ena connection, november 2014
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connectionNovember 2014 Volume 38, Issue 10
the Official Magazine of the Emergency Nurses Association
teamed upAT THE TABLE
ENA and Partners Are Steering National Dialogue on ED Security and Food Allergies PAGES 6 - 8
§ 17 Interactive Modules § 15.21 Contact Hours § Geriatric Evidence-based Research
Purchase Today Group Pricing Available
www.ena.org/GENE or 847.460.4073
Comprehensive Online Course to Help Improve Patient Outcomes for Older Adults
The New Geriatric Course Provides the Tools to:
§ Assess special needs of older adults
§ Implement best geriatric practices
§ Coordinate care for better patient outcomes
The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
GENE Ad_Connection_Full_11 2014.indd 1 10/2/14 1:40 PM
Safety in Every Moment
FROM THE PRESIDENT | Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPENDates to Remember
PAGE 4Free CE of the Month
PAGE 12ENA Foundation
PAGE 18Academy of Emergency Nursing
PAGES 22CourseBytes
PAGES 23Members in Motion
Regular Features
PAGE 5New White Paper on Affordability Through Patients’ Eyes
PAGE 6Healthcare Security/Safety Leaders Join ENA Against Workplace Violence
PAGE 8ENA Part of Awareness Efforts for Food Allergies, Anaphylaxis
PAGE 10Repeat ENA Election Candidates: What Keeps Them Coming Back
PAGE 13ENA Connection Reader Survey: What We’ve Found
PAGE 14Reworking the Menu at the Journal of Emergency Nursing
PAGE 15Meet the Deputy Executive Director for Member Relations
PAGE 20The Emergency Management and Preparedness Committee Reaches Out
ENA Exclusives
A patient-safety expert recently asked me how often emergency
nurses should think about patient safety. My answer: ‘‘All the
time.’’ When he asked how often we actually think about patient
safety, I replied, ‘‘Probably not enough.’’
Every interaction with a patient should start with a thought about
safety. When I was an EMT student, the first thing I learned about
was scene safety. Never focus solely on the patient when you are walking up to the scene.
Instead, take a look around, survey the scene and determine if it is safe for you to approach
the patient. As a lifeguard, I learned to make sure I was always safe and that it isn’t always
safe to go into the water to rescue someone.
As an emergency nurse, I have learned many things in the last 17 years. I have learned to
perfect an across-the-room-assessment. I can rattle off dosages of the most common
medications we give to children in an emergency department. I am incredibly skilled at
drawing epinephrine into 1 mL syringes without spilling a drop. And I can talk a 3-year-old
into doing just about anything. However, it’s only been in the last five years that I have really
thought about safety in the ED.
There is much on our plates these days. In addition to direct patient care, we are
electronically documenting, measuring for meaningful use, scanning medications, rounding
hourly, negotiating with families, partnering with multidisciplinary members of the healthcare
team and watching out for our co-workers. In many EDs, patient satisfaction has become the
No. 1 priority. Many of us are under pressure to provide excellent customer service in an
environment where everyone is doing the best they can with limited resources.
What if we shifted our focus? Perhaps, instead of customer service, we focused on
providing error-free care in a safe environment. Imagine weaving safety into absolutely
everything thing you do in the ED. Here are some ideas:
• Start before you head to work, when you are assessing whether you are too sick to
practice safely.
• To create an environment that fosters safe practice, create patient assignments that pair
a newer nurse with a clinical expert on a team.
• No interruptions allowed when you are in the medication room, as your
teammates understand how interruptions lead to errors.
• Clear, closed-loop communication with every interaction
with each and every team member.
• Patients are referred to by name, not room number.
• ID band checks at every patient handoff.
• Partnering with patients and families to facilitate safe
practice.
• Stopping the line when patient safety is in jeopardy.
• Teamwork and collaboration across all disciplines.
• Near-misses reported regularly.
• A system of continuous improvement in place to
address systems and processes in need of
improvement.
Continued on page 19
Dec. 2, 2014 Deadline to apply for the Academy of Emergency Nursing’s 2015 Class of Fellows
Feb. 4, 2015 Deadline for applications for 2015 ENA Annual Achievement Awards
Feb. 25, 2015 Deadline to apply for 2015 Lantern Award
Assessing pediatric patients is this
month’s focus in the latest free
continuing education offering
from ENA.
Available to you starting Nov. 1 . . .‘‘What’s the Score? Pediatric Early-Warning
Scores,’’ presented by Alison Day, MSc, BSc
(Hons), RN, and Carol Oldroyd, MSc, BSc (Hons),
PGCE, RGN, RNT.
Formulating a standardized and valid tool to
identify an ill or clinically deteriorating pediatric patient can be
challenging because of children’s varying physiological parameters.
Learn to get the most of pediatric early-warning scores, one of the
numerous tools available to emergency nurses.
To take this and other eLearning courses free as an ENA member:
• Go to www.ena.org/freeCE, where you’ll log in as a member
(or create an account).
• Add desired courses to your cart and
‘‘check out.’’
• Proceed to your Personal Learning Page to start or
complete any course for which you have registered or to
print a final certificate.
• To return to your Personal Learning Page later, go to
www.ena.org and find ‘‘Go to Personal Learning Page’’
under the Education tab.
Please be sure you are using the e-mail address associated with
your membership when logging in. If you have questions about
any free eLearning course or the checkout process, e-mail
ENA Connection is published 11 times per year from January to December by: The Emergency Nurses Association
915 Lee Street Des Plaines, IL 60016-6569
and is distributed to members of the association as a direct benefit of membership. Copyright ©2014 by the Emergency Nurses Association. Printed in the U.S.A.Periodicals postage paid at the Des Plaines, IL, Post Office and additional mailing offices.
