ena conference connection, sept. 21, 2013
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ÂTRANSCRIPT
Whether your patient is obese, elderly or an infant,
hypovolemic, fragile veins and varying depth can
make difficult access a real challenge.
For the first time at an ENA conference, attendees had
the opportunity to try ultrasound-guided IV access at several
labs Friday, following a didactic lecture in which instructors
reviewed the physical anatomy of the body via ultrasound, focusing
on the kidneys, liver, eyes, gallbladder and spleen. During
30-minute lab sessions, attendees were able to see the vein,
measure the depth, view volume and see whether the vein was
obstructed.
During the lab, attendees saw how the ultrasound guides
selection of catheter size, both length and gauge. The screen shows
the moment the catheter enters the vein, limiting risk of puncture
of the distal vein wall, and then calculates the length of the
catheter inside the vein.
Several attendees said the lab provided a good overview of
ultrasound-guided IV access.
‘‘The application of the ultrasound, where it can be used, kind
of extends your practice a little bit more,’’ said Erma Kinzie, BSN,
RN, CEN, of Mercy Hospital in Chicago.
Cherry Tanjapatkul, BSN, RN, CEN, MICN, of Newport Beach,
Calif., tried the ultrasound for the first time Friday.
‘‘To get the actual hands-on was very helpful,’’ she said. ‘‘It was
a good orientation.’’
‘‘I thought it was great,’’ said Cassie Richard, RN, CEN, of
Oregon Health and Science University in Portland. ‘‘It was
hands-on — we got an opportunity to practice what they taught us
in the lecture to get a feel for it to take it home with us.’’
In-kind support for ultrasound equipment and supplies was
provided by Bard Access Systems, Inc.
Marlene Bokholdt, MS, RN, CPEN, Nursing Education Editor,
Institute for Emergency Nursing Research, and Amy Carpenter Aquino,
Conference Connection
Sept. 21, 2013 • Issue 3 of 4 • 16 PAGES
LETTING ULTRASOUND
BE YOUR GUIDE
WHY IS IT IMPORTANT TO COME TO ANNUAL CONFERENCE?
Click on the TV screen to hear from your fellow emergency nurses on site in Nashville!
➡
Lab Addresses Ways to Solve Difficult Access
Support one other, ask the tough
questions and focus on building
strong legacies. These were some of the
messages shared by ENA’s national
leaders Wednesday at the opening of
General Assembly.
ENA President JoAnn Lazarus, MSN,
RN, CEN, said the highlight of her year
was speaking to 700 student nurses at
the National Student Nurses’ Association
annual conference in April.
‘‘I have no doubt our future is in
good hands,’’ she said.
ENA’s future looks equally bright, as
Lazarus reported an increase in
membership and the fact that 10,000
members are under age 34.
ENA’s future is supported by its
enduring legacy, as ENA co-founder
Judith C. Kelleher ‘‘was able to see
the difference she made in our
organization . . . to the thousands who
are receiving better care in EDs around
the country because of her passion to
improve emergency care for everyone,’’
Lazarus said.
Deena Brecher, MSN, RN, APRN,
ACNS-BC, CEN, CPEN, president-elect,
shared the story of a medication error
she made with a pediatric patient
which — while having no negative
outcomes — changed her outlook on
errors in the ED.
‘‘As nurses, we make lots of
mistakes,’’ Brecher said. ‘‘It’s time we
started talking about them.’’
She encouraged members to
‘‘celebrate the great catches’’ in their
EDs and to make the ED the safest
place in health care for patients.
Secretary/Treasurer Matthew F.
Powers, MS, BSN, RN, MICP, CEN,
reported that the organization has a
positive financial status, with a reserve
ratio of 65 percent. The ENA
Foundation endowment stands at more
than $1.2 million, and the Judith C.
Kelleher endowment raised $148,000.
‘‘We want to make sure we are
always diligently watching over your
funds,’’ Powers said.
Executive Director Susan M.
Hohenhaus, LPD, RN, CEN, FAEN,
described 2012 as a ‘‘year of change’’
for ENA and directed delegates to the
2012 Annual Report.
‘‘We’ve come a long way since the
vision of Anita Dorr and Judy Kelleher,’’
Hohenhaus said.
