the Official Newsletter of the Emergency Nurses Association

connection
May 2007 Volume 31, Issue 4

INSIDE
F EATURES
ENPC Instruction Academy Fellows ENAs First Research/ Practice Consultant Board Highlights Nominations Committee Meet the Candidates Medication Reconciliation Call for Faculty 9 11 14 14 17 18 24 25

Patient SafetyReducing MRSA: Methicillin-Resistant S. aureus Infection

Sherri-Lynne Almeida, RN, MSN, MEd, DrPH, CEN, FAEN Board of Directors

D EPARTMENTS
Board Writes Washington Watch ENA Injury Prevention Pediatric Update Web News CourseBytes State Connection ENA Foundation BCEN 2 3 4 6 6 8 10 30 32

ealth-care-associated infections remain a major cause of morbidity, mortality and excess health care costs despite concerted infection control efforts over nearly a half century. Recently, treatment of these infections has become more complex due to an alarming rise in antibiotic resistance. Infections caused by methicillinresistant S. aureus (MRSA) are particularly problematic: their incidence has increased inexorably over the past decade, and, compared to methicillinsusceptible staphylococcal infections, they are more lethal. According to the Centers for Disease Control and Prevention (CDC), MRSA now accounts for more than 50 percent of hospital-acquired S. aureus

infections and 63 percent of S. aureus infections acquired in intensive care units (ICUs) in the U.S. The rapid emergence of community-acquired MRSA (CA-MRSA) in patients with no prior exposure to health care institutions or other risk factors poses a serious new challenge to the nations hospitals. Patients with CA-MRSA are presenting to hospital emergency departments and outpatient clinics in increasing numbers, and inhospital spread has been documented following their admissions. The human and financial impact of MRSA is high: More than 126,000 hospitalized persons are infected by MRSA annually. 3.95 MRSA infections occur per 1,000 hospital discharges.

More than 5,000 patients die as a result of these infections. More than $2.5 billion excess health care costs are attributable to MRSA infections. On average, for each patient with MRSA infection, this means: 9.1 days excess length of stay (LOS). More than $20,000 in excess cost per case (range $7,000 $32,000).

See Patient Safety, page 26

2007 Election Begins This Month

he 2007 election for national ENA board of director positions and members of the Nominations Committee begins May 17. This issue of ENA Connection features board-candidate biographical information, candidates photographs, position statements and replies to the question, How does belonging to and participating in ENA, your professional organization, advance emergency nursing practice? Candidate information for each board position appears in the random order determined prior to the Candidates Election Forum at ENA Leadership Conference 2007 in Boston this past February. For more information on each of the board candidates, visit the ENA Web site at www.ena.org and click on Meet the Candidates. Only active ENA members who

have paid their membership dues no later than May 1, 2007, are eligible to vote in the 2007 elections. ENA members will be able to vote in May for president-elect, secretary/ treasurer, two director positions and four openings on the Nominations Committee. Depending upon the outcome of the elections for officers, additional board director positions may be available for a term equal to the unexpired term of the vacating director.

Vote 2007
mail addresses on record. Members who receive paper ballots may still vote online. Members will be able to access the online ballot directly on SBS Web site or via a hyperlink to SBS from the ENA Web sites homepage. To ensure the validity of ballots, an identifying number will be included in the broadcast e-mail and printed on each mailed paper ballot. The identifying number will be needed to access the online ballot or must appear on the returned written ballot. Votes cast without the identifying number will not be counted. Elections will begin May 17. Completed 2007 election ballots, either See 2007 Election, page 16

Online and Paper Voting

ENA members may cast their votes online. Survey & Ballot Systems (SBS) Inc. will send a broadcast message with voting instructions to members who have given their e-mail addresses to the ENA national office. The national office will mail traditional paper ballots to members who do not have e-

ENA BOARD WRITES

When You Focus on Patient Safety, You Sleep Better

ou cannot open a newspaper, magazine or journal lately without reading about patient safety. Everyoneproviders, insurers and consumersare claiming, pushing, studying and talking about patient safety. The only way that this dialogue makes our patients safer is if we put words into action. Thats not as easy as it sounds because emergency nurses work in a fast-paced, stress-filled environment. The ED may be technologically advanced, but technology is only as good as the people who use it. When nurses at the bedside hear that the Joint Commission is coming to do a survey, they know that they will be scrutinized carefully on the National Patient Safety Goals. Nurses want to deliver safe, effective care, yet sometimes the manner in which the care is delivered is different from the surveyors expectation. Goals and the rules that define patient care are black and white. Yet, ED nurses know there are gray areas, too.

MITCH JEWETT, RN, CEN BOARD OF DIRECTORS

ly knew the patient, so she did not actually look at her armband. Was the patient accurately identified? Yes. Did the nurse actually use two identifiers? No. Does this pass the test? No. Did the patient receive the right medication in a safe manner? Yes, but it flunks the litmus test that the 2007 National Patient Safety Goal 1 sets before us. Goal 1 also calls for the use of a timeout before an invasive procedure. The Learning and Using New Approaches to Research (LUNAR) III work team studied timeouts and learned that more than 30 percent of ED nurses do not routinely use and document a timeout. Chest tube placement, open reductions, lumbar punctures, central line placement, RSI, and non-emergent cardioversions are situations when timeouts should be used.

The nurse may not always be able to hand a chart to the doctor, but the nurse must always ask the doctor to put the order into the computer. Technology has helped with the standardization of abbreviations and the ability to track times and processes, but it is only as good as the people who use it.

Goal 3: Improve Safe Use of Medication

It seems elementary: limiting the number of drug concentrations used, taking care to identify look-alike or sound-alike drugs and taking action to prevent errors from using the wrong one. Nevertheless, we still hear of errors made when a nurse gives the wrong strength or dose. We understand how errors occur; and, at the same time, we understand that our patients count on us to do what is best for them.

Goal 2: Improve the Effectiveness of Communication Among Caregivers.

Teamwork and the proliferation of the use of SBAR (Situation, Background, Assessment, Recommendation, a standardized way of communicating with caregivers) have helped many nurses deal more effectively with communication. Many emergency departments do not allow verbal orders, requiring physicians to put everything in writing.

What Is Best for the Patient Is Best for Us

We must follow the regulations and guidelines that are standard for our workplace. Each of us is responsible for our own actions and wants to sleep soundly at the end of the day or shift. Think about what you personally can do to make your own patient care safer, and then do it. You will sleep better.