POSTMASTER: Send address changes to ENA Connection915 Lee StreetDes Plaines, IL 60016-6569ISSN: 1534-2565Fax: 847-460-4002 Website: www.ena.orgE-mail: [email protected]
Non-member subscriptions are available for $50 (USA) and $60 (foreign). For editorial inquiries, e-mail [email protected]
Publisher:Kathy Szumanski, MSN, RN, NE-BCEditor-in-Chief:Amy Carpenter AquinoAssociate Editor:Josh GabySenior Writer:Kendra Y. Mims
BOARD OF DIRECTORSOfficers:President:
Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN
President-elect: Matthew F. Powers, MS, BSN, RN, MICP, CEN
Secretary/Treasurer: Kathleen E. Carlson, MSN, RN, CEN, FAEN
Immediate Past President: JoAnn Lazarus, MSN, RN, CEN
Directors:
Ellen (Ellie) H. Encapera, RN, CENMitch Jewett, AA, RN, CEN, CPEN Michael D. Moon, PhD, MSN, RN,
CNS-CC, CEN, FAENSally K. Snow, BSN, RN, CPEN, FAENJeff Solheim, MSN, RN-BC, CEN,
CFRN, FAENJoan Somes, PhD, MSN, RN-BC, CEN,
CPEN, FAEN, NREMT-PKaren K. Wiley, MSN, RN, CEN
Executive Director: Susan M. Hohenhaus, LPD, RN, CEN, FAEN
Member Services: 800-900-9659
Trauma Nursing Core Course international instructors gathered at the Global Conference on Emergency Nursing and Trauma Care in Dublin in September. From left: Kathleen Carlson, MSN, RN, CEN, FAEN (United States); Harriet Hawkins, RN, CPEN, CCRN, FAEN (U.S.); Dianna Gillespie, RN (United Kingdom); Donna McGeary, RN (U.K.); Kevin Randall, RN (U.K.); Phil Johnson, RN (U.K.); Geraldine Byers, RN (U.K.); Jill Windle, RN (U.K.); Liz Cloughessy, MHA, RN, FAEN (Australia); Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN (U.S.); Paula Bemert, RN (U.K.); Gabby Lomas, RN (U.K.); Grant Williams, RN (U.K.); Gary Jones, RN (U.K.); Eoin McAinn, RN (Ireland); Jean Proehl, MN, RN, CEN, CPEN, FAEN (U.S.); Michael Moon, PhD, MSN, RN, CNS-CC, CEN, FAEN (U.S.); and Carole Rush, MEd, RN, CEN, FAEN (Canada).
TOP O’ THE MORNING WITH TNCC
Official Magazine of the Emergency Nurses Association 5
A white paper from the National Quality Forum,
‘‘Measuring Affordability From the Patient’s Perspective,’’
released Sept. 16, addresses healthcare affordability from the
patient perspective. The report was funded with a grant from
the Robert Wood Johnson Foundation.
As health insurance premiums have increased by almost
130 percent in the last decade, healthcare costs have also risen
and become a significant burden on Americans, according to
the NQF’s research. The NQF gathered information this March
during a two-day meeting of stakeholders, including patients,
consumers, health plan administrators, researchers, clinicians
and community health experts.
Key findings include the following:
• Patients judged the affordability of healthcare based on
how much of their budget it consumed.
• Patients also considered associated costs, such as lost
work days, increased child-care fees and co-pays.
• Patients shopped around for the highest-quality care at
lowest possible cost.
• Different groups of patients made decisions based on
their health status; someone who managed a chronic health
condition would use a different decision-making process
than a consumer with an acute condition.
The report also outlined the common challenges facing
patients in their search for affordable healthcare:
Difficulty Navigating the Healthcare System: Patients
expressed frustration with understanding how the healthcare
system works. Patients need to be included in the
development of tools to improve system navigation to ensure
the tools are accessible, understandable and actionable.
Understanding What Questions to Ask: Based on their
lack of knowledge about the healthcare system, consumers
expressed little confidence in their ability to determine if a
treatment was affordable.
Confusing and Uncoordinated Healthcare Billing:
Patients were frustrated by confusing billing terminology,
receiving multiple bills for the same treatment and managing
bills for chronic conditions.
Finding Out Prices and Costs in Advance: Patients do
not know the price of healthcare procedures and services.
Cost estimates should be more readably available to help
patients make informed decisions.
Difficulty Obtaining Meaningful, Usable Information
About Quality: Patients want more information on healthcare
options but don’t know where to find it.
What Does Healthcare Affordability Mean to Patients?
ENA’s efforts to collaborate with
industry partners on the issue of
violence in the emergency department
continued when the organization
hosted representatives of the
International Association for Healthcare
Security & Safety on Aug. 21.
ENA representatives included
Deena Brecher, MSN, RN, APN,
ACNS-BC, CEN, CPEN, 2014 president;
Matthew F. Powers, MS, BSN, RN,
MICP, CEN, 2014 president-elect;
Kristine Powell, MSN, RN, CEN,
NEA-BC, Emergency Department
Operations Committee member; Susan
M. Hohenhaus, LPD, RN, CEN, FAEN,
executive director; Catherine Olson,
MSN, RN, director of the Institute for
Quality, Safety and Injury Prevention;
and Lisa Wolf, PhD, RN, CEN, FAEN,
director of the Institute for Emergency
Nursing Research.
Representing IAHSS at the meeting,
held at ENA headquarters in Des
Plaines, Ill., were Tony York, CPP,
CHPA, past president; Tim Portale and
Kevin Tuohey.
Emergency nursing and hospital
security share the same goals in
addressing violence in the ED. A
starting point for better collaboration is
sitting down at the same table.
That’s happening at some facilities.
Powell, director of emergency services
at Baylor Scott & White Health in Texas,
shared at the meeting that her ED has
been inviting the hospital’s public safety
department representatives to safety
meetings for the last two years.
‘‘When we first reached out to our
DPS at Baylor and said, ‘We’d like you
to start coming to our ED Safety
Committee meetings,’ they were really
excited,’’ Powell said. ‘‘We thought
we’d get one person there … and they
showed up in full force. Honestly, why
didn’t we think of this sooner? We’ve
had this ongoing issue for years.’’
The group discussed how for any
collaboration to be effective, there
needs to be shared understanding of
terminology, particularly around the
types of patients who pose a potential
security threat in the ED.
‘‘How are we defining high-risk
patients?’’ York asked. ‘‘Even in our
conversation this afternoon, we’ve
used ‘behavioral health,’ which we all
agree is a limiting term, but who
represents this, and how do we define
the patients themselves who are
creating the concern, and what
characteristics and traits of that patient
are we most concerned about?’’
Patients who present potential
security issues include those at high
risk for elopement or suicidal ideation
and those with a history of violent acts
or aggression, among others.
‘‘I think it’s important that we have
clarity amongst ourselves to be able to
define ‘when do we start taking
different action,’ because now this
individual is in our care setting, and
this is now changing the way that we
are rendering care,’’ York said.
Wolf suggested a short-term data
collection period looking at three
different types of hospitals —
including a large urban hospital, a
critical access hospital and a
community hospital — to get a sense
of what people feel is important and
why regarding their own patient
population and security needs.
‘‘People may say, ‘What we really
want is armed security guards,’ but for
whose safety is that?’’ Wolf said. ‘‘Do
6 November 2014
SAFETY
By Amy Carpenter Aquino, ENA Connection
‘LEAN ON US’ENA Partners With Healthcare Security and Safety Leaders About ED Violence
DEENA BRECHER, ENA President
“It’s not whether you have a gun or a Taser — it’s really, ‘What’s my relationship with the staff that I’m working with?’ I think about all the places I’ve been, and the places where we had
a relationship with our security officers were the places that you felt the most safe.”
