care has the Mary Alice Vanhoy education and skills to be a change agent. Let’s use MSN, RN, CEN, CPEN, NREMT-P these skills to create a real tipping point for our role in emergency care.

ENA wishes to express its sincere gratitude to the ENA Leadership Conference 2012 Planning Committee. Chairperson Linda Arapian MSN, RN, CEN, CPEN, EMT-B

Onsite Liaison Alicia Dean MSN, RN, APRN, CNS

Member

Board Liaison

Patricia L. Clutter

Gail Lenehan

MEd, RN, CEN, FAEN

EdD, MSN, RN, FAEN, FAAN

Member Melané J. Marsh BSN, RN, CEN

References Gladwell, Malcolm (2000). The Tipping Point: How Little Things Can Make a Big Difference Robert Wood Johnson Foundation (2011). Retrieved at: www.thefutureofnursing.org. Snyder, A., Keeling, A., Razinale, C., (2006). From “First Aid Rooms” to Advanced Practice Nursing: A glimpse into the History of Emergency Nursing. Advanced Emergency Nursing Journal 29 (3) 198-209.

May 2012

ENA Call for…

International Delegate Applications Deadline: June 4

This is the official call for ENA international delegate applications. ENA will seat five international delegates and one alternate international delegate at the 2012 General Assembly in San Diego on Sept. 12-13. The international delegate application, criteria and instructions can be found at www.ena.org in the Members Only section under the General Assembly link. Delegate applications and supporting materials must be submitted to ENA Component Relations at componentrelations@ena.org by 5 p.m. Central time June 4. The International Delegate Review Committee will review all applications and determine selections by June 30. An international delegate/alternate delegate acceptance form will be e-mailed to the delegate candidates and must be returned by July 30. For questions or assistance, contact ENA Component Relations at componentrelations@ena.org or call 847-460-4092.

ENA Call for…

Memorial Requests at 2012 ENA General Assembly Deadline: August 17

ENA wishes to express its sincere gratitude to these 2012 sponsors.* Thanks to their generous support, ENA is able to continue to provide relevant services and educational programs to improve your practice of emergency nursing.

ENA will honor our members who have passed away in the last year during a special memoriam presentation during the 2012 General Assembly in San Diego. If you would like to recognize a member who has passed, please complete the form in the General Assembly area (members only) at www.ena.org. All requests must be submitted electronically to componentrelations@ena.org. The deadline for requests is Aug. 17.

Strategic Sponsors

Strategic Supporters

ENA Call for… Conference Sponsor

Nominations for the 2013 ENA Foundation Board of Trustees Application Deadline: June 1

Conference Supporters

*As of print time

Visit www.enafoundation.org for more information.

Official Magazine of the Emergency Nurses Association

From the Future of Nursing Work Team

New Graduate Emergency Nursing Residency Programs By Margaret (Peggy) M. McMahon, MN, RN, CEN, FAEN The Institute of Medicine report The Future of Nursing includes a recommendation to ensure that registered nurses are used appropriately and that they are well prepared for expanding roles in the health care delivery system. ENA’s Future of Nursing Work Team has been examining a number of issues identified in the IOM report, including the use of transition-to-practice or residency programs to enable either the new graduate or the newly assigned RN to function effectively in this new world. This discussion focuses on emergency nurse residency programs. Why are emergency nurse residencies needed? There simply are not enough experienced emergency nurses applying for positions. A number of institutions have implemented nurse residency programs to address this concern. Data regarding emergency nurse residency programs is lacking. One potential model for a new graduate residency program is the University HealthSystem Consortium and the American Association of Colleges of Nursing. A nurse residency is ideally a well-structured program that includes formal and informal educational sessions/strategies, coaching/counseling, defined time frames/benchmarks and supervised clinical experience under

ENA Foundation 2012 State Challenge Join the Challenge! The goal is simple: to help more emergency nurses get the education they need. Invest in the future of your profession by making a donation to the ENA Foundation.

Challenge Rewards Your donation, designated to the State Challenge campaign, will help your state council’s chances towards the following challenge awards.

the tutelage of a qualified preceptor for a period of three to 12 months. Clinical nurse specialist or educator oversight is key in resolving issues early and ensuring compliance with program objectives. Educational content may include the use of the online ENA Emergency Nursing Orientation program, a critical care program and/or a variety of institution-specific classes. ENA courses, such as the Trauma Nursing Core Course and Emergency Nursing Pediatric Course, may be program components. In addition to the clinical component, many residency programs incorporate support groups to assist the resident in adjusting to the new graduate role. Marlene Kramer, in her landmark work Reality Shock: Why Nurses Leave Nursing, recommended the use of an anticipatory socialization program, noting that key areas of concern for new graduates included collegiality, communication with physicians, a sense of belonging and the ability to influence decisions. Key factors in successful integration of the new graduate into the emergency care team include the following: • a consistent and well-qualified preceptor who has been formally educated in precepting; • appropriate socialization to create a sense of belonging; • willingness of the “village” to develop the new team member; • sufficient resources; • preceptee commitment • substantial patience on the part of the whole team. Our part as team members is to facilitate skills performance opportunities. Another aspect of our role is to support their involvement in professional organizations, such as ENA. Take a new graduate to an ENA meeting, or better yet, to a state or national ENA convention. New graduates in the emergency department are a reality. Our challenge is to ensure they are well-educated and prepared for their role, feel that they are truly integrated members of the care team and feel supported in their personal and professional development. Our personal survival may one day depend upon how well we nurtured and prepared that new graduate years ago.

Largest amount raised by one state: 1st Place - $250 ENA Marketplace gift certificate 2nd Place - $150 ENA Marketplace gift certificate

Largest per capita amount raised: 1st Place - $250 ENA Marketplace gift certificate 2nd Place lace - $150 ENA Marketplace gift certificate

Donate Now.

www.enafoundation.org

Visit www.ENAFoundation.org for more detailed information on the State Challenge campaign and for updates on where your state stands in the challenge race.

Resources Casey, K., Fink, R., Krugman, M., & Propst, J. (2004). The graduate nurse experience. Journal of Nursing Administration, 34(6), 303-311. Cronenwett, L. R., (2011). Appendix 1. Nursing education priorities for improving health and health care, in Institute of Medicine of the National Academies. The Future of Nursing: Leading Change, Advancing Health. Wa, DC: The National Academies Press. Halfer, D. and Graf, E. (2006). Graduate nurse perceptions of the work experience. Nursing Economics, 24, 150-155. Kramer, M. (1974). Reality shock: Why nurses leave nursing. St. Louis, MO: Mosby. University HealthSystem Consortium/American Association of Colleges of Nursing (2011). Executive Summary of the Post-Baccalaureate Residency Program. Accessed from www.aacn.niche.edu.

May 2012

SPINAL SOLUTIONS BY ÖSSUR from Occiput to Sacrum

SPINAL S SOLUTIONS OLUTIONS

CERVICAL CE RVICAL SOLUTIONS

TRACTION TRA ACTION SOLUTIONS

Miami Lumbar ® TLSO (shown)

Miami J® Advanced Cervical Collar (shown) Miami J® Cervical Collar Miami Jr® Pediatric Cervical Collar Occian® Back ICU Collar Papoose® Infant Spinal Immobilizer

ReSolve® Halo System (shown)

Miami Lumbar ® LSO Miami Lumbar

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Open Back Ring Closed Back Ring Lil’ Angel® Pediatric Halo System

HIGHLIGHTS FROM STATE AND CHAPTER LEADERS CONFERENCE

The Job of Growing Emergency Nursing Leaders By Kendra Y. Mims, ENA Connection State and Chapter Leaders Conference attendees joined ENA Executive Director Susan Hohenhaus, MA, RN, CEN, FAEN, in Building Future Leaders, an interactive networking session focused on creating and nurturing opportunities for emerging leaders. Hohenhaus kicked off the Feb. 23 session by sharing one of her popular mottos: “It’s not about who you know, but who you grow.” Three panelists who have a connection to both their state offices and the ENA national office joined Hohenhaus. They shared their experiences of how ENA and their state council or chapter helped to grow them as a professional leader and what they are doing to grow others. Hohenhaus presented the following questions to the panelists: • What is your background (both professional and ENA)? • What has ENA done to get you to where you are now? • Who helped you along the way?

• What did this “influencer” do to encourage you and how did he or she promote ENA along the way? • How do you encourage ENA in your state/ chapter workplace? • What has been the most important lesson learned thus far? • If you could change one thing about the ENA process to grow leaders, what would it be, and who are you growing? Are you being influencers or mentors? Hohenhaus also asked the audience: How do we get our members who are nurses to get involved at the association level? Each panelist had something valuable to share in regard to leadership and mentoring— including examples as having Hohenhaus as a mentor—and how being actively involved in ENA has helped to strengthen him or her as a leader. The importance of mentoring was evident for all of the panelists as they shared their stories;

several attendees asked about the Academy of Emergency Nursing EMINENCE mentoring program. ‘‘This is a great opportunity for all of us to be together,” Hohenhaus said. “Think about not just the people up here, but think about those leaders who grew you. There’s a lot of interest in leadership development.’’ Meet the session’s panelists: Elizabeth Griffin, BS, RN, CPEN, staff nurse IV, WakeMed Raleigh, North Carolina; ENA Position Statement Review Committee member; ENA Connection Pediatric Update columnist. Mike Hastings, MS, RN, CEN, Research & Quality coordinator, University of Kansas Hospital; Kansas ENA State Council president; ENA IQSIP Advisory Council member. Jack Rodgers, BSN, RN, NREMT-P, clinical coordinator/ED educator/EMS liaison, St. Francis Hospital; Georgia ENA State Council immediate past president; Leadership Conference 2012 faculty.

Financial Q&A for State Treasurers By Amy Carpenter Aquino, ENA Connection The treasurer is one of the most active roles in an ENA state council, with responsibilities for everything from daily cash flow to annual tax filings. In this informative session Feb. 23 with ENA Deputy Executive Director Ed Rylko, new state treasurers learned what is expected of them while experienced treasurers shared their best practices. The session’s interactive theme was enhanced by the Q&A format, benefitting treasurers of all experience levels. Highlights included the following questions: Question: Are the treasurers in the state council bonded? Ed Rylko: One of the insurance policies the national office has includes fidelity coverage, which is essentially the equivalent of a bond. There is a $25,000 limit in the national policy for all state councils … We have had two states approach us about increasing that limit.

Q: Why can’t we be incorporated at the chapter level? ER: From a practical perspective, the more small entities you have, the more tax compliance issues you have and the more complex it gets. If we had a large number of states or chapters that did not file their IRS Form 990, for example, it could jeopardize ENA’s group exemption status. Q: Do state councils pay state income tax? ER: The state councils and national ENA are exempt from federal corporate income taxes. State taxes are an entirely different matter, and it varies from state to state. When you sell goods, most states require you to collect sales tax from the buyer and then remit back to the state. Q: Does that include TNCC courses? ER: No, TNCC courses are not subject to that

state tax. The courses are clearly part of your exempt purpose. Q: If we want to boost membership, can we offer a free membership to ENA? ER: Yes, that is not covered under state tax collection for two reasons: The amount is less than $100, and you are not giving them cash. If you are giving someone an incentive, such as a free membership, it is not taxable income to the recipient. Rylko advised attendees to look for additional resources on the state treasurer’s Web page and the new team site. “This will allow you all to collaborate and share ideas and documents and have conversations at any time throughout the year,” he said.