Goal 1: Improve the Accuracy of Patient Identification

I recently asked an ED nurse to describe the two patient identifiers she used before giving medication to her last patient. Her name and ID band, she said, and added that she personal-

Letter From the Executive Director

David A. Westman

ENA: Fighting for Nurses on Pharmacist First-Dose Review and Procedural Sedation Issues

the Joint Commission ne of ENAs key recognized the conpriorities is monicerns of our members toring and influand issued an Interim encing public policy and Standard that allowed regulations. Whether the for a 48-hour retroissue is federal funding for spective review of nursing education, a state medications given in changing the scope of the ED. practice for emergency (For more informanurses or accreditation tion on this issue, see standards for the ED, ENA the May 30, 2006 letis the primary advocate ter to the Joint Comfor emergency nurses. mission at: For example, May 30, David A. Westman, MBA www.ena.org/ 2006, ENA joined the American Academy of Emergency Med- future/Issues/Joint_ltr_JCAHO_ Med_Recon.pdf.) icine (AAEM) and the American ColWhile each organization was lege of Emergency Physicians (ACEP) pleased that the standard had been at to oppose the Joint Commissions proleast temporarily modified, the Joint posed medication reconciliation stanCommissions Interim Standard made dard MM 4.10. This standard requires it clear that a final standard would be pharmacists to prospectively review all forthcoming at the end of 2007. firstdose medication orders in the ED. Unfortunately, the Joint Commission In addition to sending the Joint Commission a joint letter opposing MM changed its mind again. April 6, 2007, ignoring the expert 4.10, each of these groups participated advice from hundreds of ED profesin a Joint Commission work group on sionals, the Joint Commission again the issue and encouraged their memreversed course and returned to the bers to participate in the new standards field review process. As a result, original wording in MM 4.10. Again,

ENA sprung to action, collaborating with other groups to bring pressure on the Joint Commission to revisit this unfortunate decision. At press time, the leadership of ENA, ACEP and AAEM are working together to build the case to rescind this decision. Like the Joint Commissions accreditation standards, scope of practice issues affect the day-to-day work of ENA members. Recent activity in Pennsylvania on the issue of procedural sedation serves as a reminder as to how simple changes to the scope of practice of ED nurses can have a profound effect on patient care. The Board of Nursing in Pennsylvania is considering changes that would restrict the use of procedural sedation agents by properly supervised and trained ED nurses. It is ENAs position that professional scope of practice should be based on scientific evidence and consensus-based clinical guidelines, all of which indicate that these proposed restrictions are unnecessary. Unfortunately, in Pennsylvania, the proposed limitations appear to be based on other criteria such as the

labels on the medications themselves. As part of a legal strategy to limit any potential liability, the manufacturer of some of the medications used in these procedural sedations have placed labels identifying anesthesiologists and certified registered nurse anesthetists as the only appropriate administers of their products. Clearly, this decision is based solely on the legal and financial well-being of the company and not the most appropriate care for the individual patient. From misguided Joint Commission standards to attacks on the nursing scope of practice, from strengthening highway safety laws to increasing federal funding for nursing education, ENA is representing its members with a strong and effective voice. ENA will continue to fight on these issues and others affecting the emergency nursing profession. By joining together in ENA, emergency nurses impact not only the lives of the patients they touch, but the lives of all ED patients. Advocating on your behalf is a great opportunity and responsibility that we will continue to take very seriously for you and your patients.

May 2007

ENA Supports SCHIP

he Emergency Nurses Association has joined forces with 16 other nursing organizations to call for the reauthorization of the State Childrens Health Insurance Program (SCHIP). Created under the Balanced Budget Act of 1997, SCHIP has been highly successful in reducing the number of uninsured children in the U.S. Spearheaded by the National Association of Pediatric Nurse Practitioners, nursing organizations are working with Congress to ensure that SCHIPs reauthorization includes the following principles: While we believe SCHIP is primarily a health care program for children, we strongly support the ability of states to cover parents of SCHIP-eligible children as is available under the current program. Much data exist to support the premise that parents with insurance are more likely to keep up with preventive and primary health services for their children. We do not believe that Congress should penalize the 11 states that have provided parental coverage through HHS waiversespecially

ENA
off the rolls due to strict assets tests. The program should provide for the inclusion of comprehensive health benefits that include mental health, dental care and vision careamong other vital health services. Congress should prevent further funding reductions to Medicaid that would impact the provision of health care to children. The SCHIP program relies on a strong Medicaid programand cannot be weakened in order to finance an expansion of health coverage for children. SCHIP should maintain flexibility in program design and eligibility. We believe that SCHIPs goal is to provide health coverage to as many uninsured children as possible. It would be detrimental for Congress to set SCHIP eligibility levels lower than are currently set by states. Lower SCHIP eligibility would impact SCHIP programs in 26 states and would impact coverage for at least a million children. The budget blueprint approved March 15, 2007, by the Senate Budget

since there are only 600,000 adults enrolled in SCHIP, as compared to the 6 million children the program currently covers. States should be given the necessary flexibility to cover legal immigrant children and pregnant women who meet eligibility rulesregardless of how long they have lived in the U.S. We strongly support language contained in the Immigrant Childrens Health Improvement Act, which lifts the five-year waiting period for federal health care benefits for legal immigrants. We also believe that pregnant women should be eligible to receive coverage under SCHIP without the requirement of a federal waiver so that they can have access to the necessary prenatal care to prevent, detect and treat health problems before the birth of a child. Congress should create incentives for states to increase outreach and eliminate barriers to enrollment. We strongly support efforts that reward states for successfully boosting enrollmentand preventing children from dropping on and

KATHLEEN REAM, BA, MBA ENA WASHINGTON REPRESENTATIVE

Committee reflects a long Democratic wish list for action on health care this year with little guidance on how to fulfill it. The exception appears to be a $50 billion reserve fundover five yearsto reauthorize and expand SCHIP if such legislation maintains coverage for those currently enrolled in SCHIP, continues efforts to reach uninsured children who are already eligible for SCHIP or Medicaid but are not enrolled and supports states in their efforts to move forward in covering more children. Under President Bushs proposed budget for FY 2008, thousands of children would lose health coverage because his proposal restricts SCHIP eligibility and fails to add enough funding to prevent thousands of children from losing current coverage. SCHIPs authorization expires September 30, 2007.

