first ena nurse practice networking session

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JOURNALOF EMERGENCYNURSING es).--Taffy Davis, RN, BSN, CEN, Franklin Memorial Hospital, Emergency Department, 1 Hospital Drive, Farmington, ME 04938 First ENA Nurse Practice Networking Session Dear Editor; The first ENA Nurse Practice Networking Ses- sion was held in San Antonio on October 1, 1994. Twenty-two members representing 10 states par- ticipated in the session. There was lively discussion about the use of unlicensed assistive personnel. Comments ranged from concerns about the possible increase in the paramedic scope of practice in Florida to uneasiness and anger about the lack of registered nurses on trauma resuscitation teams in certain hospitals in Ohio and Georgia. We also talked about ENA's Scope of Practice position statement and packet. The group discussed ways for this information to reach a larger portion of the general membership. Finally, the need for an avenue of communica- tion between state and national Practice Commit- tees was identified. One method of communication is an annual networking session. Another is the de- velopment of a roster of those present at this first networking session. The roster wiI1 serve as a resource for communication between session mem- bers. The list includes National Nurse Practice Committee members and several state Practice Committee chairpersons. These talented and expe- rienced nurses can help to answer questions, and we can keep each other informed about current practice issues. If you would be interested in receiving a copy of the list or would like us to add your name to the list, please send me your request.--Susan Kaplan, RN, CEN, Chair, Massachusetts Nursing Practice Committee; member, ENA National Nursing Prac- tice Committee, 9 Carlson Circle, Natick, MA 01760 Scope of practice and protocols sought for ED nurse practitioners Dear Editor: I am a family nurse practitioner student work- ing on my project to complete my master's degree. My project involves writing protocols for the nurse practitioner in the emergency department. Our cur- rent ED census is more than 65,000 visits per year. Six months ago we developed a minor care track to relieve the urgent track in the department. Our goal is to see 50% of the ED patients in the minor care track. I would appreciate correspondence and advice on defining the nurse practitioner's scope of prac- tice, developing protocols, and sources of informa- tion used as a basis. I have worked as an emergency nurse for 23 years and believe there is a need and a place for practitioners in the emergency setting.- Alice McCann, RN, BSN, CEN, 113 Brycewood Cir- cle, Hattiesburg, MS 39402 More on reentering Dear Editor: T h e JOURNAL OF EMERGENCY NURSING r e c e n t l y published two articles that focused on mentors. This occurred just as I was going to submit my own ar- ticle! My mentor provided orientation for me in the emergency department 15 years ago. I still live by the pearls of wisdom she gave to me... cannulate what you can; never let them hurt you; ask if you do not know; and always try to keep your sense of hu- mor! As a colleague, my mentor would make sure I was comfortable in crisis, maybe poke her head into a treatment room to see if I needed help, and some- times she would check just to be sure I was smiling. And, if I was not, she would occasionally act out something hysterically insane (in a professional manner, of course)! I have often seen her share her knowledge not only with me, but with our entire staff. She is a solid peer professional, and has become an even better personal friend. Most recently, this nurse has finally become an acknowledged nursing leader: she serves on the ENA Board of Directors. Through all these ac- complishments, there is always an underlying theme of energy and effectiveness that is contagious. I come from the school of "emulate what you admire," so, it comes as no surprise that I recently have been able to realize some important goals: a more active participation in my professional associ- ation, furthering of my education, writing for publi- cation, and teaching. I am sure I would not be as in- terested in these aspirations if it were not for my personal mentor and friend, known to me as "Duba." This letter is written not only to encourage other ED nurses to recognize and honor their men- tors, but also to encourage each one of us to strive to be a mentor!--Mik Staeck, RN, BSN CEN, North- ern Nevada Medical Center, Sparks, Nevada June 1995 197

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JOURNAL OF EMERGENCY NURSING

e s ) . - - T a f f y Davis, RN, BSN, CEN, Franklin Memorial Hospital, Emergency Department, 1 Hospital Drive, Farmington, ME 04938

First ENA Nurse Practice Networking Session

Dear Editor; T h e first E N A Nurse Prac t ice N e t w o r k i n g Ses-

s ion w a s h e l d in San A n t o n i o on Oc tobe r 1, 1994. T w e n t y - t w o m e m b e r s r e p r e s e n t i n g 10 s t a t e s par - t i c i p a t e d in t he sess ion .

T h e r e w a s l ive ly d i s c u s s i o n a b o u t t he u se of u n l i c e n s e d a s s i s t i v e pe r sonne l . C o m m e n t s r a n g e d from c o n c e r n s a b o u t t he p o s s i b l e i n c r e a s e in t he p a r a m e d i c s c o p e of p r a c t i c e in F lo r i da to u n e a s i n e s s a n d a n g e r a b o u t t he l ack of r e g i s t e r e d n u r s e s on t r a u m a r e s u s c i t a t i o n t e a m s in ce r t a in h o s p i t a l s in Ohio a n d Georg ia .

We a lso t a l k e d a b o u t E N A ' s Scope of P rac t i ce p o s i t i o n s t a t e m e n t a n d packe t . The g roup d i s c u s s e d w a y s for t h i s i n fo rma t ion to r e a c h a l a rge r po r t ion of t he g e n e r a l m e m b e r s h i p .