May 2012

STATE AND CHAPTER LEADERS CONFERENCE

State Leaders Sharing Recipe to Support ENA Foundation By Amy Carpenter Aquino, ENA Connection Doing her best Julia Child impression, 2012 ENA Foundation Chairperson Laura Giles, BS, RN, launched the ENA Foundation State Challenge, Cooking Up a Brighter Future, at the State and Chapter Leaders Conference Feb. 23. “Julia would remind viewers that it was OK to make a mistake, because they were alone in the kitchen, but you’re not alone in the kitchen,” Giles said. “You’re here with us, and we’re going to be cooking up a brighter future.” Referencing the 2011 State Challenge total of more than $112,000 raised for scholarships and research grants, Giles said she was on a mission to break that record. “I’m in a competition now with [2011 Chairperson] Beth [Broering],” Giles joked. “I have to get more money than she did … that’s just how I am.” State and chapter leaders put Giles well on her way, pledging thousands of dollars to the 2012 State Challenge, which has a goal of $115,000. Several state councils and chapters, including California, Colorado, Kentucky, Maryland, New Jersey, New York and Texas, pledged $5,000 or more to the Challenge. ENA Foundation staff and board of trustee members handed out bright blue oven mitts with the Challenge slogan to state council leaders to continue fundraising efforts at home.

Giles emphasized that 100 percent of funds raised during the State Challenge, which ends May 31, will go toward supporting educational scholarships and research grants.

Former Chairperson Recognized During her Feb. 25 General Session speech at Leadership Conference, Giles called Broering up on stage. “Beth has a strong passion and conviction for the foundation’s mission and what it does to support emergency nurses and patient care,” Giles said. “Her commitment and volunteerism to the foundation serve as beacons of hope to those seeking educational opportunities to become better emergency nurses and improve

emergency care.” Giles presented an award to Broering “as a thank you for your leadership and service to the foundation.” She also thanked the members of the ENA Foundation management board and the board of trustees for their diligence and commitment. “Most of all, I want to thank you, the ENA member,” Giles concluded. “You, your friends and families and our corporate partners are the reason behind our success and our ability to support research, the professional development of emergency nurses and the implementation of evidence-based research. We are all cooking up a brighter future.”

Are You Ready to Face the Media? By Kendra Y. Mims, ENA Connection Using the media to advocate for your profession is an effective way to make a change. Attendees of former ENA Chief Communications Strategist Anthony Phipps’ “Media Training” session at the State and Chapter Leaders Conference learned how they can use the media to work in their favor by making noise for their organization. By asking attendees questions and using hypothetical media situations for audience participation, the interactive session focused on the basics of reaching out to the media and different ways to get press. Phipps presented his three big questions concerning how people often consume media: So what? Who cares? What’s in it for me?

A majority of audience members raised their hands when asked if they were afraid of standing in front of a television camera. Some of the discussion focused on the influence of social media, as some attendees expressed concern over regulating their state council’s Facebook page and how time-consuming it is. Phipps encouraged audience members to use the media to get their message out to put the pressure on legislators and educate the public. “Who spends more times with the patients?” Phipps said. “Who translates doctors’ orders to patients? You must understand that you are experts. You are experts in emergency care, and advocating for your patients because you

Official Magazine of the Emergency Nurses Association

do it every day. Why does it have to stop at bedside? Do it in public.” Phipps also reminded attendees to talk to their institutions to find out the rules before talking to the media, because every hospital has its own regulations. “Although getting your message out is important, you don’t want to risk losing your job,” he said. While misquotes are bound to happen when dealing with the media, Phipps stressed “the important part isn’t that they got every word right or every number right—it’s important if your message got out. If you’re trying to educate legislators or the public, did that message get out? That’s what’s important.”

State and Chapter Leaders Share Their WOW Stories By Kendra Y. Mims, ENA Connection The first day of the State and Chapter Leaders Conference ended with a fun, interactive forum that consisted of eight state and chapter leaders getting one minute each to present a “WOW factor” describing how he or she is making a difference with members. Session facilitator Diane Gurney, MS, RN, CEN, 2010 ENA president, timed each panelist during the five rounds and allotted time for the audience to ask the panelists questions after each round. Some of the WOW stories included mentoring students who have an interest in nursing, membership drives that offered new and renewing members a discount, celebrating Emergency Nurses Day® as a red carpet event and making a difference in issues that are pertinent to emergency nursing. During the final round, panelists focused on how awards were used to recognize

outstanding emergency nurses who are going above and beyond in the profession. Panelists discussed the Nurse of the Year award, the Anita Dorr award and the Special Recognition award and having an annual award ceremony on a boat. Audience members interacted with the panelists by inquiring about some of their procedures and techniques that are making a difference in their emergency departments. The 2012 State and Chapter Leaders Conference WOW Panelists: Audrey Sealey, PhD, MSN, RN, FNP (New York); Maureen Curtis Cooper, BSN, RN, CEN, CPEN, FAEN (Massachusetts); Hershaw Davis Jr., BSN, BS, RN (Maryland); Roger Casey, MSN, RN, CEN (Washington); Elaine Marshall, BSN, ADN, RN (North Carolina); Teresa Coyne, BSN, RN, CEN (Missouri); Ron Kraus, MSN, RN, CNS, CEN, ACNS-BC (Indiana); and Marilyn Singleton, BSN, RN (Ohio).

Session facilitator Diane Gurney, MS, RN, CEN, the 2010 ENA president.

Making Sense of Bylaws By Amy Carpenter Aquino, ENA Connection Leaders must give serious consideration to what goes into their state or chapter bylaws, which are the governing structure of an organization, said Michael Moon, MSN, RN, CEN, CNS, FAEN, in his presentation to state and chapter leaders Feb. 23. “Bylaws define the characteristics of your organization and how your organization will function,” said Moon, a member of the ENA board of directors and the Resolutions Committee. “These are the set of rules so important to an organization that it takes a super-majority to change them.” The following information must be included in a state council’s or chapter’s bylaws: • Who the officers are, how they are elected and how you would fill a vacancy if it should occur. • Meetings. • Composition of the board of directors. • Committees. • Parliamentary authority. • How to amend the bylaws.

Moon advised state and chapter leaders to keep their bylaws simple and leave the details for the policies and procedures. For example, if a chapter states in its bylaws that it will hold 12 meetings each year, it cannot deviate from that number. Moon suggested a better practice is to state in the bylaws that the organization will hold a minimum amount of meetings—every other month or even quarterly—and Michael Moon, MSN, RN, CEN, CNS, FAEN, ENA board of directors. use the policies and procedures to outline specifics about the to follow them as they are written. There can be meetings such as which ones will be educational no variation, no adding or subtracting of meetings and which will be business meetings. committees, changing the board composition or Audience members had several questions, anything else. If you are OK with that, go for it.” including one about whether chapters could use Moon reminded attendees that a copy of all their state council’s bylaws to save time. state council bylaws must be sent to the ENA “The answer is yes and no,” said Moon. “A national office. chapter can use the state’s bylaws, but you have

May 2012

STATE AND CHAPTER LEADERS CONFERENCE

Association Law Made Simple By Kendra Y. Mims, ENA Connection ENA legal counsel Kimberly Pendo’s Governance, Liability, Taxes… Oh My! presentation covered legal issues that affect not-for-profit organizations in an informative, interactive manner. Classic song titles, such as “Signed, Sealed and Delivered,” “Ain’t Wastin’ Time No More” and “Someone to Watch Over Me” were used to break down the key concepts of legal issues. “My goal is to give you an overview and hopefully a better understanding of not-forprofit organizations—their legal structure, tax status and obligations, as well as your own obligations and responsibilities to ENA and its members as state councils and chapter leaders,” Pendo told the audience. “Whether the issue is a relationship with a national organization between the local state councils and local chapters or IRS reporting obligations or conflicts of interest or other

policies, the issues facing associations today and their leaders have become more complex. It is important that you as the association’s leaders understand your responsibilities to the association, to its other leaders, to the board, as well as to its members.” Pendo reminded the audience to verify that their bylaws align with ENA’s national bylaws. She recommended that they reassess bylaws and policies every couple of years. Some of the questions audience members asked during the Q&A portion included clarity on record retention procedures (what can be destroyed after seven years and what can never be destroyed); if it’s acceptable to have an electronic election every year; and if it’s a necessity to have both financial and audit committees. Monitoring the extent of lobbying became a topic after one attendee inquired about the

Kimberly Pendo

appropriate time used for lobbying within one’s state. The IRS doesn’t want C3 organizations to use those charitable taxes and funds extensively for lobbying, Pendo said. ENA Executive Director Susan Hohenhaus, MA, RN, CEN, FAEN, also reminded the audience that they can lobby as individuals. “That’s very powerful,” Hohenhaus said. “For any of you who work for state government, you can’t lobby as a state government employee, but you can lobby and talk to your legislators as individuals and represent yourself. There is a percentage that you can lobby within your state, but you also have power as individuals.”

Resolutions:

’One of the Most Important Things We Do as an Association’ By Amy Carpenter Aquino, ENA Connection

Writing and presenting a resolution to the ENA General Assembly can seem like a daunting prospect, but the Resolutions Committee aims to make the process as painless as possible, Chairperson J. Jeffery Jordan, MS, RN, MBA, CEN, CNE, EMT-LP, told state and chapter leaders Feb. 23. “We are not here to judge what you are submitting,” he said. “We’re here to foster that idea and get it where it needs to be.” Jordan and committee board liaison Michael Moon, MSN, RN, CEN, CNS, FAEN, were joined in this session by audience members who have presented resolutions to the General Assembly. The presenters offered tips, resources and encouragement to potential authors of what Moon termed “one of the most important things

J. Jeffery Jordan, MS, RN, MBA, CEN, CNE, EMT-LP, Resolutions Committee chairperson

we do as an association.” “This is about members putting things out there for debate in front of the association,” said Moon. “Whether the resolution passes is not as important; it’s the fact that it generates debate.” “By authoring a resolution and presenting it at our national General Assembly, you are furthering your professional practice and stimulating national debate among your peers,” said Jordan. “This is a great accomplishment, one that displays a commitment to emergency nursing, not to mention bolstering your CV or resume.” A member who received help from the committee in writing her resolution said the process of having her resolution go through several sets of critical eyes helped prepare her

to stand up in front of the 700-plus members of the General Assembly. The critique she received from the General Assembly during the subsequent debate contained some good points, she added. “You have to remember that it’s not about you personally—it’s about the topic,” said Moon. “Sometimes ENA is just not ready for it yet … Our job is to be the objective person to provide you the feedback you want to hear and don’t want to hear. We are going to be your cheerleader in the corner when you get up to present. We’re here to help you.” “Our job as the Resolutions Committee is to help you write the best resolution to present to the General Assembly,” said Jordan. When Jordan invited attendees to share their Continued on page 43

Official Magazine of the Emergency Nurses Association

2012 State Achievement Awards

Accepting awards on behalf of their state councils Feb. 24 at Leadership Conference 2012 were (from left to right): Ohio State Council – Beverly Clensey, MS, RN, CEN, CCRN, president New York State Council – Audrey DupreeSealey, PhD, MSN, RN, FNP, president Washington State Council – Roger Casey, MSN, RN, CEN, president Massachusetts State Council – Maureen Curtis Cooper, BSN, RN, CEN, CPEN, FAEN, president Maryland State Council – Caroline Doyle, RN, CEN, president Virginia State Council – Erin Reeve, BSN, RN, CEN, immediate past president