Official Magazine of the Emergency Nurses Association 7
Attending the Aug. 21 meeting between ENA and the International Association for Healthcare Security & Safety were (back row, from left): ENA senior administrative assistant Ashley Daly; ENA executive director Susan M. Hohenhaus, LPD, RN, CEN, FAEN; Tim Portale and Kevin Tuohey of IAHSS; Catherine Olson, MSN, RN, director of the Institute for Quality, Safety and Injury Prevention; Lisa Wolf, PhD, RN, CEN, FAEN, director of the Institute for Emergency Nursing Research (on screen via video conferencing); 2014 ENA President Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN; IAHSS past president Tony York, CPP, CHPA; (seated, front) 2014 ENA President-Elect Matthew F. Powers, MS, BSN, RN, MICP, CEN; and Kristine Powell, MSN, RN, CEN, NEA-BC, of the Emergency Department Operations Committee.
you feel safer? Do the patients feel
safer? Does it actually make a
difference? This is the sticky point in
any of these interventions —
understanding the perception of safety
and the result of safety.’’
The relationship piece (or lack of
relationship) is what matters most
when measuring how secure ED staff
feel in their facility, Brecher said.
‘‘It’s not whether I have a gun or a
Taser — it’s really, ‘What’s my
relationship with the staff that I’m
working with?’ ’’ she said. ‘‘I think
about all the places I’ve been, and the
places where we had a relationship
with our security officers were the
places that you felt the most safe.’’
Based on input from the ENA
member listserv, a definition of the
high-risk patient is important to
members. ‘‘How do I know what to
look for so that I know what to do?’’ is
a common question on the listservs,
Hohenhaus said.
‘‘I think we absolutely need to define,
and I see the educational product
coming from that,’’ Brecher said.
Tuohey suggested that joint studies
— such as mining data to identify
hospitals that have very good or poor
ED staff-security relationship scores
and beginning a benchmarking process
— would help raise the visibility and
professionalism of hospital security and
erase the ‘‘Barney Fife mentality’’ that
exists in some facilities.
‘‘We want to draw and quarter
Barney Fife, too,’’ Brecher said. ‘‘From
our members’ perspective, the people
sitting here at this table can say that
that is not what hospital security needs
to look like in 2014. And so how do
we partner to identify and share those
best practices?’’
Workplace violence is top of mind
right now, Brecher said, which is why
ENA is leveraging its partnerships to
bring more focus and more funding to
the issue. Collaborating with ED
designers on design guidelines is
incredibly important, for example.
‘‘Every ED now is thinking about
space and how to use space,’’ Brecher
said. ‘‘To start from the beginning and
make safety and security the No. 1
priority when you’re designing an
emergency department, and not how
many beds am I going to squish into a
floor plan, that is going to be really
important from a nursing leadership
perspective.’’
Multiple opportunities to enhance
an ongoing partnership, including joint
position statements, studies,
collaborative reviews and routine
meetings of organizational leaders, will
work to raise awareness of the issue
and the organizations’ commitment to
provide a safe working environment
for all ED patients and staff.
‘‘We are representative of a lot of
people who are trying to change your
perceptions and your colleagues’
perceptions and the industry’s
perceptions of protection, and how do
we raise that bar together?” York said.
‘‘Know that your safety, that of your
colleagues and the patients, are very
important to all of us. We take it with
great seriousness.
‘‘We’re going to do some good
things, and we’re excited about this.
So lean on us.’’
8 November 2014
PRACTICE AND SAFETY
F ood allergies are the No. 1 cause of anaphylaxis, affecting
up to 15 million Americans, including one in 13 children,
according to the Food Allergy Research & Education
organization. Reactions to food allergies, which can be
life-threatening, send someone to the emergency department
every three minutes in the United States.
On Sept. 18, ENA participated in a national,
multidisciplinary conference sponsored by FARE to inform
healthcare providers about the prevalence of food allergies
and anaphylaxis and the need for immediate treatment with
epinephrine.
‘‘It was a very exciting, collegial exchange,’’ said Catherine
Olson, MSN, RN, director of the Institute for Quality, Safety
and Injury Prevention. Nurses, emergency physicians,
allergists, pharmacists and policymakers were among the
attendees. Olson and ENA member Rebecca Steinmann, MSN,
RN, CEN, FAEN, represented emergency nursing.
Attendees learned that healthcare providers should not
delay in giving epinephrine for anaphylactic reactions, as
delays can result in poor patient outcomes.
‘‘There’s no reason not to give epinephrine. The studies
have shown that there is very minimal risk in giving
epinephrine and giving it as soon as possible,’’ Olson said.
One of the most important results of the conference was
the opportunity for providers across the healthcare spectrum
to increase collaboration regarding how they handle
treatment of patients with allergies and anaphylaxis.
‘‘This was time to pull together and really get
collaborative in how we establish
protocols, so there is consistency
in how EMS, ED and
allergists are treating
anaphylaxis,’’
Olson said.
The development of a future consensus guideline for
treatment was a major focus of the event, as was discharge
criteria that emphasizes to patients — especially those who are
newly diagnosed — the need to follow up with an allergist.
Another eye-opener was hearing the personal stories of
parents of children with severe food allergies. The three
parent participants are very active, passionate advocacy
leaders who shared their personal situations and experiences
working throughout the country to raise awareness of the
risks of food allergies and anaphylaxis in children.
Attendees also learned they should give discharged
patients an epinephrine auto-injector in addition to a
prescription to take home in case of an emergency. More
information is available on the FARE website (www.
foodallergy.org). A new discharge toolkit created in
partnership by FARE and ACEP contains information helpful
to a newly diagnosed patient or a patient who is discharged
with anaphylaxis. That toolkit can be downloaded in English
or Spanish at www.allergicreactiontoolkit.com.
READY FOR THE REACTION
ENA Part of Efforts to Raise Awareness of Food Allergies and Anaphylaxis
By Amy Carpenter Aquino, ENA Connection
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November 201410
Winning a director or officer
position on the ENA Board of
Directors takes persistence and a strong
belief in yourself and your message.
The decision to run usually starts at the
local level — members are appointed
to a chapter committee, then rise
through the ranks of state offices and
national committee positions before
considering their potential to win a
national ENA elected position.
Mary Ellen (Mel) Wilson, 2004 ENA President
That was the path
Mary Ellen (Mel)
Wilson, MS, RN, FNP,
CEN, COHN-S, FAEN,
followed. Wilson
served on a
committee in her local
chapter in New York
and became the committee chairperson
and then chapter president. She
repeated the pattern at the state level,
serving on a state council committee
before becoming the chairperson, then
the chapter representative to the New
York ENA State Council.
‘‘Eventually,’’ she said, ‘‘I was
approached to see if I would like to
become president of the New York
State Council. I thought about it, and I
thought, ‘OK, I can do this because I
could give back.’ ’’
It was after serving as state council
president and being appointed to a
couple of national committees,
including the Annual Conference
Planning Committee, that Wilson ‘‘got
bit by the bug’’ and decided to pursue
a national ENA board position.
That was where her path abruptly
stalled. After handily winning every
chapter and state election she took on,
Wilson lost in her first bid to serve on
the ENA Board of Directors.
‘‘I think the initial decision to
actually run for a national office is the
one that’s the hardest because you’re
putting yourself out there to the
world,’’ Wilson said.
She took the loss in stride and ran
again the next year. She ran three
times before winning a director term.