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By Amy Carpenter Aquino, Conference Connection
General Assembly
POSITIONS OF STRENGTHLeaders Passionate About ENA’s Health and Legacy and the Importance of Raising Questions
Clockwise from top: 2013 ENA President JoAnn Lazarus, MSN, RN, CEN; Secretary/Treasurer Matthew F. Powers, MS, BSN, RN, MICP, CEN; Executive Director Susan M. Hohenhaus, LPD, RN, CEN, FAEN; and President-elect Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN.
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Joined Together By Judy
ENA Remembers Kelleher With Roses, Reflections
General Assembly participants
honored ENA co-founder Judith C.
Kelleher in a warm and touching tribute
Wednesday. As the rich sound of
bagpipes filled the room, ENA’s Board
of Directors, past presidents and state
council leaders lovingly placed yellow,
white and red roses in two large vases
at the front of the room.
ENA President JoAnn Lazarus, MSN,
RN, CEN, said the roses represented
friendship, remembrance, sincere love,
courage and respect and that the white
and red roses together signified unity. A
glass case containing Kelleher’s nursing
cap and cape stood on display and
soon will have a permanent home at
ENA headquarters in Des Plaines, Ill.
‘‘ENA lost an exemplary leader when
Judy passed away this year,’’ Lazarus
said. ‘‘She was a part of our family, and
as her family, I know that we will
continue to make Judy proud as we
work to move her dream forward.’’
Kelleher’s granddaughter Charlene
Wilson described attending her first
ENA conference with her grandmother
15 years ago.
‘‘I offered to listen to her practice
her speech, and she looked at me like I
was crazy,’’ Wilson said. ‘‘She had no
cards, she needed no rehearsal, because
she spoke from her heart. She spoke of
caring and of community and of
change. She spoke of vision. It was
easy for her because she spoke to a
group of like-minded people she
considered her family.’’
Wilson said it was at that conference
that a special group of members
‘‘strongly encouraged’’ her to become
an emergency nurse, which she did.
‘‘Like I had a choice,’’ she quipped.
‘‘I am proud and I am grateful for this
opportunity to speak on Judy’s behalf
and to thank all of you for the love and
the friendship, for all the cards and the
notes; she kept them all,’’ Wilson said.
‘‘Thank you for being kind and caring,
and as strong and as spirited as she was.
Thank you for continuing her legacy.’’
State leaders felt honored by the
opportunity to pay tribute to a visionary
and much admired leader.
‘‘Someone stepped up 40 years ago
and recognized that emergency nursing
is a separate specialty,’’ said Nebraska
ENA State Council President Cindy
Slone, RN, CEN, who soon will
celebrate her 40th year in nursing. ‘‘She
organized us and made us what we are
and put us on the map.’’
By Amy Carpenter Aquino, Conference Connection
Charlene Wilson (left photo) talks to
leaders and delegates about
her grandmother, ENA co-founder
Judith C. Kelleher. Emergency nurses
at General Assembly filled
vases with roses in Kelleher's honor
(right photo).
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NEVADA TAKES TOP TURTLEENA President JoAnn Lazarus, MSN, RN, CEN, announced the winners of the turtle decorating contest at General Assembly on Wednesday. State councils and chapters created and decorated toy or ornamental turtles with an ENA flair. The theme was inspired by Lazarus’ president-elect address to the 2012 General Assembly in which she urged delegates to ‘‘Behold the turtle — he makes progress only when he sticks his neck out.’’
Lazarus will make donations to the 2014 ENA Foundation State Challenge campaign in honor of the top three winners. They are as follows:
• First place – Nevada ENA State Council (pictured below)• Second place – Greater Twin Cities ENA Chapter• Third place – Nebraska ENA State Council
Turtles were judged by representatives of Friends Life, a Nashville organization that provides services for adults with intellectual and developmental disabilities.
Lazarus also shared that the first ENA Party With a Purpose held Tuesday evening raised $910 for Friends Life.
Amy Carpenter Aquino
‘KICKING THE TIRES’ ON REVISED TNCC
Nashville is known as
Music City, but on
Tuesday and Wednesday,
it was pilot season.
Seventeen individuals
attended the full two-day
pilot of the new edition
of Trauma Nursing Core
Course, or TNCC. A team of
instructors were selected to teach
the course, led by Ray Bennett,
BSN, RN, CEN, CFRN, CTRN,
NREMT-P, chairperson of the Course
Administration Faculty. Members of
TNCC Revision Work Team, headed
by Diane Gurney, MSN, RN, CEN,
FAEN, oversaw the program.