Louisiana State Council – Alicia Dean, MSN, RN, APRN, CNS, president Texas State Council – Pat Yancey, RN, CEN, president Kansas State Council – Michael Hastings, MS, RN, CEN, president ENA 2012 President Gail Lenehan, EdD, MSN, RN, FAEN, FAAN Indiana State Council – Ron Kraus, MSN, RN, CNS, CEN, ACNS-BC, president Pennsylvania State Council – Kay Bleecher, MSN, BSN, RN, NREMT-P, president North Carolina State Council – Elaine Marshall, BSN, ADN, RN, president Georgia State Council – Denise Proto, MS, RN,

CEN, CPEN, president Florida State Council – Dennise Mathis, BSN, RN, CEN, secretary New Jersey State Council – Pat Nierstedt, MSN, RN, CEN, president Nebraska State Council – Cindy Slone, RN, CEN, president-elect California State Council – Marcus Godfrey, RN, president Arizona State Council – Charlann Staab, MSN, RN, CFRN, president Minnesota State Council – Colleen Seelen, ADN, RN, CEN, president Alabama State Council – Audra Ford, MSN, RN, CEN, president

May 2012

Conflict Resolution, Emergency Nursing Are Two Very Different Animals By Josh Gaby, ENA Connection Suzanne O’Connor wonders if you work with any sharks—people who fight too strongly for their goals and don’t put enough into relationships. Or perhaps you have a teddy bear on your staff who goes the opposite route of hastily smoothing over conflict for the sake of harmony at the expense of a goal. Do you know any turtles? They withdraw into their shells and just don’t want to be bothered by any of it. Dogs? They’ll give in and “do the stupid trick,” compromising to achieve most of what they want. Ideally, you’d be an owl, wise enough as an emergency nursing leader to welcome conflict and compromise as a way of growing and improving. Those are the five styles of handling conflict, O’Connor, MSN, RN, APN, told attendees Feb. 23 at her presession workshop, Conflict Is Inevitable; Resentment Is Optional. The trick is recognizing which types are on your staff, then knowing what language to use. (Teddy bears like being thanked for their hard work, for example. Sharks will think you’re trying to get something from them.) Resolving tough conflicts probably will require the opposite approach from what you might be used to as an emergency nurse,

Suzanne O’Connor, MSN, RN, APN, (far left) gives pointers to attendees at her Feb. 23 presession. They later put the lessons they’d learned up on the walls (above).

O’Connor said. You’ll need to tackle these issues more slowly, more softly, more interpersonally. “Everything that made you great in the ED is not going to help you with conflict,” said O’Connor, who worked 22 years in the Massachusetts General Hospital emergency department and now operates Health Care Satisfaction. “Put your conflict hat on, and then put your ED nurse hat on at different times. It’s not the same person.’’ When there’s a problem with a doctor, a bully on your staff or an unhappy patient, don’t go for a fast, firm outcome—that’s the emergency nurse in you talking.

Official Magazine of the Emergency Nurses Association

Instead, O’Connor said, try to slow it down and see the situation from the other person’s frame of mind. Often, that person’s position is rooted in some type of fear. Use tentative, disarming, non-defensive speech. State what you can do, not what you can’t. Ask for suggestions and opinions. Offer choices to empower the other party. State your motives clearly. Follow up. And make a habit of using “mental floss,” she said. In other words, don’t let negativity linger. Teach yourself to “floss” it away. “[The ED] is really where the relationships have to be somewhat trusting so that we can get our jobs done,’’ O’Connor said. “We can’t

afford to have people hostile and bullying or tense with each other during the middle of a trauma.” Audience members paired up for a series of experience-sharing exercises during O’Connor’s threehour session and later shared their take-home points on large sheets of paper taped to the walls. The idea was to get into the practice of defusing conflict with compassion and to build a greater awareness of what will leave everyone feeling respected and satisfied. “Try to think about conflict resolution not as a test of power but as an opportunity to find out what they need,” O’Connor said. “What is the need?”

Inviting Innovation Fostering innovative thinking, creativity and inspiring your team as a leader were the topics discussed in Meleah Mariani’s Inviting Innovation session Feb. 26. As she discussed differentiating innovation from invention, Mariani, MSN, RN, encouraged the audience to identify methods to reflect on their own innovative potential and to foster innovate thinking in their team. “In order to inspire your team, you have to do a lot of self-reflection,” Mariani said. “We really have to ask ourselves, what do we want to create in our emergency departments?” Mariani shared techniques of how to connect with staff as a manager, such as working with new staff in scrubs as opposed to a business suit so that they see you as approachable. “You really have to promote them being a part of the decision-making from the start, especially if you have new staff, because they’re going to have great ideas and you really want them to feel like they can come and talk to you,” she said. She displayed several graphs and visuals that leaders can use to help staff understand why change is needed— especially useful for staff who are resistant to change. She also discussed how change can lead the organization in innovative thinking as the future of health care hangs in balance. “I’ll never say that an ER nurse is any better than any other nurse,” Mariana said, “but I will say that we have neat characteristics. When working with emergency nurses, we are a unique group that can be inspired to come up with ideas. While change makes us uncomfortable, we adapt. We have a very unique group of our personalities and experiences in what we see with our patients, given the diversity of what we deal with. We have power in numbers, and I think we are in a very unique situation to influence what we need to do in the future.” Mariani encouraged audience members to portray themselves with confidence. “You have to see yourselves as a leader and know that you have the responsibility to lead the team somewhere and know that you can do it,” she said. “We really have to spend time as leaders taking a good look at ourselves if we want to invite innovation in our team to get creativity going.”

ENA Leadership Working Hand-in-Hand By Kendra Y. Mims, ENA Connection Sounds of clapping and singing filled the auditorium as the New Orleans gospel choir took the stage to sing several uplifting, inspirational songs Feb. 24. The energetic choir had Leadership Conference 2012 attendees on their feet for the Opening Session as they sang along to “People Get Ready” and “When the Saints Go Marching In.” Tradition was broken during the opening speech at Leadership Conference 2012 when ENA President Gail Lenehan, EdD, MSN, RN, FAEN, FAAN, invited ENA’s Executive Director Susan Hohenhaus, MA, RN, CEN, FAEN, to join her at the podium to kick off the conference. As they joked about how they often finish each other sentences, they also shared their excitement to work together and commended each other on their passion for ENA. “When I don’t have the answer, she does, and vice versa. She is the perfect partner,” Lenehan told the audience. “She shares our values, feels the same about the quality of our work, about social justice and about passionate advocacy.” Hohenhaus recalled when Lenehan became her mentor

several years ago. “Her guidance, and her willingness to work as a real partner, then and now, helps us continue to work together to make tough decisions, the right decisions for emergency nurses and their patients,” Hohenhaus said. “To that end, over the past year, we have achieved quite a lot together. And I couldn’t be more pleased in working with Gail and her board.” Lenehan and Hohenhaus discussed ENA’s recent accomplishments and several developments on the way. “We combine your voices with ours to protect you and to set the standards for education and clinical practice,” Hohenhaus said. “In reality, the executive director and the staff; the president and the board of directors all work hand-in-hand

to put your association to work and make it a success.” Lenehan urged the audience to be proud of what ENA has accomplished, as well as what is to come. “We should be very proud of our numbers and the quality of our members, and that gives us legitimacy,” she said, “but we should also be very proud of the courses around the world, the conferences around the country and the difference you are making in the world of emergency care.” Lenehan ended the joint speech by again sharing her appreciation for Hohenhaus. “Thank you, Sue,” she said. “We appreciate your candor and determination to build an infrastructure to keep ENA strong. ENA is poised for great things.”

Kendra Y. Mims

May 2012

Shhh ... Rumor Has It

Opening Session

Emergency Nurses Admired on Both Sides of the Political Divide By Josh Gaby, ENA Connection James Carville and Mary Matalin don’t have a lot in common politically, but the husband-and-wife odd couple agree on this much: This presidential election cycle is unprecedented in American history, and the voices of emergency nurses matter greatly in a volatile, heated political climate that revolves so much around the future of health care. Kicking off the couple’s keynote address Feb. 24 during Leadership Conference 2012, Matalin, a Republican consultant who worked under presidents Reagan, George H.W. Bush and George W. Bush, said the lack of an “heir apparent” had complicated the Republican primaries to that point, with no candidate except Rick Santorum putting together any momentum. Carville, a key Democratic strategist under President Clinton, marveled at nine different front-runners in the Republican race since last year and suggested that getting GOP voters to accept Mitt Romney as their nominee had been like trying to give a dog a pill. Regardless of the outcome as Republican delegates select the candidate to challenge President Obama this fall, it’s essential that emergency nursing leaders use their voices to guide those in office, the couple said. “They need to know how this works and how

their policies are going to impact you,” Matalin said. “You’re doing God’s work. Thank you very much for that. Use your voice, use your magnifying power.” Lamenting the epidemic of violence among youth, Carville called emergency nursing “literally one of the most dangerous professions there is.” “I think a lot of people in politics would do very well to spend some time with people in this very room,” Carville said. “You can tell them more about the effects of violence, more about the effects of escalating, out-of-control health-care costs, more about how we think about these things and how we do these kinds of things than anybody else.” The couple’s differences were most obvious during a brief question-and-answer session. Asked whether Super PACs (political action committees) are obscuring the voices of the general public, Carville called the impact of these groups “debilitating” and suggested a Constitutional amendment might be the only effective way to stop it. But Matalin said it’s not as big as problem as it’s made out to be. “The presence of money does not mean the absence of votes,” she said.

Official Magazine of the Emergency Nurses Association

Gossip and rumors are not uncommon in the workplace. Organizational rumors can be like playing the ‘‘telephone’’ game, changing drastically when spread from person to person. Did You Hear What I Heard: Organizational Rumors, a session presented by Scott Thigpen, DNP, RN, CEN, CCRN, on Feb. 25, discussed the differences between gossip (whether factual or fabricated) and rumors and how they both can affect an organization by causing stress, tension, hostility and divisiveness in the workplace. While rumors and gossip are mostly viewed as negative, the session also included how people can use rumors and gossip to strengthen an organization. Thigpen pointed out that rumors tend to occur when high levels of change are happening in an organization, and research shows that rumors are accurate at least 85 percent of the time for noncontroversial organizational matters. Social media was also a topic for discussion, as it can play a part in how rumors spread. “Social media has brought us a new information super highway where we are processing information at such a high speed,” Thigpen said. “Something negative can be posted against an individual or organization, or it could be a rumor that is started that can cause detriment to that organization.” Thigpen suggested hospitals should implement a social media employee policy, as some hospitals have to monitor what their employees say on Facebook. Other parts of the session discussed the different types of gossip (news sharing, critical, cathartic and malicious) and rumors (wish, fear, aggressive and anticipatory) and tips on how to avoid rumors in your organization (e.g., avoid participating in workplace gossip, identify habitual gossipers, keep employees well informed of all happenings related to the workplace and have an employee forum). ‘‘Being able to establish trust not only with patients but within the organization and individuals you work with is very important,” he said. At the end of the session, Thigpen reminded the audience to stay away from habitual gossipers because “people who gossip to you will gossip about you.” Kendra Y. Mims