Legislative Package Addresses Rural Health Care

en. Norm Coleman (R-MN) unveiled a comprehensive plan to address the challenges facing rural hospitals. Through a series of seven bills aimed at addressing Minnesotas shortage of rural health care personnel, the need for improved mental health services in the states rural areas and the expansion of remote monitoring to make the most advanced health care more accessible, Coleman has, in the words of Minnesota Hospital Association President Bruce J. Rueben, crafted policies that will benefit the entire nation. Colemans agenda also focuses on the long-term sustainability of Critical Assess Hospitals (CAH), rehabilitating dilapidated CAH buildings and enabling those rural hospitals to better compete for funding to modernize their health information technology systems. The seven bills comprising Colemans rural health agenda are: Rural Health Services Preservation Act: Ensures that CAHs are reimbursed at a rate that allows them to cover the costs of the important services they offer. Critical Access to Health Information Technology Act: Helps rural hospitals compete for federal health technology grants; recognizes the fact that many rural hospitals across the country lack the high numbers

of personnel, patients or money needed to compete with larger hospitals for federal funding. Remote Monitoring Access Act: Creates a new benefit category for remote patient management services in the Medicare physician schedule; (initially, Medicare would cover treatment of congestive heart failure, diabetes and cardiac arrhythmia with the option of covering additional conditions in the future); will allow CAHs to better serve rural populations with limited access to medical care through the use of new technologies that collect, analyze and transmit clinical health information online. Rural Critical Access Hospital Reconstruction and Rehabilitation: Ensures the construction and maintenance of CAHs by providing $1.6 billion allocated over five years for rural CAHs across the country. Cass County Critical Access Hospital: Enables the city of Walker to build a CAH by cutting through the red tape requiring it to be a minimum of 35 miles from the nearest hospital to better serve the many Cass County, Minnesota, residents with limited access to health care. Rural Access to Mental Health and Wellness for Children and Seniors Act: Establishes federal grants to provide assistance to rural schools,

hospitals and communities to conduct collaborative efforts to secure a system that improves access to mental health care for youth, seniors and families; increases access of elementary and secondary students to mental health services in rural areas by providing for the operation of a mobile health services program and the enhancement of telemental health initiatives. Rural Nursing Promotion Act: Creates the Nurse Distance Education Program, an online program giving

students in rural areas access to nursing education; encourages institutions of higher learning to expand their current nursing programs or create new programs; requires the Secretary of Health and Human Services to report to Congress possible solutions to the nursing and physical therapy shortage and adds flexibility to allow more foreign nurses and physical therapists to help fill the current shortage in rural America.

From the States

Colorado Legislature Kills Nurse Staffing Bill
Colorado lawmakers recently killed a bill that would have required hospitals to disclose their nurse staffing plans to the public. February 14, 2007, by a unanimous vote, the Senate Health and Human Services Committee voted down Senate Bill 10, which was sponsored by Senator Lois Tochtrop, RN (D-Thornton), and would have required a staffing committee, with half of its members made up of RNs who treat patients, to develop a plan and file it with the Colorado Department of Public Health and Environment. The bill did not dictate nurse staffing levels, but because hospitals would have been required to stick to their plans or face financial penaltiesas much as $5,000 per day per violationthe Colorado Health and Hospital Association (CHA) viewed it that way and opposed the measure. In a press release, CHA President Steven Summer said, Senate Bill 10 would not have ensured access to care, nor increased the quality of care provided in Colorado hospitals. He noted that, in order to determine the appropriate hospital quality measures that should be accessible to the public, CHA is working with members of the health care and business communities, consumers See From the States, page 29

Official Newsletter of the Emergency Nurses Association

Falls Prevention Among Older Adults

Older American Month
arthritis), podiatric problems, urinary incontinence and fear of falling.6,8,9 External risk factors are divided into in-home risk factors and outdoor risk factors. The most recognized in-home external risk factors are slippery flooring and carpeting, use of throw rugs, inadequate furnishing design and position, poor lighting, lack of equipment in bathroom and bathtub, lack of handrails, clutter, cluttered stairs and steps, type and condition of footwear and inadequate or improperly used assistive devices.8,9 Examples of outdoor risk factors are uneven sidewalks, terrain or curbs; lack of or structurally unsecured handrails; hazardous materials (e.g., snow, ice, water, mud, oil spills); and poor lighting. of a single factor but rather a combination of both internal and external factors. Therefore, the most effective interventions to prevent falls incorporate multiple elements that address a combination of risk factors. These types of interventions are called multifaceted or multilevel interventions. The Stand Strong for Life program includes six core elements: 1) physical exercises to increase strength, balance and gait, and flexibility; 2) referrals of older adults to primary health care provider (PCP) for regular vision check; 3) referrals to PCP or pharmacist for medication review; 4) education for older adults and family members on importance of foot and footwear check and on purchasing of adequate footwear; 5) education for older adults and family members on how to conduct a home safety check; and 6) education for older adults and family members on proper use of adequate assistive devices. To obtain your copy of the Stand Strong for Life program, visit ENAs Marketplace at www.ena.org or contact Member Services at 847/4604000.
2. Chang, J.T., Morton, S.C., Rubenstein, L.Z., Mojica, W.A., Maglione, M., Suttorp, M.j., Roth, E.A., & Shekelle, P.G. (2004). Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomized clinical trials. British Medical Journal, 328(7441), 680-683. 3. Center for Disease Control and Prevention (2004). National Center for Injury Prevention and Control. WISQARS. Retrieved July 14, 2006, from www.cdc.gov/ncipc/wisqars/. 4. Tinetti, M.E., Speechley, M., & Ginter, S.F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 319, 1701-1707. 5. Sterling, D.A., OConnor, J.A., & Bonadies, J. (2001). Geriatric falls: Injury severity is high and disproportionate to mechanism. Journal of Trauma-Injury Infection and Critical Care, 50(1), 116-119. 6. Centers for Disease Control and Prevention (n.d.). A toolkit to prevent senior falls: The costs of fall injuries among older adults. Retrieved July 18, 2006, from www.cdc.gov/ncipc/ factsheets/fallcost.htm. 7. National Resource Center for Safe Aging (n.d.). Collaborative breakthrough series on reducing falls and injuries due to falls. Retrieved June 27, 2006, from www.safeaging.org. 8. McInnes, L., Appl Sci, G.D., Gibbons, E., & Chandler-Oatts, J. (2005). Clinical practice guideline for the assessment and prevention of falls in older people. Worldviews on Evidence-Based Nursing, 2(1), 33-36. 9. Gillespie, L.D., Gillespie, W.J., Robertson, M.C., Lamb, S.E., Cumming, R.G., & Rowe, B.H. (2006). Interventions for preventing falls in elderly people. Cochrane Database of Systematic Reviews. 2, 2006.