The first time she was elected, Wilson
said, she felt ‘‘overwhelmed and
honored, enormously blessed that
people believed in me that much to do
the job.’’
She advises potential national ENA
board candidates to persevere and to
not take a loss personally.
‘‘If you believe in yourself, that you
know you can offer the members your
expertise and your willingness to serve
them, then go for it,’’ said Wilson, now
the past ENA board member on the
Nominations Committee.
Ellie Encapera, 2014 ENA Board of Directors
Encapera, RN, CEN,
quickly found her
call to serve ENA
after joining in 1988.
‘‘I got really active
within a year because
I admired so many
people that were
members,’’ she said.
She went up through the ranks of
chapter and state committees and
officer positions, becoming involved
nationally in the late 1990s while
serving on the Membership Committee.
‘‘The more I did, the more I
wanted,’’ Encapera said, recalling
getting caught up in the shared
enthusiasm of members serving at the
national level. ‘‘I loved the work, I
loved the people, and that’s what made
it enjoyable, and that’s what makes you
come back time and time again.’’
Like Wilson, Encapera also ran in
national elections three times before
securing a term on the board. Although
it took persistence, Encapera took
inspiration from her unwavering
commitment to promoting membership
recruitment and retention. Maintaining a
strong membership base is vital to the
future of ENA, ensuring that emergency
nurses are the ones who dictate what is
best for nursing.
Roll With That PassionTake It From Three Repeat Candidates: Love For ENA, Commitment to Serve Are Stronger Than Any Setbacks While Seeking OfficeBy Amy Carpenter Aquino, ENA Connection
Mel Wilson
Ellie Encapera
‘‘I think it’s important to have a
purposeful message and a desire to
pursue your dreams,’’ Encapera said.
She advises national candidates to
make sure they’re ready and to have
experience at both the local and state
levels of ENA, if they live in a three-
tier state, so that they understand the
business of the organization.
‘‘Get your message out and make
certain that you speak honestly and
from the heart, and that you’re not
there for personal gain but because
you have a passion for what you’re
doing,’’ she said.
JoAnn Lazarus, 2013 ENA President
JoAnn Lazarus, MSN,
RN, CEN, who has
served as president of
two ENA state
councils — Texas and
Louisiana — was first
elected to the ENA
Board of Directors in
2002. She has been an active ENA
member for more than 30 years.
Lazarus ran for ENA president-elect
four times before winning in 2011.
‘‘My first thought after every
election was, ‘I’m not doing this
again,’ ’’ she said. After working
through the emotion of the loss, she
asked herself, ‘‘Is this something that I
really want to do, and am I willing to
put myself out there again?’’
After some soul-searching, Lazarus
always came back to the fact that she
had dedicated much of her life to
emergency nursing and she had
something to give back.
‘‘If you have that commitment to this
specialty of emergency nursing and you
have the commitment to ENA, and you
think you have something to offer, then
you need to do it,’’ she said. ‘‘The
people who get on the board are no
different than the people who are
members of this organization. We just
choose to put our names out there. And
if you never do it, you’ll never know.’’
Lazarus said support from her family
was equally important. Her husband
reminded her that Abraham Lincoln lost
several elections for various offices
before becoming president.
‘‘I’m not using this analogy about
myself and Lincoln in any form or
fashion, but just to say if this is your
vision, if this is your passion, if this is
where you truly want to be and feel
like this is the place for you, then you
have to pursue it,’’ she said.
Official Magazine of the Emergency Nurses Association 11
Call for 2015 ENA Election CandidatesThis fall, watch www.ena.org for application information for candidates seeking election in 2015 to serve on the ENA Board of Directors and the Nominations Committee. For questions, contact Executive Services at 800-900-9659, ext. 4095, or e-mail [email protected].
JoAnn Lazarus
November 201412
ENA FOUNDATION
Winning the ENA Foundation’s
2013 Charles Kunz Memorial
Undergraduate Scholarship has
done so much more for Bee
Potter, RN, than help to
advance her education.
Potter, a nurse at Brigham
and Women’s Faulkner
Hospital’s Emergency
Department in Boston, had
been working toward earning
her bachelor’s degree slowly, able to
pay for just one class at a time. But the
scholarship allowed her to take two
classes at once for the first time.
Returning to school also has helped
Potter to improve her patient care,
even before her graduation day.
‘‘I think it’s just made me a more
well-rounded nurse,’’ she said. ‘‘I’ve
got more to pull on than just my
experience.’’
Potter is not alone. Each year, the
ENA Foundation awards
thousands of dollars in
scholarships and grants to
nurses like Potter who are
working to advance their
educations and conduct
important research. It’s thanks to
generous donors that the ENA
Foundation is able to do so.
Gathering with friends and
family at Thanksgiving is a time
when we contemplate what’s
important, as well as the many
things we’re thankful for in our lives.
What better way to express that
gratitude than with a donation to the
ENA Foundation? ENA Foundation
donors get a chance to experience the
wonderful feeling that comes from
helping people like Potter become
better emergency nurses, and equipping
them to provide the best possible care.
For Potter, winning the Charles Kunz
Memorial Undergraduate Scholarship
affirmed her love of nursing, in addition
to providing financial help.
She says it has sparked a
new interest in government
affairs and opened her eyes
to the many ways nurses can change
healthcare for the better.
Potter also says the scholarship
serves as an important re-affirmation of
her role as a nurse, adding that the
encouragement she received when she
applied for the scholarship was worth
nearly as much as the scholarship
itself. When she’s in the midst of a
tough course or overwhelmed with
homework, remembering she is a
scholarship recipient gives her the
reinforcement and encouragement she
needs to succeed.
‘‘It’s a nationally awarded
scholarship, and when you’re awarded
something nationally, it makes you feel
like, ‘I’m in the right field. I’m doing
the right thing. I’m on the right path,’ ’’
she said. ‘‘There were people who
believed in me. I can do this.’’
THE GAINS FROM YOUR GIVINGBehold the Difference a Donation Can Make in One Nurse’s GrowthBy Alexandra Pecci, for ENA Connection
Bee Potter
QUALITY PLAYBACKSenior staff from the St. Mary Mercy Hospital Emergency Department in Livonia, Mich., were recently honored for their innovative work with the local coalition STARForUM (Safe Transition of All Residents for yoU & Me). The group was recognized as a 2012 Robert Wood Johnson semifinalist for its video on transitions of care for older adults and as a 2013 solution by Nurses Improving Care for Healthsystem Elders.
Results are in on an ENA
Connection readership survey
sent to a random sample of
U.S.-based members this summer
to determine readership habits,
satisfaction with certain features
and more. Among the findings:
• More than four in five
respondents report reading every
or almost every issue of ENA
Connection, with four in five
indicating they read 50 percent or
more of each issue.
• More than four in five read
ENA Connection in print format
only, with 15 percent reading the
PDF version of the magazine
available at www.ena.org and
just over one in 10 respondents
accessing both.
• More than three in five respondents prefer a print
format for future editions, but two in five would like to see
an interactive PDF version or new interactive app.