New ED Injury Prevention Kit to Launch This Fall Have you ever experienced an injury in your workplace, such as a back injury from lifting a patient? Is your emergency department in need of safety information on equipment, policies and training? The ENA ED Workplace Injury Prevention Work Team has designed a product specifically focused on creating a safer working environment in your emergency department. Attendees of Fractured Careers and Bottom Lines: A Toolkit for Injury Prevention on Feb. 25 were the first to see a sneak preview of ENA’s Emergency Department Injury Prevention toolkit, which will be officially launched this fall. The toolkit (which will be available at www.ena.org) will include research articles, templates, staff education materials, sample policies and procedures, emergency department and staff assessments for members to customize, templates for members to bring back to their emergency departments, the ENA Workplace Injury Study and other resources that will be valuable for people to use within their own workplace to create or redesign a culture of workplace safety. Members of the ED Workplace Injury Prevention Work Team include Jeanne Fogarty, MBA, BSN, RN, TNS; Nancy Hughes, MS, RN; Vicki Keough, PhD, APRN-BC, ACNP, CCRN; Mary Scott, RN, CEN; Ellen (Ellie) Encapera, RN, CEN; Carol Kappelman, RN, CEN and Cydne Perhats, MPH, ENA staff liaison. Several members of the team were onsite presenters and presented statistics of workplace injuries and injury costs and risk factors. More than half of the attendees raised their hands when asked if they had ever experienced a workplace injury. “With this culture of safety that we are promoting here in your ED, we need to make sure that every person who comes to work is going to be free of injury,” Keough said. “That’s an obligation for every worker in our ED. I think even as an ER nurse, we tend to be tough on each other and we don’t allow for personal safety.” Guest speaker Caitlyn White, LPN, daughter of ENA Executive Director Susan Hohenhaus, shared how a workplace injury in 2008 changed her life and career over the course of three years. White, who became injured after slipping on water, talked about the importance of proper training for all staff on injury risk factors from patient lifting to spills. “I am hoping what people take away from today’s session is how prevention and policies can benefit a workplace and hopefully prevent workplace injuries with employees as well as patients,” White said. Keough congratulated the audience for being proactive in learning how to change the culture of safety. “This is a real problem in our ER,” she said. “This toolkit that we showed you today will help you build this culture of safety in your ED. It will lighten the severity of the injuries that occur and prevent injuries. Every nurse deserves to work in an area that is risk-free of injury. It’s not just one thing about the toolkit that will make the difference. It’s the culture. It’s changing the way we view safety in the workplace.” The development of the ED Workplace Injury Prevention toolkit was supported by a grant from Stryker Medical.

How to Become an Alpha Leader in Your Emergency Department By Kendra Y. Mims, ENA Connection Emergency nurses adapt to the unexpected, so when snowy weather in Chicago delayed the general session’s scheduled keynote speaker, ENA’s Executive Director Susan Hohenhaus stepped in at the last minute to deliver a motivational message about the power of effective leadership and teamwork in an emergency care setting. Hohenhaus, MA, RN, CEN, FAEN, discussed the importance of using TeamSTEPPs® as a leadership model as she focused on the value of communication, having a control presence and possessing the qualities of an alpha leader. “If you’re a leader in your department or hospital, you can take control of the situation and realize that you have the responsibility and accountability to do it,” she said. Hohenhaus pointed out that emergency nurses are expected to learn their skills on the job in a fast-paced environment. “How do we begin to measure proficiency and expertise, because proficiency is the level we need our emergency nurses to be at?” Hohenhaus asked the audience. “When you think about the scope of the nursing practice, we are the most frontline defense of the nation, so everyone needs to be a good critical thinker and have the ability to adapt. “When you are proficient, you can recognize the patterns and begin to recognize the anomalies of those patterns. But when you move up to the next level and you’re an expert at what you do, you not only recognize the patterns, but you also recognize the anomalies and you know what steps to take to actually correct them. In my opinion, this is the absolute skill that only an emergency nurse can do: It’s going into a room and being able to recognize the patterns and saying, ‘Something’s not right here.’ ” Hohenhaus showed a scene from the television show ‘‘ER’’ and asked the audience to identify leadership qualities that were effective during the emergency situation shown. She also encouraged the audience to use feedback with their own teams while pointing out that it’s really about the team working together and not necessarily about the skills themselves. “Good team leaders empower those to speak up and challenge, even when they’re challenging authorities,” she noted. “Most emergency nurses have no difficulty with this, but we do have difficulty in taking the emotion out of it.” The audience left the session equipped with knowledge on what it takes to become an alpha leader. “Being a true alpha leader is not just about you,” Hohenhaus said. “It’s about leadership and taking care of others. If anyone’s going to make all of this work, we can make it work in the emergency department. The leader sets the tone for everyone else to follow, and that includes being a follower yourself sometimes. Be confident. Be assertive. Good team leaders model the behaviors that they’re looking for. You cannot expect anyone to do anything that you wouldn’t do yourself.” Hohenhaus concluded the session with one of her signature quotes: “As leaders, it’s not about what we know. It’s about who we grow.”

Kendra Y. Mims

May 2012

Balancing Life in Your ‘War Zone’

Great Things Await When Everyoneʼs an ʻOwnerʼ

By Kendra Y. Mims, ENA Connection

If emergency nursing leaders can inspire their staffs to willingly board the proverbial bus and commit to giving patients more empathetic service, there will be impressive differences in outside feedback and in the mood of the emergency department. Such was the message Feb. 24 at You Want Owners, Not Renters: Tactical Ways to Engage Your Staff and Medical Staff, presented by Jay Kaplan, MD, FACEP, and Bonnie Carl, MBA, RN, of CEP America. A staff rallying around a common customer-service mission leads to the type of excellence that shows up on patient surveys and ultimately affects income. This isn’t what some mistakenly consider “the fluff stuff,” Kaplan stressed. Simple satisfaction isn’t enough. Patients need memorable experiences, and their loyalty has more to do with how they’re treated as people, not the “hard” clinical treatment they receive. Grooming your team to be owners—in other words, employees who are actively invested in these service goals in their emergency department at all times—starts with a lot of regular, active engagement from you: leader rounding, fixing broken systems and seeking honest feedback about what’s frustrating the staff, even if it means hearing some criticism about your own performance. When you get suggestions for the department, put them into a “stoplight” report that divides them into green initiatives (what you’re actively doing now), yellow (what you intend to work on soon) and red (which can’t be done). The idea, Kaplan said, is that “you are doing PR for yourself and your efforts in your department in terms of, ‘Here’s all the good stuff that we’re doing.’ ” Quick all-staff huddles, perhaps a few times a day, can jell a team. “The whole idea of this is anything goes. It can’t go over 60 seconds,” Carl said. “The nurses, techs and clerks, they love this. And how many doctors do you know that don’t like to share what they know?” Kaplan and Carl urged managers to make it a daily habit to recognize and reward staff members who achieve great results. Kaplan said he puts three coins in his left-hand pocket every day and moves one to his right-hand pocket each time he pats someone on the back. Handing out chocolate works too, he said. “It doesn’t cost anything to say thank you” and to be specific about what someone did right, he said.

General Session’s keynote speaker, LeAnn Thieman, LPN, CSP, CPAE, wowed the audience with her inspirational message in Balancing Life in Your War Zones, based on her life-changing experience of evacuating 300 babies during the Vietnam Orphan Airlift. ‘‘Now it’s unlikely that you’re going to ever be asked to rescue babies in cardboard boxes in a Third World country, but God knows you rescue people every Attendees had a chance to meet and greet day with what you do,” Thieman Thieman at her book signing at the ENA told the audience. Marketplace after her two presentations. Thieman shared the lessons she learned from the Operation Babylift experience: the importance of prioritizing the most imperative things in life, finding a balance between work and home and making time to maintain a physical, mental and spiritual connection through exercise, meditation, prayer and laughter. “It is my absolute conviction that to be able to live in our war zones, we have to be strong in mind, body and spirit,” she said. “We have to nurture ourselves in these three ways every day, even if it’s in 15-minute increments. “As I travel to talk to nurses and health care workers, I’m more convinced than ever that we’re so busy taking good care of other people, we don’t take very good care of ourselves. How did we ever get to a place where surviving and getting by is good enough for us?” Thieman urged audience members to find out what’s out of balance in their lives and what they can do to change it. “We don’t have to go to Vietnam to be in a war zone,” she said. “We all have war zones in our everyday lives. We need to help each other out and build each other up. We can help each other to balance our lives.” Thieman reminded the audience that although many things have changed, the heart of a nurse has not. “It’s that calling to minister to people in their toughest times,” she said. “That’s why we don’t quit or work someplace else for more money. There’s not enough money to pay us for what we do. What an honor and privilege we have to touch and help save lives.” She ended the session with a heartfelt thanks to emergency nurses. “For every hand you’ve held and every life you’ve touched and every candle you’ve lit, I thank you,” Thieman said. “While you may think some days that your part is small and ordinary, you are making an extraordinary difference in this world because you, my friends, my colleagues, are the heroes, and I applaud you.”

Official Magazine of the Emergency Nurses Association

Josh Gaby

37B

Swell of Psych Patients? Your ED Can Adapt

Closing Session

Have you experienced a surge of psychiatric patients in your emergency department? Like most emergency department directors, Tammy Moore, MS, RN, has, and she knows the ugly impact. The overall rates of patients leaving without being seen are higher. Overall patient satisfaction declines. Twenty or more psychiatric patients might wait in the emergency department at a given time—some potentially for days. Moore is director of emergency services at Ohio State University Medical Center and chief nursing officer at Harding Hospital, the center’s 73-bed inpatient psychiatric hospital. In her session Feb. 25, Builder a Stronger Framework: Emergency Department and Psychiatric Renovation for Better Patient Care, she shared the measures OSU has taken to overhaul its handling of psych patients who may have nowhere to turn but the emergency department. Though the physical changes were significant—OSU created a five-bed psychiatric holding area at a cost of $500,000–staff buy-in was just as essential. Moore polled her emergency department staff to see who’d be interested in learning more about the inpatient psychiatric side. Ten nurses and eight techs stepped forward—a rare number, she said. They were offered an eight-hour educational course, which led to shadowing opportunities. “I have staff now that have identified that when jobs become open on the inpatient side, they are very interested,” Moore said. “So it’s been amazing to watch this transition of staff who never at first wanted to take care of these patients, and now they’re seeing it different.” Many other steps have been taken. OSU began offering a salary stipend for a psychiatrist to do daily rounding of all boarders in the emergency department. Many of the emergency techs have been trained as psych-care technicians, and de-escalation training among all staff is ongoing. The psych hospital no longer “closes” beds to emergency department transfers, no matter the staffing situation. Security has been expanded during evening hours. Moore also got $150,000 budgeted to add a psychiatric nurse practitioner in the ED. That person rounds on psych patients, gathers medical histories, arranges medications and generally acts as a bridge between the psychiatric staff and the emergency nurses to determine the best plan of care. “I can tell you it has probably been one of the biggest success stories we have had in our department,” Moore said. Josh Gaby

Make Social Events Work By Amy Carpenter Aquino, ENA Connection Newark, N.J., Mayor Cory Booker attended an optional event dinner and wound up with a $100 million donation to his city’s public school system from dining companion and Facebook founder Mark Zuckerberg. Steven Spielberg, David Geffen and Jeffrey Katzenberg formed DreamWorks after meeting over drinks at a 1994 White House state dinner for Boris Yeltsin. Oprah Winfrey made the most important professional decision of her life during a date with Roger Ebert at a burger joint. Former White House press secretary Laura Schwartz shared the stories of these career-defining moments to emphasize the potential of social

networking in her Closing Session presentation, Eat, Drink and Succeed! Climb Your Way to the Top Using the Networking Power of Social Events. Schwartz, who conducted extensive research on ENA, pointed to a poll from the ENA Live From New Orleans blog which showed that networking was second only to educational sessions on the list of things attendees were most looking forward to at Leadership Conference 2012. ENA conferences offered the perfect networking opportunities for emergency nurses, Schwartz said, because “everyone is here for a common bond.” “This is your ticket to getting involved and making the most out of

ENA Leaders Address Attendees’ By Amy Carpenter Aquino, ENA Connection Gail Lenehan, EdD, MSN, RN, FAEN, FAAN, 2012 ENA President, led the board of directors and Executive Director Susan M. Hohenhaus, MN, RN, CEN, FAEN, in addressing a variety of questions from Leadership Conference attendees on Feb. 25. Anne May, BSN, RN, of Maryland, questioned the amount of time given to debating resolutions at the 2011 General Assembly in Tampa, Fla. ‘‘It’s great that we are trying to increase the number of resolutions at General Assembly, but we need to allow time to debate those,’’ May said. ‘‘If anyone takes the time to write a resolution, it needs to go to the membership to be heard.” May said she felt that when given the option to extend discussion on a resolution, the delegation always voted to end debate.