ay is Older American Month. Falls are the leading cause of hospital and nursing home admissions and injury-related deaths among older adults.1, 2

Scope of the Problem

In 2004, nearly 2.9 million older adults were treated in hospital emergency departments for non-fatal injuries; the majority of these (1.9 million) were the result of falls.3 The consequences of falls are significant. As many as 50 percent of older patients requiring hospitalization after a fall die within one year.4 In 2003, nearly 13,820 people ages 65 years and older died from fall-related injuries: of those, approximately 50 percent were age 85 years and older.3

Stand Strong for Life Program

To address this significant public health problem, the Emergency Nurses Association Injury Prevention Institute/EN CARE developed the Stand Strong for Life program, based on evidence from multiple randomized controlled trials and meta-analyses. ENA encourages you to be a part of this falls prevention program to prevent injuries and fatalities before they occur. As an ED nurse, you probably encounter many fall-related injuries among older adults. How can you help prevent those falls from occurring in the first place? The goal of the Stand Strong for Life program is to reduce the number of risk factors for falls. Falls among older adults are usually not the result

Costs
Adverse outcomes go well beyond the injuries sustained as a result of a fall. Fall-related injuries in the U.S. cost more than $20 billion each year, and, by 2020, the total annual cost of these injuries is expected to reach $32.4 million.5 The cost of fall-related injuries is often expressed in terms of direct costs, including out-of-pocket expenses such as hospital and nursing home care, physician and other professional services, rehabilitation, community-based services, use of medical equipment, prescription drugs, local rehabilitation, home modifications and insurance administration.6 Direct costs do not account for the long-term consequences of these injuries, such as disability, decreased productivity or reduced quality of life.6 If appropriate falls prevention efforts were put into practice, twothirds of the deaths associated with falls could be prevented,7 health care costs reduced and morbidity decreased.

References
1. Li, W., Keegan, H.M., Sternfeld, B., Sidney, S., Quesenberry, C.P., & Kelsey, J.L. (2006). Outdoor falls among middle-aged and older adults: A neglected public health problem. American Journal of Public Health, 96(7), 1192-1200.

ENA

INJURY PREVENTION INSTITUTE/ EN CARE PRESENTS

Stand S rong for Life

Falls Prevention Program for Older Adults
Prevent injuries and fatalities among older adults before they occur. This new evidence-based program provides tools and activities to educate professional health care providers and community advocates. To order this CD-ROM, which includes directional brochures and presentations, go to www.ena.org or contact the IP Institute at 800/942-0011.

Risk Factors
The most recognized internal risk factors that predispose older adults to falls include: previous falls, visual impairment, hearing impairment, cognitive impairment, balance, gait and muscle strength, cardiovascular diseases, medications and alcohol, nutritional deficiencies, chronic degenerative diseases (e.g., osteoporosis,

May 2007

Pediatric Update

Pediatric Patient SafetyReducing Medical Harm

To revert to children. They are much more susceptible than grown people to all noxious influences. Florence Nightingale, Notes on Nursing 1859 he threat or occurrence of medical harm to pediatric patients is well-described in the literature, sometimes makes front-page news headlines and, as this quote illustrates, is nothing new or surprising to emergency nurses. Yet, in order to begin addressing the recent recommendations by the Institute of Medicine and others that all emergency care providers develop strategies to reduce harm to children and their families, there must be an understanding of the importance of front-line (bedside) staff. For emergency nurses to continue to act as a pediatric safety net, there is a need for both knowledge and resources that identify, prioritize and respond to pediatric patient safety risks within their areas of responsibility. One strategy that can facilitate an increased awareness of pediatric patient safety in the ED is the development and implementation of a unitbased safety team. This team, which should consist of front-line, bedside clinical staff, should meet regularly for the primary purpose of identifying and prioritizing risks and safety concerns to pediatric patients in the ED
Susan M. Hohenhaus, MA, RN, FAEN, Consultant, Duke Patient Safety Center, shohenha@ptd.net

Susan M. Hohenhaus, MA, RN, FAEN

and for developing and implementing strategies that decrease the risk of harm. This safety team should be given the authority to recommend and implement reasonable changes. Meetings should follow guidelines similar to other injury-prevention efforts: gather data, make immediate shortterm changes, report identified risks and make recommendations to leadership teams to resolve issues that are beyond the scope of the local level. Consider rotating team members at prescribed intervals, such as every six months, to vary observations and include more than one opinion. This keeps all members of the health care team involved and helps to ensure that no one person is overburdened by meetings or task follow-up. As a starting point, following are some tips that emergency departments can use to enhance the safety of pediatric patients who require emergency care: Continue to place the child at the center of your departmental discussions. Ask the question, If this were my family member, what would I expect? Remember that fixing one part of the system often complicates anoth-

er. It may be helpful to partner with other unit-based safety teams that care for children. Insist on systems involvement. There should be no pediatric emergency-care decisions made without the direct input of bedside clinicians. Bring pediatric safety initiatives to the table at each chapter, state and national ENA meeting. Some pediatric patient safety resources include: American Academy of Pediatrics Quality Improvement and Management at www.aap.org/visit/ patientsfty.htm; provides links to archived pediatric patient safety Web seminars and other resources. Agency for Healthcare and Research Quality (AHRQ) Web M&M at http://webmm. ahrq.gov/caseArchive.aspx#4; some pediatric-specific case studies that illustrate threats to pediatric patient safety, as well as commentary on addressing the issues. Clinical Pediatric Emergency Medicine at www.clinpedemergencymed.com/; December 2006 issue entirely devoted to pediatric patient safety with articles written by ENA members and colleagues.

WEB NEWS
DEB ZIRKLE ONLINE SERVICES MANAGER

Security Settings Can Block Web Pages

ou may have experienced going to the ENA Web site to find you only can get to one or two pages before you get an error page. Does this mean the Web site pages are no longer available or have a bad link? Probably notmore than likely, it is your security settings. With more and more viruses and undesirable content on the Web, security has become a top priority for browsers and IT departments. Your inability to get further into a Web site is likely due to a high security setting. For example, if your security is set to the highest level, chances are you are allowed to visit the homepage of a site, but probably not go much deeper than a page or two. These settings can be on software you may have added on your own, such as Norton AntiVirus or McAfee, or it

can be within the default settings on your Internet browser. If you use your work computer to access the Internet, these security settings are likely determined by your facilitys IT department. To allow navigation further into Web pages, the level of security needs to be lowered. There are pros and cons to doing this. On the pro side, you will have more Internet freedom and the ability to go deeper into sites you are visiting. The cons are obvious and potentially dangerous. By lowering the security level, you open yourself up to a greater risk of security issues or getting into a Web site that has questionable content. Sometimes, just setting the level down one step can help and still provide the security you want. However, if this is your home computer, it is

highly recommended that you contact your browsers customer service department to get more details and further instructions on what you can do to safely adjust these settings. If you use your work computer to search the Web, your IT department has set these security levels for all staff. You will need to contact IT regarding any pages that are blocked. There are ways to temporarily adjust these settings as well as long-term solutions, such as white-listing a specific Web site. The next time you click your way through a Web site and hit the dreaded error page, first check other sites to see how far you get. If the problem repeats itself, it could be your security settings.