• Twenty-five percent save their print ENA Connection
issues for future reference, with about 40 percent
passing issues on to colleagues.
• Free CE of the Month, ENA conference
coverage and CourseBytes were identified
as the most useful features, with all
other listed features identified as
being at least ‘‘somewhat useful’’ by
at least seven in 10 respondents.
• One-third of respondents have
made a decision about whether to
attend an ENA conference as a result of
reading ENA Connection, and one-third
indicated they would like to see
expanded post-conference
coverage.
• More
than three
in five believe
the ads in ENA
Connection are a
valuable source of product and
service information.
Official Magazine of the Emergency Nurses Association 13
The Power of One: Engaging Generations of Nurses to Give Back and Do Incredible ThingsThe Emergency Nursing 2015 scholarship fund will help bring more emergency nurses to next year’s new, integrated conference. Empowering young nurses with education, networking, and advocacy skills will give them the tools to do incredible things.
If you were unable to attend the Foundation event at the 2014 Annual Conference, you can still make a difference!
Donate to the Emergency Nursing 2015 Scholarship Fund Today!Go to www.ena.org/powerofoneTax Deductible
AC14 ENA Foundation Event Ad_Conenction_Half_11 2014.indd 1 10/2/14 1:58 PM
YOU WANT MOREThe types of articles readers said they’d like to see more often in ENA Connection:
TYPE % DESIREDPractice-related 85ED technology 81Safety 56Career development 56ENA conferences 54State/chapter activities 53Health and wellness 47Committees, work teams 30ENA Foundation 16Other 9
Stronger Connection
November 201414
PUBLICATIONS
T here’s addition by subtraction
going on at the Journal of
Emergency Nursing, where the
‘‘interim’’ came off Anne Manton’s
editor-in-chief title in late August.
Installed officially after just under a
year in the job, Manton, PhD, APRN,
PMHNP-BC, FAEN, FAAN, now feels
she has the permanence to bolster
ENA’s official peer-reviewed journal in
a few key places — starting with the
Internet. A recent reader survey
indicated only a small portion of ENA
members view JEN articles online at
www.jenonline.org, but Manton
already is working to change that by
presenting some of the juicier studies
and reports there exclusively.
‘‘I think it’s so underused,’’ Manton
said. ‘‘We have some articles in most
issues that are online-only. And so I’ve
tried to give them top billing in the hard
copy in the table of contents. There’s a
shading behind them, and when you
click on JEN online, they’re the first
articles that come up. We try to give
them an increased presence because as
we move from the generation that most
predominates in ENA right now —
which is probably mid- to late-40s
— and as younger people come on
board, it’ll be more important for us to
have a really strong online presence.’’
A JEN app for mobile devices
recently became available, and
interactive and video elements are part
of the long-term vision online.
In the meantime, Manton’s plan for
JEN’s print version is to emphasize
variety by clearing some space. She
hopes to conduct a survey this fall or
early next year to see which of 12
monthly sections — trauma, triage,
pediatrics, geriatrics, international
nursing and seven others — are
needed in every issue and which can
be alternated or eliminated altogether.
That would free up room for
submissions on an assortment of fresh
topics and address one of Manton’s
biggest goals: decreasing the time from
submission to publication. As of early
October, her queue was down to only
one article that had been under review
longer than 100 days. In the past, a
prolonged review and revision process
combined with a finite number of
pages in JEN meant some articles — 70
to 80 percent of which arrive
unsolicited — waited two years or
more for publication, which just isn’t
good, Manton said.
‘‘If authors are having to wait that
long to get their articles published,
they’re just not going to submit to
JEN,’’ she said. ‘‘That’s a challenge.’’
If there’s anyone up to it, it’s
Manton, with managing editor Annie
Kelly and a supportive editorial board
jumping in to help guide the way.
Manton’s work with JEN dates back to
the 1980s, when she was a
contributing editor providing issue-by-
issue updates as president of the
Board of Certification of Emergency
Nursing. After a period in ENA
governance, including serving as the
1998 ENA president, she became a
regular reviewer for ENA. She also
spent six years reviewing and editing
manuscripts for Western Schools, a
continuing education provider for
nurses. The work is natural for her. An
invitation to become JEN’s interim
editor last September just made sense.
And the job gives her a chance to
emphasize the issues in nursing that
drive her. Manton specializes in the
care of psychiatric patients, working
per diem at Cape Cod (Mass.) Hospital
as a psychiatric nurse practitioner. She
remembers caring for behavioral health
patients in the ED and not having the
background to address their needs as
they experienced long delays and
difficulties in getting services. Seeking
to learn more about the care of these
patients eventually led to her
practitioner’s role.
JEN is an obvious platform for
sharing the latest information. The
journal used to consist of clinical and
research articles, Manton said. Now it’s
clinical, research and practice
improvement — applying the literature
to an array of everyday problems that
all emergency nurses face.
‘‘What I like most,’’ she said, ‘‘is that
I now have this ability to make JEN
into an outstanding vehicle to provide
members with up-to-date knowledge.
It’s an exciting opportunity.’’
Manton lives in Bourne, Mass., with
her husband, Jack. She has three grown
children and five grandchildren.
Reworking the JEN MenuNew Editor-in-Chief Manton Intends
to Serve Up the Best Mix for EveryoneAnne Manton
By Josh Gaby, ENA Connection
The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Available Now Visit www.ena.org/TNCC to find a course near you.
2 Day Intensive Course § 24 Chapter Comprehensive Manual § Hands-on Skill Stations 5 Online Modules § Special Population Chapters § 17.65 Contact Hours
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SEVENTH EDITIONThe Premier Course for Trauma Care
TNCC Ad_Connection_Full_05 2014.indd 1 4/7/14 10:32 AM
November 201416
ENA HEADQUARTERS
MAKE HISTORY WITH ENA!September 28 – October 3, 2015Orlando, Florida
Emergency Nursing 2015 will integrate the leadership and annual conferences into one new and exciting ENA conference experience. Start planning now for Orlando – the perfect destination for you, your colleagues, and your family.
§ Both clinical practice and leadership tracks § Interactive demonstrations of cutting edge technology
§ New hands-on learning labs
Save the date for this inaugural event!
EN15 Save the Date Ad_Connection_half_10 2014.indd 1 9/30/14 2:20 PM
Cindy Meehan is no stranger to the
association world. The certified
association executive began her career
in the industry more than 30 years ago
and has focused the majority of it on
marketing and membership
development for nonprofit
organizations. She has implemented IT
systems and developed marketing
strategies for smaller associations and
managed membership and chapter
relations at national organizations.
She brings her passion and strong
association leadership background to
her new role as ENA’s deputy
executive director for member
relations, which she began Aug. 25.
‘‘This position fits everything I’ve
done. It’s a great fit,’’ Meehan said.
‘‘What keeps me excited about working
for associations is I have to respect the
industry. I have to feel like I can do
something to help [members]. You
can’t say enough about emergency
nurses, so it was like the planets
aligned and everything fit into place for
me to share membership best practices
with the association and to support an
industry and profession I truly admire.