“I do remember times when the body did vote to extend debate time,” Lenehan said. “Oftentimes, when they don’t extend time, it is when arguments have been repeated. We strive for a very respectful General Assembly.” “Finding that balance is always a challenge,” noted AnnMarie Papa, DNP, RN, NE-BC, CEN, FAEN, immediate past president. “You have people who want two minutes of discussion and others who want two hours of discussion. I think the Resolutions Committee has worked really hard over the last couple of years on how we manage that time.” Michael Moon, MSN, RN, CNS-CC, CEN, FAEN, board liaison to the Resolutions Committee, agreed, noting that the committee takes a “very hard look” at all discussion times following each General Assembly. The committee will further address the issue by cutting

May 2012

Be a Nurse, Not a Victim

for You your life,” she said, encouraging attendees to find the potential in every social event. “You can eat, drink and succeed, whether there is a Dixie cup or a martini glass in your hand.” Attendees chuckled at Schwartz’s clarification of the “fine line between cocktail talk and cocktail talking.” She encouraged audience members to increase their comfort at social events by “learning a little about a lot,” focusing on nuggets of key information to participate in conversations. Schwartz shared how she read just enough about the ‘‘Twilight’’ series, for example, to maintain her end of the conversation at a networking event. Saying she debated whether to use the word ‘‘networking,’’ which can have a negative connotation, Schwartz encouraged attendees to think of networking as a path to opportunities for themselves and others.

Bridges built through social and professional connections benefit everyone involved. ‘‘I truly believe that it is through helping others that we achieve ourselves,’’ Schwartz said, noting that ENA offers members several growth opportunities at national, state and regional educational and social events. “That is what ENA is all about—what they can do for you,” she said.

Questions at Town Hall Meeting down on reports to ensure that there will be a full day-and-a-half for delegate debate at the 2012 General Assembly in San Diego. “We want to make sure that all authors have their resolutions and bylaws fully considered,” Moon said. ENA Deputy Executive Director Ed Rylko addressed a question from Robin Walsh, MS, BSN, RN, of Massachusetts, about why instructors had to pay for the electronic version of the Emergency Nursing Pediatric Course 4th ed. instructor supplement. “We understand that reaction—however, developing courses and manuals takes a lot of effort financially, from volunteers and from staff,” Rylko said. “The good news is that there will be a lower price for members than non-members.” “We will get the money back to you on some level,” Hohenhaus added. “We know you do a lot of work, but the committees do a lot of work as well.” Marilyn Singleton, BSN, RN, Ohio ENA State Council president-elect, brought up a

discussion from the State and Chapter Leaders Conference regarding renewing the annual state officers’ visit to the ENA national office in Des Plaines, Ill. “As president-elect for my state, I want to advocate for that,” she said. “I need to be well-educated on my professional organization.” Lenehan noted that as ENA transitions to one large annual meeting in 2015, the organization is considering several possibilities for smaller, niche meetings. “We do know that visit to the national office was very special to state leaders,” she remarked. “It would be interesting to hear from you—if you had a magic wand and could create what was perfect for you, tell us what that would be. We really need to hear from the states.” Janice McKay, RN, CEN, CFRN, asked what ENA was doing to foster engagement from new members and enhance Continued on page 45

Official Magazine of the Emergency Nurses Association

When speaker Tonya Barlow, MSN, RN, CNS-BC, CEN, CPEN, asked the audience if anyone had ever been a victim of workplace violence, a majority of people in the room raised their hands—a troubling yet common problem plaguing emergency departments nationwide. Barlow and Belinda Shaw, MSN, RN, CEN, NE-BC, covered the hot topic of violence in the emergency department during their Feb. 24 session, Be a Nurse, Not a Victim, and showed how their hospital, Porter Adventist in Denver, decided to become proactive to prevent violence from occurring in the workplace environment. Barlow shared her experience of being verbally threatened by a “Linda Blair” patient who was restrained and spitting at her, which she described as an eye-opening experience that motivated her to make some changes. Topics that Barlow shared included building a safety environment, changing the culture of safety, identifying the risk and teaching the staff that because they are a part of that environment, they have to control themselves as a variable. She also discussed pitfalls in the typical emergency department, barriers identified by U.S. emergency nurses and the characteristics of a potentially dangerous environment. “Identify the problem, preferably before it becomes a problem,” Barlow said. “We too often in health care leadership get accused of acting reactively, so this is something we can do proactively in our department. We have to change the culture of emergency nursing. It’s not our jobs to be victims of violence. Empathy will only get you so far. You really have to have a sense of self-preservation if you want to survive in this profession. “We have to let our patients, visitors and staff know that violence won’t be tolerated from any staff in the hospital.” Throughout the presentation, Barlow shared findings from ENA’s 2011 Emergency Department Violence Surveillance Study, and she thanked the organization for “focusing on this most prevalent crisis that plagues our profession.” Shaw discussed the Porter Adventist emergency department’s implementation of the violence prevention and mitigation program. She showed slides of areas involved in the environment risk assessment and discussed some of the proposed improvements suggested by the security provider (e.g., considering electronic locks on the main entrance door, moving the fire extinguisher location to inside of the nurse’s station and handheld metal detector options in the ambulance entrance). Kendra Y. Mims

Getting Connected to Inspiration Every emergency nurse has a story that defines him or her as a health care professional. Attendees were encouraged to discover their inner stories in Rich Bluni’s Inspired Nurse concurrent session Feb. 24. Although this was the last session of a long day, the audience was moved and captivated by the natural humorous storytelling ability of Bluni, RN, LHRM, as he delivered an entertaining and empowering message while celebrating the things that make emergency nurses unique. ‘‘We are the only people in the world who can talk about certain things and eat at the same time,’’ Bluni joked. Bluni shared a powerful, moving story of losing a 4-year-old child in his arms in the emergency department. He posed a question to the audience: “When you’re having a bad, stressful day, ask yourself, why you are doing this? “Remember the patient you saved or the one who passed away but entrusted you with their last words. What story defines you as a health care professional? You have a story. Your team has a story. Create a book of stories for your ED.” Bluni also gave audience members several challenges: Notice something good in every coworker you come across for one day; write down one thing at work for which you are grateful every day for two weeks, and do one act of anonymous kindness at work this week. Attendee Van Tran, RN, from San Diego, found the topics meaningful for her profession and her everyday life. ‘‘I loved the session,” Tran said. “It was very inspiring, and it definitely served the purpose in inspiring me as a nurse and a leader. The stories were very touching, and it just made me reflect on a lot of things, including being grateful for all the blessings in my life and especially why I’m doing what I’m doing. It just really raised awareness of asking myself those critical questions of how to impact others. While I’m inspired, I can inspire other people as well.” Kendra Y. Mims

IENR Presents Poster Awards at ENA Leadership Conference 2012 By Amy Carpenter Aquino, ENA Connection The Institute for Emergency Nursing Research presented the Research and Evidence-Based Practice Poster Awards at ENA Leadership Conference 2012 in New Orleans on Feb. 25. Winners were chosen from among 24 evidence-based practice topics and nine research topics.

Evidence-Based Practice Poster Award A poster describing an initiative to train emergency nurses to recognize early signs of sepsis received the Evidence-Based Practice Award. David Carlbom, MD; Nicole Kupchik, MN, RN, CCNS, CCRN; Diane Fuller Switzer, MN, RN, ARNP; Richard Utarnachitt, MD; Valerie Calogero, RN; Paula Minton-Foltz, MSN, RN; and Debra Gross, MN, RN, ACNP-BS, ARNP, CEN, were the authors of Code Sepsis: Improving Survival in Sepsis with Early Identification and Activation of a Critical Care Team. Onsite presenter Switzer, an advanced practice nurse at Harborview Medical Center in Seattle, explained that the emergency department project was based on a hospital-wide initiative to develop a sepsis program. While a team of nurses and physicians from different departments met with pharmacists, administration and IT staff for about 10 months, Switzer said a few people in the ED felt the program should be brought down to their department. “Even though this program was started, we were missing cases, and a lot of the ER nurses were wondering, ‘What is sepsis? What’s this all about, and how is this going to make a difference?’” she said. Five ED representatives, including Switzer, another advanced practice nurse, an RN and two physicians, developed a monthly sepsis day for the ED. The informal, 15-minute meetings are open to anyone who wants to receive education about sepsis and systemic inflammatory response syndrome. “In the last couple of years of doing this, we increased our compliance and our capturing of the sepsis cases,” Switzer said. “And the beauty of it is that we did it by bringing it right to the front door.” The ED sepsis group created cards with the SIRS criteria and early recommended therapy for all nurses to wear on their badges. If a patient arrives in the ED and the nurse recognizes that he or she meets the sepsis criteria, the nurse is free to start initiating therapy, and then to work with the team to manage the patient in the ED. “It starts as soon as they hit the door,” Switzer said. “I noticed that the ER nurses became a lot more interested in it and became more aware and knowledgeable about sepsis and SIRS and understanding the importance of treating it early.” “The emphasis is on the emergency side of things, rather than it always being on the inpatient side,” said Anne Newcombe, Harborview Medical Center ED director. “The ED sets the tone for the stay for the patient, and it sets the tone for success, and this is just a demonstration of that.” “The most important thing is that it made the nurses feel really proud that they are making a difference,” Switzer said.

May 2012

Research Poster Award Authors Mary Feiler, BSN, RN, CPEN; Julie Mount, MS, RN, FNP-BC, CEN, CPEN; and Alison Rowe, RN, MS, CEN, and presenter Grace Propper, MS, RN, CPNP, NNP-BC, received the Research Poster Award for Pediatric Triage Nurse Driven Orders, which was based on an initiative to expedite pediatric patients. “We have a very busy ER, and our patients get backed up in the waiting room,” explained Feiler, a nurse educator and pediatric coordinator at Stony Brook University Medical Center in Stony Brook, N.Y. “We wanted to get them in and out quicker and make them feel better. We don’t have standing orders, so we team-worked with our physicians and got everybody on the same page.” Using the criteria of a fever over 38 C and a pain score of 4, the team said that any patient who met that criteria would be treated and expedited. “By medicating the patients, they got better quicker,” Feiler said. “By the time the [acetaminophen] kicks in, the pain medicine kicks in, the numbing medicine kicks in for your IV, the doctor sees you and you’re looking better, you’re happier, you’re in less pain. The parents were happier that we did something for their child.” Mount, a clinical nurse specialist, noted that the department’s overall turnaround time, medication time and patient satisfaction scores improved as a result of the research study. Patient satisfaction scores increased from 82 to 88 in six months and now stand at the 90th percentile, she said. The study also had a beneficial effect on the emergency nursing staff as a result of the teamwork approach. “They feel empowered, they are advocating for their patients, and they are happy to see the flow a lot easier with the doctors,” Mount said.