May 2007

Course Applications on the Web in Word Format

he ENA Course Operations Department is happy to announce that the Trauma Nursing Core Course (TNCC) and Emergency Nursing Pediatric Course (ENPC) applications are now in Microsoft Word format on the ENA Web site (www.ena.org). The applications are located on the TNCC and ENPC pages, which will be much more efficient for instructors and course operations staff.

Please save a copy to your computer so that you can type in your course information. You may e-mail applications to courseops@ena.org.

TNCC Rollout Update

ENA thanks all of the state council presidents and trauma chairpersons for their help in reaching our registration goal for the upcoming national TNCC rollout sessions beginning this month. In addition to meeting a very

challenging deadline for registering the 250 instructors who will attend, most attendees received their first choice of session dates. All states for which confirmations are complete will receive $600 per attendee via direct deposit. We will send a copy of the disbursement along with a list of each states attendees to their state president, treasurer and trauma chairperson.

PALS Renewal Option No Longer Available with ENPC

The American Heart Association (AHA) recently released its updated Pediatric Advance Life Support (PALS) course. The ENPC Revision Workgroup, including several PALS instructors, has reviewed the changes and agreed it would be impossible to incorporate them without major revision to the current ENPC. For example, the course topics that must now be included are: BLS skills, rhythm recognition, basic pharmacology, practical application of clinical scenarios and the concept of resuscitation teams. In addition, participants will be tested on the Child 1 Rescuer CPR/AED, Infant 1 and 2 Rescuer CPR and participate in two core-case testing scenarios. One requires being a team leader during resuscitation, and the other involves a cardiac, respiratory or shock scenario. Therefore, the option of PALS renewal with ENPC has been eliminated. ENA e-mailed the changes to all ENPC course directors and instructors in late February; a copy of the memo was posted on the ENPC page of the ENA Web site.

Experience the BEST of Leadership Conference 2007

May ENCORE Presentation
Maximizing Employee Performance Through Motivation

Your Input Is Welcome

Topic ideas for future issues and feedback are welcome at CourseBytes@ena.org. If you know of anyone who should be receiving this email but is not, please ask them to e-mail his or her name, current home address, and home and work e-mail addresses to CourseBytes@ena.org.

Faculty: Jeff Solheim, RN, BRE, CEN WHEN: Thursday, May 31, 2007,
2 p.m. (CDT)

PRICE: $25 members, $40 non-members CECH: 1.0 CECH (in the category of Other)

Click Here to REGISTER

www.ena.org/education/ENCORE/default.asp

PROGRAM DESCRIPTION:
It has been long established that recognition for a job well done is one of the greatest motivators in the workplace, yet fewer than 45% of employees feel their manager or supervisor recognizes their hard work, and fewer than 25% can verbalize a recent incident where their direct supervisor publicly acknowledged their contribution. In this one-hour Web seminar, discover the importance motivation and recognition play in creating a positive and stimulating work environment, as well as numerous suggestions for free or inexpensive employee motivational ideas.

Future ENCORE Presentations

June 27, 2007, 2 p.m. CT - From One of Us to One of Them; Making the Successful Transition From Staff Nurse to Nurse Manager July 25, 2007, 2 p.m. CT - Developing Emergency Department Charge Nurses: The Key to Operational Excellence
For more information on future presentations, visit www.ena.org

May 2007

ENPC Instructor Gets His Game On

nswer: This Emergency Nursing Pediatric Course (ENPC) instructor has created an interactive teaching tool based on the popular game show Jeopardy! Question: Who is Colorado State Council President Eric Christensen, RN, BSN, CEN? The PowerPoint game set up in the back of the ENPC instructor manual didnt seem to flow for me as an instructor, explained Christensen, who has been presenting ENPC since early 2002. I had a hard time teaching it, so I developed a different tool. Christensens teaching tool is also in PowerPoint but has the look and feel of the game show. The main slide resembles the Jeopardy! board with four categories across the top and rows of different dollar amounts. Students can click on Stuck on You (vascular access) for $100, for example, and try to give the correct response. By the time the game is done, Ive gone through all the essential teaching topics and key points, all in a fairly easy-to-follow format, noted Christensen.

All Tied Up (spinal stabilization), Take a Deep Breath (respiratory interventions) and an assorted skills column round out the games topics. Since debuting his teaching tool on the heels of the ENPC revision rollout last year, Christensen said he has received great reviews from every class where he has used the game. Ive had multiple instructors ask me for copies of the gamepeople just really seem to like it, he said. Because all of the games responses and questions are based on ENA content, Christensen is eager to share his PowerPoint with other ENPC instructors. He is working out some last-minute glitches with the spinal immobilization category, but hopes to have workable copies available soon. Christensen is not the first to develop a Jeopardy!-like exercise using ENPC materials. Ive watched people create their own games by printing out the slides from the back of the manual, he related. Some people even have boards with Velcro pieces that you remove to find the answer. Other versions have proven prob-

lematic, though, when pieces break, slides get lost or storage becomes an issue. The beauty of the PowerPoint game is that it is up and running throughout the course and can be easily projected on a large screen for everyone to see. You dont even need a handout, Christensen pointed out. Though it looks labor intensive, Christensen noted that there are no more than 40 slides in the game. Its just a matter of going through PowerPoint and hyperlinking which slides come next, he said. It makes it a little more interactive for the students

and much easier for instructors to set up and maintain. I never have to worry about lost or ripped and torn pages anymore.

Related to this topic

Visit www.ena.org/catn_enpc_ tncc for more information on ENPC, Trauma Nursing Core Course and Course in Advanced Trauma Nursing-II.