I can’t say enough about the talent and
compassion of this group.’’
As the former director of
membership development at Rotary
International and a member of Rotary’s
senior leadership team, Meehan is used
to quick decision-making and creating
solutions to overcome challenges. She
says two of her greatest strengths are
Members Have a New Close FriendBy Kendra Y. Mims, ENA Connection “You can’t say enough about emergency nurses,
so it was like the planets aligned and everything fit into place for me to share membership best
practices with the association and to support an industry and profession I truly admire.”
CINDY MEEHAN
Official Magazine of the Emergency Nurses Association 17
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creativity and decisiveness.
‘‘I love problem-solving,’’ she said.
‘‘I’m not one to fuss about a problem. I
just look at, ‘What else can we do?’ I
like to figure out a way to make it
work. I look at things differently than
other people do.’’
At ENA, Meehan will oversee and
provide strategic leadership to the
marketing, member services,
component relations and IT
departments. Her goals include
growing and maintaining ENA’s
membership, developing structure for
membership plans, communicating
member value to members and
creating a more member-centric and
member-focused association.
‘‘They are paying us dues, and we
need to give them value for that and
make them feel that yes, we appreciate
you for being a member of ENA,’’ she
said. ‘‘That’s what I intend to bring as
part of the team that can grow ENA
because I can easily see that we can
grow ENA.’’
Meehan wants ENA members to
know that she cares about them and
their world and looks forward to
getting to know them.
‘‘Whatever I can do to make it
easier for them and to make them feel
they are being listened to and to help
them succeed,’’ she said, ‘‘because for
me, that’s my job. I can’t admire them
enough for everything they do.’’
GETTING TO KNOW . . .Cindy Meehan, Deputy Executive Director, Member RelationsMeehan is a CAE and has served five years on the American Society of Association Executives Membership Section Council.
Hometown: Chicago. I also have a second home in Ireland. We just celebrated our first Christmas there last year.
Favorite things to do: I love the Cubs. I’m a season-ticket holder. I’ve also become a Blackhawks fan. I enjoy the arts. I like to paint and draw. I also love to garden.
Family life: My husband. I also have 34 nieces and nephews and 26 great-nieces and nephews. We have a very large family.
Travel: Australia is the place I really want to visit one day. I’ve been to India and to Dar es Salaam, Tanzania. I’ve also been to Paris, London and Lisbon.
Sept. 28 marked the 10-year
anniversary of the Academy of
Emergency Nursing, established by
ENA in 2004 to honor emergency
nurses who have made substantial
contributions to the profession and
who provide visionary leadership and
guidance to ENA.
Since then, 110 nurses have been
inducted, including 10 during last
month’s 2014 ENA Annual Conference
in Indianapolis.
Maureen Curtis-Cooper, BSN, RN,
CEN, CPEN, FAEN, the 2014 AEN
chairwoman, was
among the first group
inducted into the
Academy in 2005 and
has been actively
involved on the AEN
committee since 2010.
‘‘I felt it was
important to be
involved in the academy to move it
forward as it developed to its full
potential,’’ Curtis-Cooper said. ‘‘I
wanted it to be a committee that did
more than look at the guidelines each
year. I wanted it to actually make an
impact on emergency nursing. As
we’ve grown, we’ve developed the
Eminence Mentoring program, where
we have fellows who volunteer their
talents to mentor non-fellow ENA
members in whatever specialty the
ENA member needs help in. It’s really
important for the AEN fellows to do
things like that to mentor other fellow
emergency nurses along.’’
Curtis-Cooper urges emergency
nurses who have made continuous and
significant contributions to apply to
become an AEN fellow. Fellowship
honors the work emergency nurses have
done and recognizes their achievements
on a broader level, she said.
‘‘The important thing is that you
have a forum to continue future
contributions,’’ she said. ‘‘Part of our
mission as an academy is to provide
expertise not only to the organization
but to other emergency nurses. I think
you get a double bonus. You are
recognized for the significant work that
you’ve done as a professional in the
emergency nursing setting, but then
you also have a forum to spread [your
work] and to continue to make
significant contributions at a high level
— not just in your local hospital or
region, but you can also have a
national and international impact.’’
For instance, fellowship has given
Curtis-Cooper a large platform to
develop pediatric emergency nursing,
her niche.
‘‘I think that because I am an AEN
fellow, I’ve gotten into communities
that I may not have been sought out
for,’’ she said. ‘‘I was involved from the
very beginning in developing the
certification exam in pediatric
emergency nursing, which is something
we needed to have as a subspecialty
because pediatrics is so unique. By
developing this exam to offer it to
emergency nurses across the country,
we recognize that children have special
needs and we do need a group of
dedicated emergency nurses to meet
those needs and validate the
knowledge base.’’
She considers her involvement in
developing the exam the highlight of
her professional career.
‘‘It was an exciting experience for
me to do that because I met with my
peers across the country,’’ she said.
Joining the Academy allows a
member to experience a special
networking and camaraderie.
‘‘You meet the most wonderful,
dedicated emergency nurses through
the academy,’’ Curtis-Cooper said.
‘‘They’re the ones you can brainstorm
with, and if you have a particular issue
you’re dealing with and that’s their area
of expertise, the sharing that goes on
among the fellows is very valuable.
You don’t have to reinvent the wheel
every single time. You can look at and
pull on the model of fellow AEN
fellows.’’
November 201418
What It Means to Be an AEN FellowCall for Applications:2015 Class of Fellows
The Academy of Emergency will accept online applications for
the 2015 class of fellows through noon
Central time Tuesday, Dec. 2. Information and a link to the applications are available under “Get Involved” at www.ena.org.E-mail [email protected] with any questions.
Maureen Curtis-Cooper
Curtis-Cooper presents an AEN pin to inductee Stephen J. Stapleton, PhD, MS, RN, CEN, at the Awards Gala at the 2014 Annual Conference in Indianapolis on Oct. 11.
By Kendra Y. Mims, ENA Connection
Save the DateApril 28-29, 2015
Plan to join ENA in Washington, D.C. to advocate for issues that are
important to emergency nurses.
Details about the event and registration information will be available in January 2015.
Day on the Hill 2015 Ad_Connection_half_10 2014.indd 1 10/1/14 10:51 AM
Official Magazine of the Emergency Nurses Association 19
Statement of Ownership, Management and Circulation(Required by 39 U.S.C. 3685). Title of publication: ENA Connection. Publication no.: 1534-2565.
Date of filing: October 1, 2014. Frequency of issue: Monthly. Number of issues published
annually: 11. Annual subscription price: members, free; non-members, $50 U.S., $60 foreign.
Complete mailing address of known office of publication: 915 Lee Street, Des Plaines, Cook
County, Illinois, 60016-6569. Complete mailing address of the headquarters or the general
business office of the publisher: 915 Lee Street, Des Plaines, Cook County, Illinois, 60016-6569.