IENR Recognizes Poster Awards Program Judges The IENR gratefully acknowledges the following individuals for serving as poster judges for the ENA Leadership Conference 2012 Poster Awards Program: Janet Abbott Eckhart, EdD, MSN, RN; Carla Brim, MN, RN, CNS, CEN; Joan Eberhardt, MA, RN, CCRN, FAEN; Lisa Fetters, MSN, RN, CNS, CEN, CCNS; Van Haygood, Jr., PhD, RN, NE-BC; Vicky Keough, Phd, RN, CCRN, ACNP; Donna Mason, MS, RN, CEN, FAEN; AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN; Gale Plank, DNP, RN, R-CNS; Jean Proehl, MN, RN, CEN, CPEN, FAEN; Mary (Katie) Sigler, EdD, RN, ANP-BC; Tomi St. Mars, MSN, RN, CEN, FAEN; Stephen Stapleton, PhD, RN, CEN; Vicki Sweet, MSN, RN, CEN, CCRN, FAEN; and Lisa Wolf, PhD, RN, CEN, FAEN.

Your Duty to Expose Substance Abuse at Work “How many of you have ever reported a co-worker?” Allison Bolin asked. “Was it easy? God, no. It’s one of the hardest things you’ll ever have to do.” But drug and alcohol addictions among nurses are harsh realities that require your vigilance, Bolin, BSN, RN, CEN, CPEN, a rapid response nurse from Dominican Hospital in Santa Cruz, Calif., told attendees Feb. 25 at her presentation, Understanding and Preventing Workplace Substance Abuse. In fact, health care professionals face extra risk factors: extreme job stress, easy access to drugs, a tendency to self-medicate, a deep knowledge of medications and often a false sense of invulnerability to the drugs they prescribe. Complicating matters is that a health care professional with an abuse issue is typically well-educated, well-respected and able to maintain high performance standards. “Those of you that have dealt with this, were these nurses that you respected, that you expected to have a problem?” Bolin asked. “It’s like, ‘That can’t be.’ But yet it is.” Certain behavioral cues—visiting the department on days off, absenteeism or changes in medication documentation and administration, combined with apparent family and personal problems—can tip you off that something isn’t right with a co-worker. Anomalies in patient drug usage, a high rate of wasted medicine and volunteering to medicate other nurses’ patients also can be signs that someone is diverting drugs. The way to get a handle on these cases, Bolin said, is to have a strong drug policy in place and to confront the issue (with help and documentation) as soon as possible, preferably by offering help as opposed to strict disciplinary action. She stressed the importance of laying out timelines for consequences. Getting to the confrontation phase is the hard part, though. Only one or two out of five health care professionals will actually report a colleague for suspected substance abuse, she said. Inaction equals culpability, she emphasized, because an impaired nurse could be putting a patient’s safety at risk. That nurse’s own wellbeing also may depend on you. “It’s not about getting someone in trouble,” Bolin said. “It’s about saving a life. “ ‘What if I’m wrong? What if I accuse somebody of something that seems so heinous and I’m wrong?’ What if you don’t do it, and you’re right, and then they die?” Josh Gaby

Official Magazine of the Emergency Nurses Association

Straight From a CEO: Real Leaders Make the Rounds You can’t go wrong with rounding, Kenneth Cochran stressed in Essential Nurse Leadership Skills: What Your CEO Wants, his presentation on Feb. 26. A good manager, director or CEO will visit regularly with patients to make sure their experiences are positive, said Cochran, MBA, BSN, RN, FACHE, CAN-BC, CEN, who’s the president and CEO for the River Valley Health System in East Liverpool, Ohio, and the East Liverpool City Hospital. It’s also smart to round with the outside medical community that may be referring (or not referring) patients to your ED. Round on staff at least monthly, even if you work so closely with some of them that you figure you shouldn’t have to. It’s “the single best investment you can make on your staff,” Cochran said. “You know these nurses, you trained them, most of them you have had during nursing school and then you hired them, you know their family, you know their kids, you go to basketball, football events with them, and, ‘Why in the world do I need to sit down with them, because I know them?’” Cochran said. “And the reality is that you do not. You think you do, but what you learn in your one-on-one meetings is that they either assume that you have all the answers and your bosses are idiots or that you’re an idiot but they don’t want to deal with it because you’re best friends outside work.” Without scheduled meetings devoted to solving work issues, “They won’t tell you the problems they’re facing every day,” he said. Cochran started working at a hospital at age 16 and has been a flight medic, a paramedic, a travel nurse, a trauma nurse and an emergency nurse. In his position now, he recognizes the steps any nursing leader can take to grow his or her career. Start with professional development—joining an organization such as ENA, if you haven’t already, and pursuing a master’s degree. Cochran said he likes to see nursing leaders develop strong communication skills in terms of learning to say what they mean. Work on crafting a “personal brand” (e.g., a short “elevator speech” summing up who you are) and become involved in community groups. And always remember the most important commitment. “Although I went to the ‘dark side’ [as a CEO], I didn’t forget about what happens at the bedside,” Cochran said. Josh Gaby

Paramedics and Nurses: Working Together to Align the Planets In his session, Paramedics Are From Mars and Nurses Are From Venus—Bridging the Gap Between the Two, Kevin McFarlane, ADN, RN, CEN, EMT, discussed how to improve communication between pre-hospital and hospital roles to benefit providers and patients. “How many nurses here have a background in EMS?” he said. More than half the audience members raised their hands. McFarlane, who has both paramedic and emergency nursing experience, compared the different education and training backgrounds of paramedics and nurses, including research showing that nearly 50 percent of EMTs are volunteers. “You should see the passion in those people,” he said. McFarlane cited reports that show that the rate of patients coming to triage in the ED from EMS is increasing. EMS patients make up about 40 percent of hospital admissions. “They are a sicker group,” he said. “So EMS has become a partner for us in starting care.” McFarlane said what he misses most about working as an EMT is the ability to provide care in any setting. “They walk into cold scenes, hot scenes, a patient’s living room—they have a very different dynamic with the patient than we do in the ED,” he said. “Are those houses always safe? No, not always. Are those houses always clean? No. But if you go into a COPD patient’s house and you see the pillows propped up on the bed and the bunches of tissues on the nightstand, you get information that we wish we had when the patient comes into the ED later.” As the only health care professionals who see the scene where the patient is picked up, and who spend up to three hours in the back of an ambulance with a patient, EMS professionals often possess valuable insight into a patient’s condition. McFarlane described a scenario of an EMT who insisted her patient needed a trauma room, even though the patient had good vital signs and looked OK. “She said, ‘You didn’t see the car. They weren’t just hit by a car—the car was literally crushed,’” McFarlane said. “By raising our index of suspicion, she was able to say, ‘Take a look.’ It turned out the patient was much more injured than we thought.” Gaps in communication between EMS and the ED can occur during both face-toface and radio reports between paramedics to nurses, which can lead to a critical loss of information that affects patient care, McFarlane said. He encouraged nurses to use standardized report formats, such as SBAR, SOAP and CHART, as well as to listen for clues coming in over the radio. “You can tell a lot from a radio report,” he said. “Sometimes you can hear it in their voices.” Electronic medical record charting and non-verbal communication can also be obstacles to clear communication. “Paramedics can give you a lot of information if you give them the chance,” he said. “Go to their trainings and education. Do your best to promote good relations.” Amy Carpenter Aquino

May 2012

Keeping the Energy of Leadership Conference in Our Daily Lives By Alison Day, MSc, RN ENA Member Blogger – Warwick, England Six weeks have passed since I returned from the ENA Leadership Conference. As I flip through my notes and photos, memories flood back of my time in New Orleans—educational sessions attended, new and old friends connected with and a spirited city explored with zest. Putting into action some of the new knowledge gained is key when returning from a conference. Getting sucked back into the day-to-day rhythm is inevitable (as I am sure you can relate), but infectious enthusiasm pushed through the inescapable jet lag, allowing positive changes to take place. The reminder, “How you look: Calm. How you act: Helpful. How you communicate: Polite, reasonable,” is stuck on my fridge (as well as my work diary). The message of “tone,” as set out by Sue Hohenhaus in her keynote presentation, is as imperative when dealing with 3-year-old twins at home as it is in a challenging work environment! The transitioning of ideas between industries (aviation, military and emergency nursing) and at the interchange of home and work was a significant take-home point for me. Wrapping up the conference, Laura Schwartz passionately promoted networking through her presentation entitled Eat, Drink and Succeed. The term “networking” previously made me squirm, but Laura’s engaging and committed approach made me ponder on hidden opportunities to gain and share experiences with like-minded professionals and to review what I could offer them (as well as what they could offer me). Interacting with individuals always will be the highlight of any trip, whether personal or professional. Through the

conference, I met up with some of my colleagues from when I worked in Arizona 10 years ago, met fellow nurses within the exhibit hall and spent quality time with a good friend who was attending her first ENA conference. The city of New Orleans and its residents exuded a magical energy. The taxi drivers, the bartenders and the tour guides had a justifiable pride in being residents of this enticing and resilient city. Sharing my conference experiences with you has been a privilege (as was meeting some of you, including the ENA Connection team, face-toface). I return to my day job illuminated and empowered, raring to put into action the knowledge gained from this conference.

2012 Annual Conference

Refresh Revitalize Invigorate September 11-15 t San Diego

Resolutions: ‘One of the Most Important Things’ Continued from page 31 resolution topic ideas, audience members brought up issues of workplace fatigue, repeat emergency department visits for drug-seeking behavior, the use of capnography for intubated patients and pain management in the ED. “This is the ultimate in patient and nurse advocacy,” Moon commented. “This process shows how we are advancing the practice for the patient.” “For me, resolutions are our way to dictate our practice, rather than having others dictate our practice for us,” said Jordan. Since these informal meetings have been held at the State and Chapter Leaders Conference, there has been a significant increase in the number of clinical resolutions submitted for consideration at General Assembly.

OFFERING EDUCATIONAL AND NETWORKING OPPORTUNITIES FOR PROFESSIONALS CARING FOR EMERGENCY PATIENTS.

For more information, visit www.ena.org.

Official Magazine of the Emergency Nurses Association

ENA Foundation Event

Parade and Opening Reception

May 2012

Workplace Violence Prevention Summit Continued from page 10 Some of the things you will learn include how to: • Implement multi-faceted methods to foster synergy in the emergency department environment in regard to workplace violence prevention. • Employ effective communication strategies between security and safety professionals and emergency department staff. • Develop interdisciplinary violence prevention policies and procedures in the ED setting. • Integrate design elements that can mitigate violence in the emergency department.

Why You Won’t Want to Miss It Leave this summit with valuable knowledge from experts that can be implemented into your emergency department as you learn how to reduce workplace violence in your facility. The summit also will give attendees a chance to build relationships with other colleagues in their profession to collaborate and work together on this prevalent issue.