State connection
Coastal Carolina Chapter
Submitted by Cheryl Cummings, RN We have been working to increase attendance at our bimonthly educational/business meetings. Innovations such as drawing names for a free ENA membership have boosted attendance from three members to a high of 18, with an average of 12. More than 200 people visited the Coastal Carolina Chapters booth at the trauma symposium in Wilmington, North Carolina. We also had a booth at the 2007 Southeastern Seaboard Symposium (SESS) in Virginia Beach. We look forward to hosting the North Carolina State Council meeting November 28-29, 2007, at the Courtyard Marriott in Carolina Beach, North Carolina.

Texas State Council

Submitted by Susan Raven, RN, CEN Nurses Day at the Capitol Nurses from all over Texas gathered in Austin March 6 for the 2007 Nurses Day at the Capitol. A resolution honoring nurses approved by the House recognized the courage, dedication, caring and hard work of all Texas nurses. Throughout the day, nurses visited senators and representatives from their home districts to discuss nursing legislation pending before this 80th session of the Texas legislature. Major issues included improvements in the nursing practice environment, reducing the nursing shortage and addressing some concerns in the Sunset Review of the Board of Nurse Examiners. In almost every past session of the legislature, nursing has asked for improvements in the nursing practice environment. This years initiatives included implementing recommendations from the Institute of Medicine by promoting patient safety and focusing more on improving systems and less on blaming individuals. Another initiative looks at clarifying the patient advocate role and whistleblower protection for nurses. Texas continues to face a critical shortage of registered nurses, and the demand is expected to increase as the nursing population ages. However, nursing schools are turning away thousands of qualified applicants due to a lack of space and qualified instructors. Other initiatives would increase the ability of nursing schools to raise their enrollment and the number of graduates to meet the states needs. An increase in the average nursing faculty salary is imperative. Many doctoral-prepared nursing faculty make less than the average graduate nurse in a hospital ICU. The Sunset Review of the Board of Nurse Examiners (BNE) recommends a significant change in BNEs role in the regulation of nursing education and has the potential to reduce the quality of nursing education as well. The commission also recommends a change in how BNE handles nurses with chemical dependency or mental illness problems. Currently, these nurses are reported to the Texas Peer Assistance Program for Impaired

Nurses (TPAPIN) to assist them in obtaining rehabilitation without being reported to BNE and potentially losing their licenses. Without TPAPIN, there is increased risk to patient safety, the public and the nurse. Texas ENA participates in the Texas Nurses Association-Led Nurses Legislative Agenda Coalition (NLAC), which: Supports adequate funding of BNE. Opposes proposed changes to statutes regarding CRNA practice. Opposes mandates regarding subject-specific continuing education. Opposes licensure or expanding the role of the surgical technologists. Supports improvements in health and nutritional services in schools including access to a school nurse. Is in full support of increased funding of the Childrens Health Insurance Program (CHIP) and Medicaid programs. Although many of the proposed bills will not likely make it out of committee, nursing professionals hope that they will become law to make our practice safer. The nursing profession is recognized as the most trusted profession in America today, and we strive to continue to maintain that credibility and respect. We are patient advocates and our professional goal is to provide safe and caring treatment to all our patients. Booster Seat Bills As a representative of the Texas State Council, I visited the state Capitol in Austin February 13 to gain our legislators support of SB 60 and HB 118, which are bills requiring booster seats for children less than 8 years old or under 4 feet 9 inches tall. It was an exciting and rewarding experience. I joined members of Safe Kids Houston, which advises the public and other Texas child passenger safety advocates on child passenger seat safety. We were able to talk to either the legislators and/or their staff regarding the importance of booster seats and how supporting these bills can help prevent unnecessary death and injury of Texas children. Car crashes are the leading cause of injury and death in children. Children 4-to-8 years old secured with

Delaware State Council

Submitted by Beverly VonGoerres, RN, MSN, CEN The Delaware State Council invites all members to check out its updated and evolving Web site at www.delawareena.org.

North Carolina State Council

Submitted by Mary Lou Forster Resch, RN, BSN, CEN Thank you to all who attended the Southeastern Seaboard Symposium last month in Virginia Beach, Virginia. The conference provided a great opportunity for education, networking and fun. We hope to see you next spring in Charlotte, North Carolina. Our membership blitz runs through June 30. Visit our Web site at www.nc-ena.org for details on how to recruit new members and win fabulous prizes. North Carolina is proud to announce the arrival of our North Carolina ENA State Council pin. The new pin and other items are available in our Web store at www.ncena.com/Store.htm. Nurses are invited to join our new Disaster Preparedness Work Group. We welcome your interest and expertise. North Carolina is proud to continue offering a free continuing education contact hour (CECH) article via our Web site. Visit www.nc-ena. com/CECH.htm for more information on the current presentation.

only adult seatbelts are likely to sustain serious head, spinal cord and internal organ injuries. A booster seat can reduce the risk of these injuries by 59 percent. Unfortunately, Texas is one of only 12 states that does not require booster seats for children. In fact, Texas has one of the weakest laws in the country, requiring only children less than 5 years old and under 36 inches tall to use car seats. Once these bills are made into law and grant money can be secured from the National Highway Traffic Safety Administration, Safe Kids Worldwide chapters around the state hope to distribute booster seats at their inspection stations to those in need. Use of booster seats, which have an average cost of $30, could help alleviate hospital charges that were more than $16.7 million in 2006. This is one area where nurses can make a difference in the lives of our patients. Everyone does not have time to go to the Capitol, but you can make your voice heard by emailing your senator or representative a short statement on relevant issues. Find your representative at www.capitol.state.tx.us. Click on the name, and you will see a direct e-mail link. Make sure you have the state or house bill numbers available so the recipient knows what legislation you are addressing. It takes less than 15 minutes, and legislators love hearing from their constituents. I encourage all nurses to take a little time to improve the lives of their patients and themselves by speaking up on SB 60 and HB 118.