‘‘The purpose of the pilot was to
take the car out of the garage, kick
the tires and make sure all of the
parts were working,’’ Bennett said.
‘‘We tried to use the new material
under real course structure and
conditions, just as they will be used
[when the course is launched].’’
The participants went through all
of the components of the revised
course, including the provider
manual, lectures, hands-on skill
stations and testing, so that the work
team could get a sense for the flow
and feel of the new course. The
group represented nurses ranging in
experience from novice to expert.
In addition to the two-day
course, more than 100 participants
sat for a test validation session on
Wednesday. Each individual was
asked to review a draft of the
provider manual and include
feedback on both the manual
content and test questions.
Feedback provided at the pilot
sessions will be reviewed by the
TNCC Revision Work Team for
consideration in the final product,
which is due to launch in early 2014.
‘‘Overall, the two days were a
success,’’ Bennett said.
By Renée Herrmann, Conference Connection
The TNCC pilot instructors in Nashville.
WORK TEAM• Kathleen Carlson, MSN, RN, CEN, FAEN• Diane Gurney, MS, RN, CEN• Ray Bennett, BSN, RN, CEN, NREMT-P• Jami Blackwell, BN, RN, CEN• Joseph Blansfield, MS, RN, NP• Melanie Crowley, MSN, RN, CEN• Dawn McKeown, RN, CEN, CPEN• Vicki Patrick, MS, RN, CEN, FAEN
THE TEAM BEHIND THE TNCC PILOT
INSTRUCTORS• Gail Dodge, MSN, RN, CEN• Jan Elliott, RN• Sandy Waak, RN, CEN• Beth Broering, MSN, RN, CEN, CPEN, CCNS, CCRN, FAEN• Judy Leverette, MSN, RN, APRN, FNP, EMT-B, CEN, NP-C• Rhonda Manor-Coombes, RN• Sean Varricchio, MSN, BS, RN, CEN• Rachel Schumate, RN, CEN, CPEN
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FAMILY COMES TOGETHER Emergency nurses made the scene Tuesday in Music City for conference registration and reconnecting with colleagues.
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DOWN TO BUSINESSENA leadership and more than 600 delegates gathered Wednesday and Thursday for the 2013 General Assembly. Look for more coverage in the Sept. 25 Conference Connection.
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Attendees gathered Wednesday in the Delta D Ballroom for
the Anita Dorr Memorial Lecture and Luncheon.
ENA President JoAnn Lazarus, MSN, RN, CEN, began the
luncheon by presenting the Judith C. Kelleher Award to AnnMarie
Papa, DNP, RN, CEN, NE-BC, FAEN. According to those who
nominated her, Papa demonstrates knowledge and expertise in
emergency nursing practice, education and research. She is active
in numerous nursing associations and is an ENA past president.
‘‘Her passion for emergency nursing leadership is apparent in
her interactions with colleagues and her undying willingness to
help others achieve their own goals,’’ Lazarus said.
Upon receiving her award, Papa asked previous recipients to
stand and be recognized.
‘‘This is about Judy’s legacy,’’ she said, referring to ENA
co-founder Judith C. Kelleher, who passed away in January.
After lunch, Lazarus introduced the ‘‘wind beneath my wings’’
— her husband, Richard Lazarus, who focused on the
importance of family and began his address by providing a
history of family presence during resuscitation and ENA’s efforts
to promote this practice. He next discussed the second kind of
family presence, among those in the workplace.
‘‘Colleagues are like family. Some you get along with, some
you’d rather not see, but they are there every day,’’ he said.
Citing several studies, he noted that camaraderie is a key to job
satisfaction.
Finally, he described the third kind of family presence
through the story of his and JoAnn’s marriage. He recounted
struggles and joys but noted that the biggest lessons he learned
were while he was along for the ride, traveling with his wife
during her ENA and work engagements.
‘‘I image your co-founder brought her family along with her,’’
he said.