“Emergency nurses and health care professionals are routinely forced to deal with violence in the workplace,” Lenehan emphasized. “This conference will highlight numerous facets of workplace violence and what professionals can do to mitigate it within the health care setting. This is more than just a conference. This is a summit where we gather people together from regulatory agencies, professional associations and industries to put our heads together to collaborate and mitigate workplace violence.” Kevin Weeks, director of marketing for health care for Tyco Integrated Security, said Tyco is supporting the event to begin working toward three overall goals: collaboration between emergency nursing and health care security executives, raising awareness of workplace violence in health care facilities and providing educational opportunities to address challenges of workplace violence. “These challenges are not unique to either profession, and partnership across the organization can greatly enhance their ability to address the issues collaboratively,” Weeks noted. “ENA

and IAHSS have, and will continue to, collaborate on this industry-wide epidemic, and we will support those efforts in any way we can. “The goal is to let those who use our health care facilities know that violent behavior against clinicians and employees is not acceptable and is not simply ‘part of their job.’ This WPV Summit will be a very positive step in making our health care facilities’ environments a place to provide safe and secure patient care.”

Reference Emergency Nurses Association. (2010). Position Statement: Violence in the emergency care setting. Des Plaines, IL: Author. Retrieved from www.ena.org/about/position/position.

For more information on how you can attend the Workplace Violence Prevention Summit, please visit www. ena.org/coursesand education/ conferences/WVPSummit

Positioning ENA for Success

Town Hall Meeting

Continued from page 4

Continued from page 39

corporate sponsors, regulators and other strategic health care association partners. We are excited that we have several new professional emergency nurses working in key positions, including a new Chief Nurse Officer, Betty Mortensen, MS, BSN, RN, FACHE. Mortensen comes to us with a long history of progressive leadership in emergency departments, EMS and as a hospital chief nurse officer. With an advanced degree in organizational learning and as a fellow in the American College of Healthcare Executives, she is acutely aware of the industry trends and challenges and is poised to lead her team to help you help others. Mortensen’s areas of responsibility include the nursing divisions: the Institute for Emergency Nursing Research, the Institute for Quality, Safety and Injury Prevention and the Education Department. Mortensen also will provide oversight to ENA’s advocacy efforts, including Government Affairs. The IQSIP team is led by Kathy Szumanski, MSN, RN, NE-BC, and nursing staff include Briana Quinn, MPH, BSN, RN: Wellness and Injury Prevention, and Dale Wallerich, MBA, BSN, RN, CEN: Practice. The IENR team has a new director, Lisa Wolf, PhD, RN, CEN, FAEN, whom many of you know from her exceptional work as an internationally known emergency nurse researcher, author and presenter. The Education Department has two nurse editors, Alyssa Kelly, MSN, RN, CNS, CEN, and Marlene Bokholdt, MS, RN, CPEN, CCRN. By the time you read this, I expect we also will have a new director of Education. There are many other exceptional professionals who

work in these areas with our nursing staff; however, we are very pleased that we also have a core group of nurses supporting nurses and providing subject-matter expertise as well as association expertise on our staff. There are many things to celebrate at ENA: breaking the 40,000 member mark, record attendance at Leadership Conference 2012 in New Orleans and the development of new Emergency Nurse Resources and position statements that are drawing critical acclaim from regulators and industry leaders, just to name a few. The staff at ENA headquarters remains committed to continuing to provide you and the profession with support and the development and maintenance of high-quality educational programs, products and services. Change is inevitable. Without it, we cannot grow and flourish. ENA has an exciting future. I am confident in this future and in our organizational decisions. I firmly believe that we are more fully aligned with our mission and vision to be the ‘‘go-to’’ emergency care association, supporting emergency nurses globally to provide “safe practice and safe care.” C.S. Lewis said, ‘‘Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward.’’ We have let go of the monkey bars. We are … ENA. Stay safe,

Official Magazine of the Emergency Nurses Association

communication among current members, adding that she was focusing on mentoring and communication during her year as president of the Virginia ENA State Council. Board member Ellen (Ellie) H. Encapera, RN, CEN pointed out that the Component Relations and Membership Committee planned to explore how states can share best practices for issues such as member engagement and retention. ENA Chief Marketing Officer Beth Bernardi shared that the organization was looking at video conferencing and other economical ways to connect members, especially for state councils with members spread across vast rural areas. “This has been a nice, rich discussion,” Lenehan said in conclusion. “Thank you for coming, and thank you for continuing to do all that you do for ENA.”

READY OR NOT? |

Knox Andress, BA, RN, AD, FAEN

Evacuate!

Understand the Plan Before Disaster Forces You Out

Federal Emergency Management Agency

Are you ready to safely evacuate your emergency department or other areas of the hospital? What are the threats or circumstances that could cause your ED or hospital to evacuate? Where would you go? Whom would you contact? How would you be notified? How would you support your patients during the move? There are multiple recent examples of emergency department and hospital evacuation incidents. Many evacuations were attributed to sudden threats, while others were due to phenomena that came with earlier warning. Hospital evacuation has received increased attention from regulators and conference planners since the tragedy of Hurricane Katrina. Notable have been conferences focusing entirely on hospital evacuation, such as the Northern Virginia Hospital Alliance’s Hospital Evacuation Workshop on March 29 in Fairfax, Va.

Recent Evacuation Events

St. John’s Regional Medical Center bears the marks of the F5 tornado that raked Joplin, Mo., last May.

1. Tornado. On May 22, 2011, St. John’s Regional Medical Center, Joplin, Mo., and its emergency department had to evacuate after a catastrophic F5 tornado devastated the facility on a late Sunday afternoon. Many disaster and related emergency events seem to occur at night and on weekends. 2. Fire. Patients and staff of Jackson Parish Hospital and its emergency department in Jonesboro, La., were evacuated Nov. 10, 2011. Evacuation occurred after a fire in the laundry room sent heavy smoke throughout the facility.

3. Hazmat. On Dec. 5, 2011, most of the patients and staff of Island Hospital, Anacortes, Wash., including its emergency department, were evacuated to an adjacent facility after reports of a potential gas leak or other toxic odor. 4. Tropical storm. During the night of Aug. 28, 2011, the wind and flooding from Tropical Storm Irene caused the evacuation and closure of the Dorchester General Hospital and emergency department in Cambridge, Md. 5. Flood. At about 10:20 p.m. March 21, 2012, a water line ruptured and flooded the emergency

department of Great River Medical Center, Blytheville, Ark. The ED was evacuated and closed for repairs.

Reasons for Hospital Evacuation There are multiple risks and threats that can cause ED and hospital evacuation. In the article “Counting crises: US hospital evacuations, 1971–1999” in Prehospital Disaster Medicine, a meta-analysis of academic and newspaper databases reveals a number of partial and total hospital evacuations and their etiologies,

May 2012

including 275 hospital evacuation incidents occurring between 1971 and 1999. Evacuation incidents were attributed to internal fire (23 percent); internal Hazmat events (18 percent); hurricane (14 percent); human threats (13 percent); earthquake (9 percent); external fire (6 percent), flood (6 percent), utility failure (5 percent); and external Hazmat (4 percent). More than 50 percent of the hospital evacuations studied were caused by internal threats or hazards.

Planning for Evacuation Consider your hazards. What are the internal and external threats that might cause your hospital or ED to evacuate? What is your role in an evacuation? Begin by consulting your hospital emergency operations, hospital evacuation plan and/or departmental policy. Plan to deliver care in compromised environments, depending upon the hazard. Evacuation scenarios likely will include infrastructures deficits, such as a lack of electricity or water, resulting in a lack of structural integrity. Infrastructure and heating, venting and air conditioning outages subsequent to Hurricane Katrina affected hospitals in the New Orleans area and raised indoor temperatures in excess of 100 degrees with excessive humidity. Other compromised environments can come from incidents such as earthquakes and tornadoes that cause structural or wall collapses and broken glass. Emergency lighting, such as working flashlights with extra batteries stored in accessible locations, will be invaluable when electricity is lost.

Patient Movement A few considerations for patient movement in an evacuation include coordinating patient movement to alternate care sites or locations; identification of teams or individuals to physically assist patient movement out the door to staging locations; a process for providing medical records and possible critical medications; identification and staging transportation assets (both motorized and otherwise such as stretchers and wheelchairs); identification of clear/secure routes out of the hospital; a process for patient tracking; and planning for demobilization and patient repatriation or return.

There are several resources for hospital evacuation planning. The Hospital Incident Command System 2006, Hospital Evacuation Scenario, Incident Planning Guide and Incident Response guide is found at www.emsa.ca.gov/ HICS/files/Int_02.pdf. Developed and released after hurricanes Katrina and Rita, the Agency for Health and Research Quality offers the Hospital Evacuation Decision Guide (archive.ahrq.gov/prep/hospevacguide/), including multiple post-event and pre-event hospital evacuation considerations. Educate and exercise your evacuation strategy for possible day, night and weekend responses. Don’t forget to join the ENA emergency preparedness listserv for discussions on evacuation and other relevant topics.

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Official Magazine of the Emergency Nurses Association

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Member Benefits and Resources

Additional NEW Emergency Nursing Resources ENA develops Emergency Nursing Resources to bridge the gap between research and everyday emergency nursing practice. ENA recently added a fourth new ENR: Orthostatic Vital Signs. To access all of these new resources, visit www.ena.org/ienr.

Emergency Nursing: Scope and Standards of Practice The American Nurses Association has recognized emergency nursing as a specialty and approved the scope and standards of practice laid out within the book. The 2011 Emergency Nursing Scope and Standards of

Practice is updated to reflect current standards and best practice for use in developing training and departmental policies and procedures. Visit www.ena.org/shop to order your copy today.

ENA Member Savings Opportunities ENA members qualify for discounts on items such as insurance, travel, wireless products and services, car rentals, identity theft protection and prescriptions. To view all available discounts, visit www.ena.org, click on the membership tab and then member benefits. Be sure to log in to see the details.

ENA Career Centers: Your Path to Lifelong Career Success ENA LEADERSHIP CONFERENCE 2013 F O R T L A U D E R DA L E , F L

FEBRUARY 27 – MARCH 3

Job seekers may post a résumé, search for jobs and be notified of new listings while employers post openings and review a deep pool of qualified talent. Visit the new ENA Career Center at enacareercenter.ena.org/.

Mosby’s Nursing Consult: ENA Edition

Call For

Poster Abstracts Research and Evidencebased Practice Projects Don’t miss this opportunity to showcase your work on emergency department management, leadership and research

Mosby’s Nursing Consult offers users practice guidelines, FDA drug updates, evidence-based nursing monographs, skills demonstrations and competency testing information. To learn more, visit www.ena.org. (You will need to login as a member.)

Mosby’s Nursing Skills: ENA Edition Mosby’s Nursing Skills provide you with 20 new emergency skills each quarter, including competency, testing information, skills demonstrations/step-by-step instructions and checklists. To learn more, visit www.ena.org. (You will need to log in as a member.)

SUBMISSION DEADLINE Î AUGUST 1, 2012

May 2012

ENA STATE CONNECTION

New Jersey ENA State Council

NJENA Past President Lt. Col. Gwyn Parris-Atwell, MSN, RN, FNP, CS, CEN, and Maj. Barbara McCormick, MSN, RN, speaking to students about disaster preparedness.