10

May 2007

AEN Fellows Speak on

Recognition
The public and private recognition of being inducted into the Academy of Emergency Nursing was a great honor. When I look at the roll call of the fellows in the AEN, I see both the pioneers and current innovators in emergency nursing. The collective wisdom and combined accomplishments of this group are awe-inspiring, and I am thrilled to be a part of it. A special treat for me was to be inducted in the same year as one of my most significant mentors, Peggy McMahon. She was my clinical director almost 20 years ago and has been a role model ever since. I still quote some of the superb advice that she gave me so long ago. It has served me well. Career-wise, being inducted as a fellow in the Academy of Emergency Nursing was recognized by both my military and civilian employers as a statement of excellence and high-caliber contributions to emergency nursing. My military boss, Col. Linda Kisner, director of Air Force Nursing, was quite proud of me and ensured that everyone in the Surgeon Generals office was aware of this most prestigious recognition.
Kathleen Flarity, ARNP, PhD, CFRN, FAEN

Opportunity
When I was president of ENA, I had a vision of the academy, but other priorities were on the front burner at the time. I was excited when I was able to explore this concept further. As a member of the first committee, I was not eligible to be part of the first round of inductees; it was more important to get the academy off and running. Becoming an inductee has been a major highlight of my professional career. It has special meaning because its so all-encompassing. The critical point is that its not just what youve done but how you can continue to contribute to the association. Id like to be a resource for people, and being in the academy makes it easier to be more visible. It is a great opportunity to be among these most-esteemed colleagues.
Margaret M. McMahon, RN, MN, CEN, FAEN

Official Newsletter of the Emergency Nurses Association

11

FOCUS ON THE MEMBER

ENA Leadership Runs in the Family

isters Joni Thornton, RN, and Jeri Babb, RN, MSN, share more than family ties. They are both dedicated to the advancement of emergency nursing in their home state of Iowa; Thornton is president of the Iowa State Council, and Babb is president-elect. The profession is extremely important to me; its a priority, said Thornton. Babb has a history of ENA involvement at the state and national levels, serving as Iowa State Council treasurer and on the EN CARE national board of directors. I didnt hold office for a while, and we decided we needed some new blood on the state council,

New

she explained. I said, Joni, you should run for president! She said, I will, if youll run for president-elect. Shes my role model, Thornton said affectionately. The sisters actually trace the family tendency toward leadership Jeri Babb, RN, MSN, and Joni Thornton, RN roles to their father, who instilled young age. Our dad was a fire chief in them a sense of volunteerism at a for our small communitys fire department, Babb said. Education is another deeplydemo now a ingrained family value, and the sisters vailable have been attending ENA national conferences together for four years. Its funny, because all these years people didnt think we were really sisters even though weve been saying we were, Babb said. Although they both started their nursing careers at the same small, rural hospital, the sisters took decidedly different paths to their current positions. Thornton is pediatric medical education liaison at Blank Childrens Hospital in Des Moines and an Emergency Nursing Pediatric Course (ENPC) faculty member. Babb is administrative director of emergency/trauma services at Mercy Medical Center in Des Moines and a Trauma Nursing Core Course (TNCC) faculty member. Their current focus is on increasing the number of Certified Emergency Nurses (CENs) in Iowa. We are bringing in the CEN review course, said Babb. We have 137 CENs in the state right now, and our goal this year is to double that. We have a lot of goals, added Thornton. We only see it getting bigger and better.

Related to this topic

For more information on the Iowa State Council, visit www.iowaena.org.

12

May 2007

Susan MacLean Takes On New Role as ENAs First Research and Practice Consultant

conduct groundbreaking research that or more than 12 years, Susan provides emergency nurses with the MacLean, RN, PhD, has providevidence-based data required to make ed visionary leadership at ENA positive change, said ENAs Execuconcerning research, continuing edutive Director David Westman, MBA, cation and professional nursing pracCPA. Through her dedication and tice. She was ENAs first director of vision, ENA will ensure the Research and established the continuing growth of its ENA research program. Her world-class Research and ENA career includes 38 studPractice Department, which ies and program grants and MacLean developed. more than $1.7 million raised. ENA Career Highlights With a career that spans MacLean secured the first more than 40 years, research grant offered by MacLean, clinical nurse, eduSusan MacLean, RN, the then newly established cator and researcher, transiPhD ENA Foundation in 1991. tions to a new leadership role in 2007 as the research and prac- She joined ENA in 1994, first as director of Research, followed by director tice consultant for ENA. Her new of Research and Professional Services position adds dimension to a notable career encompassing a strong commit- and group director of Research, Education, Professional Services and the ment to outstanding research, educaInstitute for Injury Prevention/Emertion and practice programs for emergency Nurses CARE. She became gency nurses. As a passionate researcher, I look nursing officer in 2003. She facilitated and developed forward to focusing my efforts on numerous ENA programs, including: guiding the next generation of nurse Expansion of the Injury Prevention researchers and providing consultaInstitute/EN CARE. tion to the association, said MacLean. This new role will allow me to have Establishment of the Institute for an even greater impact on the emerEmergency Nursing Research. gency nursing profession and to help Development of the Geriatric Emermaintain and grow ENA as a global gency Nursing Education (GENE) leader in emergency nursing research program. and practice. Development of three Learning and Dr. MacLean is an invaluable Understanding New Approaches to resource to our organization, and ENA Research (LUNAR) studies that wants to enable her ongoing ability to teach nurses about research while

they conduct research in their own emergency departments. Publication of six editions of the ENA National Emergency Department Benchmark Guide. Establishment of the prestigious Academy of Emergency Nursing that recognizes outstanding contributions by emergency nurses to research, practice, education, leadership and public policy. I am proud of ENAs Research and Practice staff members, who are amazing researchers and communicators in their own rights, said MacLean. As I turn over the reigns of day-to-day department management to function more independently, I plan to maintain an even deeper connection to the staff through strategic counsel and program development.

awards for her research and professional writing. MacLeans research and educational expertise has been the foundation for many of the research investigations, educational programs and scholarly publications that she developed and disseminated for ENA.

Industry Contributions
MacLean has a long history of professional and community involvement. She is a member of the MNRS, Eastern Nursing Research Society, Sigma Theta Tau International, American Nurses Association and the American Association of Critical-Care Nurses. She has served as a grant reviewer for the American College of Emergency Physicians, the Health Resources and Services Administration (HRSA), Sigma Theta Tau International and ENA. She contributes to the dissemination of research by volunteering as a manuscript and abstract reviewer for several nursing associations. MacLean earned her doctor of philosophy degree in research and masters of science degree as a cardiovascular clinical nurse specialist at the University of Illinois at Chicago, College of Nursing, She also holds a bachelor of science degree in nursing from Loyola University, Marcella Niehoff School of Nursing in Chicago, and a diploma from Johns Hopkins Hospital, School of Nursing, Baltimore, Maryland.