Publisher: Emergency Nurses Association, 915 Lee Street, Des Plaines, Cook County, Illinois,
60016-6569. Amy Carpenter Aquino, Editor-in-Chief: 915 Lee Street, Des Plaines, Cook County,
Illinois, 60016-6569. Owner: Emergency Nurses Association, 915 Lee Street, Des Plaines, Cook
County, Illinois, 60016-6569. Known bondholders, mortgagees and other security holders: None.
Issue Date for Circulation Data: October 2014. Extent and nature of circulation: A. Total Number
of Copies: Average number of copies each issue during preceding 12 months (hereinafter
“Average”), 42,415. Actual number of copies of single issue published nearest to filing date
(hereinafter “Most recent”), 45,276. B. Paid circulation: B1. Outside-county paid subscriptions
stated on Form 3541: Average, 41,817. Most recent, 44,671. B2. In-county paid subscriptions stated
on Form 3541: Average, 0. Most recent, 0. B3. Paid distribution outside the mail, including sales
through dealers and carriers, street vendors, counter sales and other paid distribution outside
USPS: Average, 418. Most recent, 425. B4. Paid distribution by other classes of mail through the
USPS: Average, 0. Most recent, 0. C. Total paid distribution (sum of B1, B2, B3 and B4): Average,
42,235. Most recent, 45,096. D. Free or nominal fee rate distribution. D1. Outside-county copies
included on Form 3541: Average, 0. Most recent, 0. D2. In-county copies included on Form 3541:
Average, 0. Most recent, 0. D3. Copies distributed through the USPS by other classes of mail:
Average, 0. Most recent, 0. D4. Copies distributed outside the mail: Average, 10. Most recent, 10.
E. Total. Free or nominal rate distribution (sum of D1, D2, D3 and D4): Average, 10. Most recent,
10. F. Total distribution (sum of C and E): Average, 42,245. Most recent, 45,106. G. Copies not
distributed: Average, 170. Most recent, 170. H. Total (sum of F and G): Average, 42,415. Most
recent, 45,276. I. Percent paid (C divided by F times 100): Average, 99.976%. Most recent,
99.977%. This Statement of Ownership will be printed in the November 2014 issue of this
publication. I certify that the statements made by me above are true and complete.
Amy Carpenter Aquino, Editor-in-Chief. Date: October 1, 2014.
Why is it that patient and environmental safety are
not at the forefront of everything we do in the ED? The
lessons learned Day 1 in my EMT program are just as
important in the ED, and yet I think they get missed.
How do we make patient safety an expectation?
It is easier than it seems. Each of us has to make a
commitment to think about patient and workplace
safety all the time — not just once a shift but all shift
long. Every interaction you have, each skill or task you
complete, ask yourself, ‘‘Am I doing this safely? Am I
engaging in reckless behavior by working around a
safety practice?’’
We need to change the profession. It might be easy
to sit and wait for someone else to do it first. It might
feel like you are the only one who is focused on
patient safety in your department. It might take you a
little bit longer to get some of your tasks done. It is
going to take each one of us individually to make this
change happen.
Our patients, their families, our co-workers and our
friends are counting on us to provide safe care in a
safe environment. Let’s commit to providing that safe
care each and every day. Let’s start today.
From the President Continued from page 3
November 201420
Emergency nurses seem instinctively drawn to working in
emergency management and disaster preparedness.
‘‘We’re always looking at mechanism of injury and
wanting to know how someone got sick or how they got
hurt, and how to be able to give better treatment to them,’’
said Paul David Meek, MA, BSN, RN, CEN.
For Meek and the other members of ENA’s Emergency
Management and Preparedness Committee, going beyond the
ED and into community processes to see what needs
improvement also comes naturally. This past year was all
about preparing to care for the most vulnerable ED patients
during a disaster.
‘‘Our main project is looking at the lack of capability for
mass pediatric transport in disasters,’’ explained Meek, the
committee chairperson.
Emergency Support Function No. 8 (Public Health and
Medical Services Annex), a grouping of preparedness
guidelines, has no direction for mass transport of pediatric
patients during a hospital evacuation or a major natural
disaster on the scale of Hurricane Katrina. This is concerning
because, as Meek said, ‘‘Nothing that I can think of will lock
an ER up faster than having a bunch of critical pediatric
patients and no place to put them.’’ There are several special
considerations when transporting pediatric patients, mostly
around the capabilities of the equipment: monitors, blood-
pressure cuffs, beds and more.
‘‘As we say in ENPC, they’re not just small adults,’’ he said.
The committee has reached out to several organizations,
including the American Academy of Pediatrics, Emergency
Medical Services for Children, the Air and Transport Nurses
Association and ENA’s own Pediatric Committee to work on
raising awareness of the issue and is exploring the best
method for disseminating its research to emergency nurses.
Other committee focuses have included a project that
would give emergency nurses who are working on their own
Preparedness Extended Beyond Our DoorsBy Amy Carpenter Aquino, ENA Connection
The ENA Lantern Award Celebrates Exemplary Emergency Departments.
Development of the Lantern Award program criteria funded in part by ENA Strategic Sponsor
Please follow the application guidelines on the website. Applications accepted through February 25, 2015.
www.ena.org/lanternaward
Recipient 2015-2018
We recognize exceptional practice and innovative performance in the following areas:
ª Advocacy ª Education ª Leadership ª Practice ª Research
We invite your Emergency Department to apply for this distinguished award. The recipients will be recognized at
the Annual Gala at Emergency Nursing 2015.
Call for Lantern App Ad_Connection_Half_11 2014.indd 1 10/2/14 1:46 PM
Official Magazine of the Emergency Nurses Association 21
Thank you to the following organizations for
their generous support.
The ENA Strategic Sponsorship Program is designed to create partnerships with leading organizations whose objectives
include supporting the emergency nursing profession.
STRATEGIC SPONSORS
STRATEGIC SUPPORTER
Sponsorship Ad_Connection_half vert_08 2014.indd 1 6/25/14 3:48 PM
emergency plans access to subject-matter experts, and
reaching out to federal agencies such as the Department
of Health and Human Services to establish contacts for
when the committee has questions.
‘‘We’re re-establishing and firming up points of
contacts with federal agencies so that we can better
serve our members as we move forward,’’ Meek said.
The committee members also answered a DHS
request for input on the following documents:
• Centers for Medicare & Medicaid Services,
Medicare and Medicaid Programs, Emergency
Preparedness Requirements for Medicare and Medicaid
Participating Providers and Suppliers, Proposed Rule
• Patient Decontamination in a Mass Chemical
Exposure Incident: National Planning Guidance for
Communities
They are reviewing a report from the Office of the
Inspector General, ‘‘Hospital Emergency Preparedness
and Response During Superstorm Sandy,’’ and collecting
information on Ebola screening and hospital response,
exploring how to best share the information with
emergency nurses.
‘‘We’re always looking to update our webpage, make
sure the links are functional, as well as to ensure that
the links will get them as directly as possible to the
information,’’ Meek added.