State Council and Chapter Meetings and Events Arizona ENA State Council Annual educational conference, Hot Topics: April Presenter: Matthew F. Powers, MS, BSN, RN, CEN, MICP For more information: www.azena.org

Kansas ENA State Council Kansas ENA meets every other month. Meetings start at 10:30 am. June 8—Hutchinson Regional Medical Center, Hutchinson Aug. 10 (Annual Meeting)—Children’s Mercy South, Overland Park Oct. 12—Stormont Vail, Topeka Dec. 14—University of Kansas, Kansas City

Upcoming education: Annual Trauma Summit (to be announced).

CEN Review Oct. 15-16—Hutchinson Oct. 18-19—Lawrence Presenter: Jeff Solheim, MSN, RN, CEN, CFRN, RN-BC, FAEN For more information: www.kansasena.org and visit us on Facebook.

Kansas Chapter Meetings: Central Kansas ENA Meetings are planned at 7 p.m. for the fourth Monday of the odd months of the year. Exceptions will be the May, July and December meetings.

Eastern Kansas ENA May 9—Lawrence July 11— Topeka Sept. 19— Lawrence Nov. 14— Kansas City

Michigan Huron Valley Chapter Dinner and safety topic presentation: Aug. 8, 6 p.m. Location: to be announced. Presenter: Det. Brian Fountain, Detroit Police Department Year-end meeting: Oct. 21, 6 p.m. Location: University of Michigan, Ann Arbor

North Carolina ENA State Council State council meeting: Nov. 8 Eighth Annual Fall Conference: Nov. 9 Location: Wrightsville Beach For more information: www.nc-ena.com

13th Annual Southeastern Emergency Nursing Seaboard Symposium Registration early-bird deadline: April 18 Presessions: May 2-3 SESS Conference: May 4-6 Location: Sheraton Waterside Hotel, Norfolk, Virginia Presenters: 2012 ENA President Gail Pisarcik Lenehan, EdD, MSN, RN, FAEN, FAAN, Dr. Robert Lesslie and Allison Zmuda For more information: www.southeasternseaboardsymposium.org/register.htm

Nebraska ENA State Council Certified Pediatric Emergency Nurse Review Course: May 18 Location: Michael J. Sorrell Center for Health Education, Nebraska Medical Center campus, Omaha Presenter: Deb Potts, MSN, RN, CEN, CPEN For more information: amaze610@yahoo. com

Official Magazine of the Emergency Nurses Association

Submitted by Jessica A. Trivett, BSN, RN, CEN, EMT-B New Jersey ENA participated in the New Jersey Nursing Students 60th Convention Feb. 16-17 in Atlantic City, NJ. NJENA members exhibited in the exhibit hall and gave presentations on various topics related to emergency nursing. More than 180 students visited the state council’s booth and expressed interest in emergency nursing. Five NJENA members presented focus sessions during the conference. Cyndy Martinez, ADN, RN, CEN, presented The Humanitarian Nursing Experience, discussing differences in continual humanitarian need and disaster relief. She shared her experiences as a nurse on humanitarian missions in Kenya in 2008 and Haiti in 2010 as member of Project Helping Hands. Josh Isaacs, BSN, RN, spoke to the students about Opportunities for Nurses Within the Federal Disaster Medical Response and his work on the NJ DMAT team. Gwyn Parris-Atwell, MSN, RN, FNP, CS, CEN, also spoke about Disaster Preparedness. Jessica Trivett, BSN, RN, PCCN, presented The Emergency Nurses Association and Emergency Nursing. Unraveling the ABCs of Nursing Degrees and Family Presence were the two sessions presented by Anthony Angelow, MSN, CRNP, CEN, ACPN-BC. NJNS board members expressed gratitude for having so many speakers from NJENA and also expressed interest in attending the NJENA meeting during the NJENA Emergency Care Conference in Atlantic City in March.

Louisiana ENA State Council Submitted by Deborah Spann, ADN, RN, CEN During the October 2011 Louisiana ENA State Council meeting, a copy of the Louisiana Youth Concussion Act (Louisiana Act 314) was introduced to the group. This legislation was passed in the 2011 session of the Louisiana State Legislature. It involved all organized youth sports with a focus on identification of individuals with a Continued on page 50

MESSAGE FROM THE CHAIR | Laura Giles, BS, RN

Cooking Up a Brighter Future

The ENA Foundation 2012 State Challenge fundraising campaign started with a bang at the State and Chapter Leaders Conference Feb. 23 in New Orleans. As the Foundation chairperson, I was given the opportunity to speak to the state and chapter leaders about this year’s challenge theme and rewards. All leaders received a blue oven mitt imprinted with the Challenge theme: Cooking Up a Brighter Future. The oven mitt represents our ability to come together as emergency nurses and support one another. During the conference, the ENA Foundation received more than $20,000 toward the state challenge and another $49,000 was pledged by state councils and chapters. The Challenge was off to a great start. Like most donors, our passion for a particular cause and desire to improve our community are factors that often encourage us to support our professional or a community-based organization.

In addition, a key indicator that many donors look at before giving is how much of the money given actually supports emergency nursing education (scholarships) and research grants. In 2011, the ENA State Challenge fundraising campaign raised $112,000. Every penny (100 percent) of those funds raised in 2011 will be awarded back to ENA members in 2012. That amount represents only half of the dollars that the ENA Foundation will award in 2012. It is clear that the ENA Foundation is a conscientious steward of our contributions. A successful fund “raising” campaign is just like baking—you need to have the right mix of ingredients for your bread or cake to reach new heights. I urge you to personally join us in the ENA Foundation kitchen as we cook up a brighter future for emergency nursing research and scholarships. Your contribution to this national campaign will help emergency nursing to attain new goals. The 2012 State Challenge ends May 31. We need everyone’s support to reach the 2012 goal of $115,000. Everyone can do something, whether it is a state council or chapter gift or an individual gift. The state councils, chapters and individual members are the most important ingredients as we collectively cook up a brighter future. Every donation counts toward the available scholarships and research grants available for 2013. Join us in the kitchen and help us Cook Up a Brighter Future for emergency nurses.

Visit www.enafoundation.org for the following: • Make your donation to the ENA Foundation State Challenge today. • See how your state is doing in the 2012 State Challenge. • Get more information on available ENA Foundation scholarships and research grants.

State Connection Continued from page 49 suspected head injury. Dissemination of the information was accomplished by multiple methods: • The state Office of Public Health sent messages to local government agencies, which then distributed them to all community recreational coaches. • The Department of Education sent letters to all school principals to address coaches of all sports. • The Louisiana Emergency Response Network posted the legislation on its website and also provided a direct link to the Centers for Disease Control and Prevention website where further information and supporting materials could be found. Louisiana ENA viewed this as an opportunity to advocate for injury prevention. We discussed this

valuable legislation, its origin and the epidemiology of head injuries and formulated a plan to disseminate the information within our state. We formed a plan to purchase multiple sets of the Concussion Goggle Kits and use these kits along with the CDC training information. The plan included placing the kits strategically throughout the state to meet the needs of the communities served. A decision was made to target two distinct groups: student nursing programs and high school students. Our plan became fully operational when we were invited to attend the 2012 Louisiana State Student Council Association’s annual meeting in January. This successful event was quickly followed by an interactive session conducted with the student nurse population at Nicholls State University.

Requests have been coming in from all over the state for ENA members to speak on talk radio, to present the program for community and school-based athletic programs and to share the program at schools of nursing for those in the pediatric and neurological rotations. The Concussion Goggle is a hands-on awareness tool that is specially made to simulate the potentially debilitating effects of traumatic brain injuries. This program can be delivered as a stand-alone program or as a supplement to an existing safety presentation or curriculum. Most important, this program can be modified for any group. This is a powerful tool that can be easily incorporated into any injury prevention program.

May 2012

BOARD HIGHLIGHTS | February/March 2012

Board Meeting Actions and Highlights The ENA board of directors met Feb. 22 in New Orleans. All members of the board of directors were present and took the following actions: • Approved the Dec. 8, 2011, board of directors finance meeting minutes as amended. • Approved the Dec. 9, 2011, board of directors meeting minutes as amended. • Approved the Advanced Practice in Emergency Nursing position statement as amended. • Approved three new Emergency Nursing Resources as presented: ° Difficult Intravenous Access ° Non-invasive Temperature Measurement in the Emergency Department ° Wound Preparation • Charged staff to notify four states that they have 30 days in which to file for reinstatement of their tax-exempt status and to notify two other states that they have 30 days to file their IRS Form 990 for 2010. Failure to take these actions will result in suspension of the state council’s charter after the 30-day period, which will include suspension of assessment payments from ENA. • Approved the release of $100,000 to state councils: $50,000 to be used for education and an additional $50,000 set aside for sometime in 2012 that can be applied for. • Approved a donation of $50,000 to the ENA Foundation; the board will determine where the ENA Foundation donation would be directed following input from the ENA Foundation management board. • Approved the following board governance policies as submitted: ° Policy 2.03, Member Acknowledgement ° Policy 3.07, Executive Session ° Policy 3.16, Speaking on Behalf of National ENA • Approved a proposed bylaw amendment regarding parliamentary authority, authored by the board of directors, for presentation to the 2012 General Assembly. • Approved a proposed bylaw amendment regarding board of directors eligibility, authored by the board of directors, for presentation to the 2012 General Assembly. • Approved a proposed bylaw amendment regarding Resolutions Committee responsibilities, authored by the board of directors, for presentation to the 2012 General Assembly. • Approved adoption of a revised international delegate application. The revised application includes a narrative section which is worth 100 points if the question is completed and worth zero points if the question is not completed. • Approved opening the Emergency Nursing Pediatric Course to all clinical team members who care for children in an emergency care setting by the rollout of the 4th edition of the ENPC course and manual. • Approved the Social Media by Emergency Nurses position statement as amended. • Approved the American Academy of Ambulatory Care Nursing position statement, Role of the RN in Ambulatory Care, as written. • Approved that ENA move forward on collaboration with Genentech on the development of a Learning Management System-based stroke education program. • Approved the following consent agenda items: ° Approved the Nurse Practitioners and Retail Health Care Clinics position statement as presented. ° Approved the All Hazards position statement as presented. The ENA board of directors met March 21 via teleconference. All

Official Magazine of the Emergency Nurses Association

members of the board of directors were present and took the following actions: • Approved the Jan. 18 conference call minutes as amended. • Approved the Feb. 13 e-mail vote minutes as presented. • Deferred approval of the Feb. 22 meeting minutes to the April meeting. • Approved the disposition of the 2011 ENA grant to the ENA Foundation; $20,000 will be directed to the permanent endowment fund and $30,000 to the general unrestricted fund. • Agreed to sunset the ENA/American College of Emergency Physicians joint statement: Delivery of Agents for Procedural Sedation and Analgesia by Emergency Nurses. • Adopted the Weighing Pediatric Patients in Kilograms position statement as presented. • Discussed disseminating the Trauma Nursing Core Course in underdeveloped countries. • Approved the following committee appointments as presented: ° Yvonne Prowant, BSN, RN, CEN, to the Emergency Nursing Wellness Committee. ° Margaret J. Carman, DNP, MSN, RN, CEN, ACNP-BC, to the Institute for Emergency Nursing Research Advisory Council. Highlights of the next scheduled board of directors meeting will be published in a future issue of ENA Connection.

Louisiana State Host Ambassadors Thank You

for your time and assistance during the ENA Leadership Conference 2012.

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