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By Renée Herrmann, Conference Connection
Anita Dorr Lecture and Luncheon
Celebrating the Past Along With the Presence
HEALING
IN OUR GROWING COMMUNITY
BODY, MIND& SPIRITRooted in our humble beginnings more than 80 years ago, Saint Agnes Medical Center’s mission to heal Body, Mind and Spirit remains a constant. Growing from the original 75-bed hospital in downtown Fresno, we’ve evolved into a 436-bed state-of-the-art Medical Center campus, bringing together the most advanced equipment and facilities. No matter the challenge, the Saint Agnes team will continue to pursue advances in medical technologies and treatments to accomplish our goal of building a healthier community. If you believe in the mission and dedication Saint Agnes stands for, and are interested in enhancing your talents, then this is the place for you!
EMERGENCY ROOM NURSING OPPORTUNITIESNurse Manager | Staff RNs
Please stop by and visit us at Booth #468at the 2013 ENA Annual Conference, September 19-21, 2013 in Nashville, TN
The dedication and talent of our superior staff has earned us the Consumer Choice Award for the seventeenth consecutive year and the top 10% Specialty Excellence Award for Critical Care Services by Healthgrades. We are also continuing on our exciting journey toward Magnet status. If you are an RN with the skills, drive and flexibility to help us meet these challenging goals, join us today.
As a member of our team, you'll not only benefit from an amazing work environment, but you'll also enjoy on-site child care services and a close-knit cosmopolitan California community that's just 90 minutes from the beautiful Yosemite Valley.
For immediate consideration, please apply online at www.samc.com. We are an equal opportunity employer and a proud member of Trinity Health.
AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN, receives the Judith C. Kelleher Award.
ENA 2013 President JoAnn Lazarus, MSN, RN, CEN, and husband Richard Lazarus.
ACV-51061_M3_ENA_PostAd.indd9-13-2013 2:41 PM Patricia Lopez / Arielle Benjoya
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ACI0002084300Genentech/Activase
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Emergency Nurses Assoc ia t i on and Genen tech
Partnering in the fight against strokeExplore online educational modules and increase your knowledge of strokeENA and Genentech have partnered together to provide online training, with educational resources to help you better identify, diagnose, and treat stroke, featuring:
• Quick, easily accessible interactive lessons that teach proper recognition and management of stroke
• Knowledge assessments and progress checks
• Certificate of completion*
Module 1: Stroke basics
Module 2: In-hospital diagnosis of stroke
Module 3: Treatment and management of stroke
© 2013 Genentech USA, Inc. All rights reserved. ACI0002084300
*This program certificate does not satisfy requirements for Continuing Education credits.
To learn more about this online learning management system, visit: • www.ena.org/education/onlinelearning/Pages/Stroke.aspx or • http://learn.healthstream.com/accesspoint/genentech
S:6.625”S:9.125”
T:7.125”T:9.625”
‘My life journey has taken me to
the darkest places.’’
Jeff Henderson, known as Chef Jeff,
was the first African-American
executive chef at Café Bellagio in Las
Vegas, has appeared on the Oprah
Winfrey show, hung out with Will
Smith and is the author of the New
York Times best-selling memoir
Cooked. As a small boy growing up
poor and fatherless in South Central
Los Angeles, though, Henderson was
told he wouldn’t live past age 18.
He seemed on a trajectory to fulfill
that prediction when at age 16 he
arrived in the emergency department
with a stab wound to the chest after a
gang-related dispute.
‘‘It was the ER nurses who told my
mother that I was going to be OK,’’
Henderson said during Thursday’s
keynote speech. ‘‘It was a nurse in a
shopping mall who came to my aid,
using her sweater to apply pressure to
the stab wound in my chest.’’
Henderson shared his story of how
he discovered his potential and gift
during a 10-year incarceration for
selling drugs. Prison is where he made
the connection between education and
the American dream, learning business
skills from fellow inmates and finding
his talent for cooking in the prison
kitchen. Upon his release, he sought
out acclaimed chef Robert Gadsby,
who gave him his first kitchen job.
‘‘I knew that in order to become
the best, you have to be among the
best,’’ he said. ‘‘That’s why you guys
are here. I did the same thing in my
career.’’
By Amy Carpenter Aquino, Conference Connection
Keynote Address
Chef Jeff: ‘You Have to Be Among the Best’
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TIP OF THE HAT FROM THE ENA FOUNDATION‘‘It has been an absolutely fantastic year with many outstanding fundraising and program accomplishments,’’ said Julie Jones, BS, RN, CEN, chairperson of the ENA Foundation Board of Trustees.
Speaking at Thursday’s Opening Session, Jones invited attendees to visit the ENA Foundation booth to see the wall of names of members who have received academic scholarships and research grants this year thanks to donations from groups and individuals.