Meek looks forward to continuing the work of the
EMPC in 2015, though not as its chairperson.
‘‘It’s been quite an honor to be chairperson of such a
great group of people. I’ve really enjoyed it,’’ he said.
‘‘But I also hope I can give just as much as a committee
member. I’ve asked a lot of the committee this year, and
they’ve done a lot for me.’’
THE EMERGENCY MANAGEMENT AND PREPAREDNESS COMMITTEE: Clockwise, from lower left: Mitch D. Jewett, RN, CEN, CPEN, board liaison; Paul David Meek, MA, BSN, RN, CEN, chairperson; Jennifer Wasielewski, MBA, BSN, RN, CEN, NE-BC; Leslie Gates, staff liaison; Dale Wallerich, MBA, BSN, RN, CEN, senior associate, Institute for Quality, Safety and Injury Prevention; Donna Lee Hovey, BSN, RN, CEN, CCRN. Not pictured: Elizabeth ‘‘Nikki’’ Austin, PhD, MA, RN, CEN; Steven D. Glow, RN, CEN, CFRN.
November 201422
Updated Teaching
Strategies June 2014
Fourth Edition
The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
The Authoritative Course for Pediatric Emergency Nursing• Pediatric Assessment Triangle
• Early Intervention
• Family Presence
Take the Course Today!www.ena.org/ENPC
� 2 Day Intensive Course � 23 Chapter Comprehensive Manual� 6 Hands-on Learning Scenarios � 15.58 Contact Hours � 5 Online Modules
ENPC Ad_Connection_half_08 2014.indd 1 7/16/14 4:07 PM
TNCC 7th Edition InstructorsThank you to all the TNCC instructors who have passed the
seventh-edition update and will continue to teach TNCC. We
appreciate your dedication.
ENPC Provider Course ScheduleWe received feedback that the recently revised ENPC 4th
Edition Provider Sample Schedule and Course Agenda
published in early July had an error related to contact hours.
The total contact hours were correct; however, there was an
omission related to testing time on Day 2. This correction
has been made. There is no change to the contact hours;
the total remains at 15.58 for the provider course. A newly
revised Sample Schedule and Course Agenda have been
posted to the Course Directors-only section of www.ena.org
under the ENPC 4th Edition Provider Course, Forms. The
CD-ROM with the course slides and paperwork has the
corrected form. We apologize for any confusion.
ENPC CD-ROMsThe newly revised ENPC CD-ROMs began shipping in
late August. All information contained on the CD-ROM is
already posted in the Course Directors-only section of
www.ena.org. If you also need a CD-ROM, please let us
know, as we do not automatically send those out.
ENPC and TNCCNew ENPC and TNCC marketing fliers are in the Course
Directors-only section of www.ena.org, under the Provider
course, Forms. Please use these to advertise for your courses
and send a copy to Course Operations with the post-course
materials to meet ANCC guidelines.
The Notice of Disclosures form in the same forms location
has been updated for both courses. Please use the form as a
handout or use the introduction and disclosures slide to
announce disclosures to students. Please send a copy of the
document used to Course Operations with the post-course
materials to meet ANCC guidelines.
CourseBytes is the official communication to all TNCC and
ENPC course directors and instructors. Topic ideas for future
issues and feedback are welcome at [email protected].
Official Magazine of the Emergency Nurses Association 23
Visit the Board of Certification for Emergency Nursing (BCEN) website for details and resources to become a Certified Emergency Nurse (CEN®), Certified Flight Registered Nurse (CFRN®), Certified Pediatric Emergency Nurse (CPEN®), or Certified Transport Registered Nurse (CTRN®).
You’ve worked hard all year developing your knowledge and skills. Reward yourself with the validation you deserve – earn a BCEN certification!
www.BCENcertifications.org
A BCEN® certification… the perfect gift to give yourself.
BCEN ENA Connect Ad_FNL.Nov 14.indd 1 9/29/14 2:13 PM
connectionRecruitment & Professional
Opportunities
For ad rates and information, contact the ENA Development Department, 847-460-2626
24 Blue Jay Consulting LLC www.bluejayconsulting.com
23 BCEN www.bcencertifications.org
11 New Jersey ENA State Council www.njena.org
5 N-Pak www.n-pak.com
17 Pinpoint Inc. www.pinpointinc.com
9 Teleflex Incorporated www.teleflex.com
ADVERTISER INDEXThese advertisers support ENA Connection. Let them know you saw their ad.
Stepping Up For Special OlympicsSusan Sunyak, RN, CEN, president of the West Central New
Jersey Chapter, and Elizabeth Mizerek, MSN, RN, CEN, CPEN,
FN-CSA, chairwoman for research and practice for the New
Jersey ENA State Council, recruited New Jersey ENA members
to volunteer at the U.S.
Special Olympics in
June in Mercer County,
N.J. More than 3,500
athletes participated
with support from
coaches and thousands
of volunteers and family
members. New Jersey ENA provided more than 300 hours of
volunteer medical time.
The care provided was diverse, Sunyak wrote — everything
from basic wound care and orthopedics to care of exacerbated
chronic medical conditions, particularly with high heat and
humidity that week. Emergency nurses got a chance to talk with
athletes and watch them compete in 16 Olympic-style events.
‘‘It was nice to focus on just caring — different from the
usual hustle and bustle of the typical ED,’’ said New Jersey ENA
member Brooke Zacheis, RN.
Do you have a recent professional or educational success story you want to share about yourself or another ENA member? E-mail [email protected] with the subject line “Members in Motion.”
Improve emergency care, improve your career
You know us as recognized ED leaders who guide hospitals toward real and
effective change. Now we would like to get to know you. Blue Jay Consulting is
looking for professionals with the leadership insight and clinical experience to
bring process improvements to our clients, and the passion and commitment to
enhance the overall quality of emergency care. If you consider yourself among
the best in your fi eld, you’ll fi nd yourself in good company at Blue Jay Consulting.
Join the strongest team in the industry and improve your career.
Contact Jim Hoelz or Mark Feinberg at 407-210-6570 to discuss how we can capitalize
on one another’s strengths.
www.bluejayconsulting.com
“ As a Blue Jay consultant, I bring my 30 years of emergency department leadership experience to each client. Every assignment brings a unique set of challenges, but the tools to solve them are similar. We can often shorten the improvement process from years to months and create an environment that is better for patients, families and staff. I leave each assignment with a good feeling that I have left it better than when I arrived. I love being a Blue Jay consultant.”
— B I L L B R I G G S , M S N , R N , C E N , F A E N
Senior Consultant Blue Jay Consulting, LLC
41% 55%28% 68%
Average improvement in time from arrival to seeing a physician.
Typical improvement in patient satisfaction scores and likelihood to recommend
Average improvement in throughput for admitted and discharged patients
Average improvement in LWBS rates, resulting in an additional $1.6 million in collected revenue
13BJAC_ENA_RecruitmentAd 0807.indd 1 8/8/13 1:40 PM