F ina l ly , t h e n e e d for an a v e n u e of c o m m u n i c a - t ion b e t w e e n s t a t e a n d n a t i o n a l P rac t i ce C o m m i t - t ee s w a s iden t i f i ed . One m e t h o d of c o m m u n i c a t i o n is an a n n u a l n e t w o r k i n g sess ion . A n o t h e r is t he de - v e l o p m e n t of a ros te r of t h o s e p r e s e n t a t th is f irst n e t w o r k i n g sess ion . T h e ros te r wiI1 s e r v e as a r e s o u r c e for c o m m u n i c a t i o n b e t w e e n s e s s i o n m e m - bers . T h e l is t i n c l u d e s N a t i o n a l N u r s e P rac t i ce

C o m m i t t e e m e m b e r s a n d seve ra l s t a t e P rac t i ce C o m m i t t e e cha i rpe r sons . T h e s e t a l e n t e d a n d e x p e - r i e n c e d n u r s e s can h e l p to a n s w e r ques t ions , a n d w e can k e e p e a c h o the r i n f o r m e d a b o u t cu r r en t p r ac t i ce i s sues .

If you w o u l d b e i n t e r e s t e d in r e c e i v i n g a copy of t he l i s t or w o u l d l ike us to a d d your n a m e to t he list, p l e a s e s e n d m e your request.--Susan Kaplan, RN, CEN, Chair, Massachusetts Nursing Practice Committee; member, ENA National Nursing Prac- tice Committee, 9 Carlson Circle, Natick, MA 01760

Scope of practice and protocols sought for ED nurse practitioners

Dear Editor: I a m a f ami ly n u r s e p r a c t i t i o n e r s t u d e n t work-

i n g on m y pro jec t to c o m p l e t e m y m a s t e r ' s deg ree . M y pro jec t i nvo lves w r i t i n g p ro toco l s for t h e n u r s e p r a c t i t i o n e r in t h e e m e r g e n c y d e p a r t m e n t . Our cur- r en t ED c e n s u s is m o r e t h a n 65,000 v is i t s pe r year . Six m o n t h s ago w e d e v e l o p e d a m i n o r ca re t r ack to

r e l i eve t h e u r g e n t t r a c k in t he d e p a r t m e n t . Our goa l is to s e e 50% of t h e ED p a t i e n t s in t h e minor ca re t rack.

I w o u l d a p p r e c i a t e c o r r e s p o n d e n c e a n d a d v i c e on d e f i n i n g the n u r s e p r a c t i t i o n e r ' s s cope of p rac - t ice, d e v e l o p i n g pro tocols , a n d sou rc e s of in forma- t ion u s e d as a bas i s . I h a v e w o r k e d a s a n e m e r g e n c y nu r se for 23 y e a r s a n d b e l i e v e t h e r e is a n e e d a n d a p l a c e for p r a c t i t i o n e r s in t h e e m e r g e n c y s e t t i n g . - Alice McCann, RN, BSN, CEN, 113 Brycewood Cir- cle, Hattiesburg, MS 39402

More on reentering

Dear Editor: The JOURNAL OF EMERGENCY NURSING r e c e n t l y

p u b l i s h e d two a r t i c l e s t h a t focused on mento r s . Th i s occu r red jus t a s I w a s g o i n g to s u b m i t m y own ar-

ticle! M y m e n t o r p r o v i d e d o r i e n t a t i o n for m e in t he

e m e r g e n c y d e p a r t m e n t 15 y e a r s ago. I st i l l l ive b y the p e a r l s of w i s d o m s h e g a v e to m e . . . c a n n u l a t e w h a t you can; neve r le t t h e m hu r t you; a sk if you do not know; a n d a l w a y s t ry to k e e p your s e n s e of hu-

mor! As a co l l eague , m y m e n t o r w o u l d m a k e sure I

w a s c o m f o r t a b l e in cr is is , m a y b e poke her h e a d in to a t r e a t m e n t room to s ee if I n e e d e d help , a n d some- t i m e s she w o u l d check jus t to b e su re I w a s smi l ing . And, if I w a s not, she w o u l d o c c a s i o n a l l y ac t out s o m e t h i n g h y s t e r i c a l l y i n s a n e (in a p ro fe s s iona l ma nne r , of course)!

I h a v e of ten s een h e r s h a r e he r k n o w l e d g e no t only w i t h me, b u t w i th our en t i r e staff. She is a so l id pee r p ro fess iona l , a n d h a s b e c o m e an even b e t t e r p e r s o n a l f r iend. Mos t r ecen t ly , th i s n u r s e h a s f ina l ly b e c o m e an a c k n o w l e d g e d n u r s i n g leader : she s e rves on the ENA Board of Directors. Through all t he se ac- compl i shmen t s , the re is a l w a y s a n unde r ly ing t h e m e of ene rgy a n d ef fec t iveness tha t is contagious.

I come from the school of " e m u l a t e w h a t you a d m i r e , " so, i t c o m e s as no su rp r i s e t h a t I r e c e n t l y h a v e b e e n a b l e to rea l ize s o m e i m p o r t a n t goals: a more ac t i ve p a r t i c i p a t i o n in m y p ro fes s iona l assoc i - a t ion, f u r t h e r i n g of m y e d u c a t i o n , w r i t i n g for pub l i - cat ion, a n d t e a c h i n g . I a m su re I w o u l d no t b e as in- t e r e s t e d in t h e s e a s p i r a t i o n s if i t we re not for m y p e r s o n a l m e n t o r a n d fr iend, k n o w n to m e as " D uba . "

This l e t t e r is w r i t t e n not on ly to e n c o u r a g e o the r ED n u r s e s to r e c o g n i z e a n d honor the i r m e n - tors, b u t a l so to e n c o u r a g e e a c h one of u s to s t r ive to b e a mentor!--Mik Staeck, RN, BSN CEN, North- ern Nevada Medical Center, Sparks, Nevada

June 1995 197