‘‘In the audience are 20 members who received assistance to attend this conference,’’ Jones said to loud applause. Another 10 members received ENA Foundation scholarships to attend the 2013 Leadership Conference, and 13 more have
an opportunity to receive an ENA Foundation grant. Submissions are due this fall.
‘‘All these scholarships and grants are made possible by donations from state councils, chapters, our industry partners and individuals like you,’’ Jones said.
The 2013 ENA Foundation State Challenge campaign broke all previous records, raising $121,500.
‘‘Because we raised more money, we
will have more scholarships and grants to give back to you next year,’’ Jones said.
Donning a sparkly tiara, Jones invited attendees to visit the foundation’s jewelry auction in the Exhibit Hall; proceeds will support 2014 scholarships and research grants. Changing to a pink cowboy hat, Jones gave a shout-out to everyone who bought a ticket to the sold-out ENA Foundation Event at the Grand Ole Opry.
‘‘There are many ways to support the ENA Foundation,’’ Jones said, ‘‘and it all adds up.’’
Amy Carpenter Aquino
Topics Discussed at Town Hall Meeting
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GET UP TO SPEED ON GENEClick the screen to hear ENA eLearning manager Bree Sutherland explain the new course!
➡
T wo primary themes emerged at the
ENA town hall meeting in Nashville
on Tuesday: requests for the ENA Board
of Directors to address a member-signed
memorandum of concern regarding
recent changes within ENA, and requests
to reinstate processing and approval of
online continuing education applications.
ENA President JoAnn Lazarus, MSN,
RN, CEN, acknowledged that she and
other board members had been
forwarded an e-mail containing a
memorandum of concern. The e-mail
was written by past ENA presidents and
distributed to several ENA members via
e-mail before the conference. It asked
for greater transparency within the
organization and expressed concerns
regarding a number of changes within
the organization and the board.
Lazarus noted that although the board
did not receive the memorandum
directly from the authors, she initiated a
meeting while in Nashville with the
original 14 authors. Lazarus also said the
board takes the concerns of the
members seriously and would provide a
response at a future date.
Other members at the town hall
shared concerns about ENA approving
continuing education programs. Many
asked ENA to reinstate processing of
continuing education applications online
after it been suspended through
November.
‘‘We rely on you for our contact
hours,’’ one member said, ‘‘and we need
to know that you will support us on this
issue.’’
Pierre Désy, ENA Chief Development
Officer, assured members that the CNE
issue would be addressed within 24
hours. The next day, Lazarus
communicated the following information
to all members:
We apologize for the challenges you
may have experienced regarding your
CNE applications. The ENA team is
working diligently to rectify the situation
so that all applications are processed in a
timely manner. Providing all members
with high-quality services is extremely
important to ENA.
• All CNE application forms have
been updated and posted on the ENA
Website (CNE Webpage)
• We are currently working on a plan
of action to process pending applications
• By the end of next week (Sept. 27),
ENA will follow up with all CNE
applicants who have submitted an
application since July 1, 2013, regarding
the next steps for approval of applications
• If you have submitted a CNE
application for an educational event to
be held in September 2013, ENA will
work with you to identify the best way to
get your CNE application approved at no
additional cost to you.
‘‘Thank you for your feedback,’’
Lazarus said before adjourning the town
hall meeting.
By Margo Schafer, Conference Connection
More from the Exhibit Hall! Page 15
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There's more to see and read about
Annual Conference on ENA's
Facebook page!
OPENING SESSIONConference opened officially to all attendees Thursday with messages from ENA President JoAnn Lazarus, MSN, RN, CEN, the ENA Foundation and "Chef" Jeff Henderson and a live-streaming clinical simulation lab.
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THE EXHIBIT HALLMore than 200 exhibitors were on hand beginning Thursday to offer leisurely distractions and demonstrate the latest products and services geared toward emergency nursing.
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Watch for the wrap-up edition of Conference Connection on Wednesday, Sept. 25
with more photos, videos and coverage of educational sessions and weekend events!
EMERGENCY NURSES IN STEPThursday night was the time for all attendees to sparkle and shine — and enjoy food, live music and some Tennessee line dancing — at the Welcome to Nashville Party at the Delta Atrium.
2013 Annual Conference photography by Jules Clifford