Award-Winning Endeavors
MacLean has been a faculty member at several leading U.S. colleges of nursing for 20 years and has maintained a program of research concerning information processing, critical thinking and clinical decision-making by nurses. She established the first research section focused on clinical decisionmaking at the Midwest Nursing Research Society (MNRS), the nations largest nursing research organization, and was recognized by MNRS in 2000 for her distinguished contributions. She has received numerous other

March 2007 Board Meeting Actions and Highlights

he ENA board of directors held a March 28, 2007, teleconference. All board members were present. The board took the following actions: Approved the composition of the ED Staffing Guidelines Work Team and appointed Mary Jagim as the chairperson through the end of 2007 Approved the following policies and procedures as presented: Review and Approval of Board Policies Role of a Board Director as Committee, Work Team and State Council Liaison Approved support of the Technology Informatics Guiding Education Reform (TIGER) Initiative and to discuss what specific initiatives

should be included in the 2008 Strategic Plan during the May 2007 board meeting Approved the Advanced Practice in Emergency Nursing position statement as presented Approved the proposed Joint ENA/ACEP Statement on Mystery Shoppers in the Emergency Department as presented Approved support of H.R. 882, Access to Emergency Medical Services Act of 2007, with the understanding that ENA and ACEP will work to amend the portion of the bill delineating the composition of the proposed Bipartisan Commission on Access to Emergency Medical Services to ensure that an emergency nurse is appointed to the commission Approved support of the ASA

Comprehensive Stroke Advisory Group initiative to gather data via a survey from Joint-Commissionaccredited hospitals, certified Primary Stroke Centers and medical centers on their interest in developing Comprehensive Stroke Centers Approved collaboration with ACEP to participate in the development of a Quality Course offered by the Quality Improvement and Patient Safety Section Approved ENA representatives to review the draft pediatric sedation guidelines developed by the EMSC Pediatric Sedation Panel Approved for ENA representatives to participate with the Oklahoma Foundation for Medical Quality (OFMQ) to serve on a technical expert panel to develop CMS per-

formance measures for hospital quality improvement Approved ENA and BCEN representation at the APRN Roundtable Meeting Approved an ENA representative to attend the American Medical Associations National Disaster Life Support Education Consortium meeting May 1, 2007. Approved a contribution of $1,000 to the American Society of Association Executives (ASAE) in support of its upcoming annual conference in August 2007 Highlights from the April 18, 2007, ENA board of directors teleconference (hot issues only) will appear in the June issue of ENA Connection.

14

May 2007

2007 Election from page 1

online or written, must be received at SBS by 5 p.m. Central Time, June 15, 2007. There will be no exceptions. If you have not received an electronic or paper ballot by May 25, 2007, please contact Executive Services at the ENA national office immediately at 847/460-4095 or execoffice@ena.org.

tions to send your questions via email. Answers will be posted in the same area on a timely basis. This feature enables all ENA members to view all questions and responses. For a question to be posted on ENAs Web site, the question must be submitted by a current ENA member with full name, state and membership ID number of the person asking the question.

Board Meetings
Board members are required to attend face-to-face board of directors meetings (approximately five to six annually) and participate in board teleconferences scheduled throughout the year as needed. These include board meetings in conjunction with the Leadership Conference and the Annual Conference, plus spring, summer and winter meetings. These meetings are typically one-and-a-half days in length. Expectations for these meetings include the following: Submission of agenda items based on member needs or current trends in emergency health care. Required attendance at the December 2007 board of directors meeting, New Board Member Orientation and State Council Presidents Orientation. A tentative meeting schedule is presented in early fall and includes both weekend and weekday meeting dates. Thorough review of the board agenda materials (electronic board books) prior to the meeting; a personal laptop computer to follow and conduct business at each meeting is highly recommended. Utilization of contacts, resources, state presidents and other members to obtain a broader perspective on agenda topics. Recommendation of potential strategies, charges and projects for consideration in the annual strategic planning process. Computer access (with current editions of Excel, Word and Adobe Acrobat) to the Internet and daily e-mail.

local and state levels. Submission of a written report of state activities is required twice a year, typically for the July and December board meetings.

Commitment
Serving on the ENA board in any capacity is a significant time commitment. Serving on the board involves dedicating weekends and evenings to attend meetings, reading correspondence, completing projects and talking to members on a variety of issues. Prior to running for the board, candidates are encouraged to discuss the role and responsibilities with their employers and negotiate the time they will be away from work. The support of the candidates employer and family is important in meeting board member responsibilities.

ENAs Belief Statement

The ENA board of directors has adopted the following belief statement regarding the national elections:
ENA believes candidates for ENA national offices must have equal opportunity to access the entire membership. To maintain a professional atmosphere and in fairness to all candidates, as well as to prevent divisiveness during the campaign process, ENA believes that all activities other than those sanctioned by the national organization be limited to the spoken word.

2007 Candidate Forum

If you were not able to attend the Candidates Election Forum at Leadership Conference 2007 in Boston, you now have the opportunity to hear each of the responses to questions posed to the candidates on the ENA Web site at www.ena.org. Click on Meet the Candidates and follow the links to the 2007 Candidates Election Forum. In addition, DVDs of the 2007 Candidates Election Forum have been distributed to all state council presidents for viewing at state council meetings.

Nominations Committee Member Election

Three members will be elected to serve for two-year terms on the Nominations Committee from three specific geographic areas of the country East, Central and West. The biographical information for these candidates reflects only the last three years of ENA participation. In addition, this year, a former board member will be elected to fill a two-year term for the past-board-member seat on the Nominations Committee. The charges of the Nominations Committee are as follows: Review and accept candidate applications for ENA national elections, in accordance with established guidelines. Encourage and promote candidates for ENA national elections. Review the elections process and officer and director qualifications and make recommendations to the board of directors. Promote membership interest, education and active voting participation through verbal and published communications regarding the ENA national election process.

Candidate One-Page Statements

Each candidate submitted a onepage statement; all statements were sent to all ENA state council presidents electronically. If you have not seen this packet, please contact your ENA state council or chapter president or look for the statements on ENAs Web site at www.ena.org and click on the Meet the Candidates link at the top of the ENA homepage.

Board of Director Responsibilities

A description of board responsibilities appears in this article to help members evaluate these responsibilities and the candidates qualifications and available time. The official duties of the board of directors are determined by ENA bylaws. The major responsibilities of the board include all duties entrusted to officers and directors of a corporation, including determining association policy, providing oversight of the business and financial affairs of the association and annually reviewing and evaluating the strategic plan.

Ask the Candidates on ENAs Web Site

To ask the candidates a question, visit the ENA Web site at www.ena.org and click on the Meet the Candidates link at the top of ENAs homepage. Follow the instruc-

Committee Duties
Each board member is assigned liaison responsibilities to two to four national committees or work teams (e.g., Education or Awards). The role of the board liaison is to represent the boards position on the committees charges, to participate in committee assignments, to assist the committees staff liaison in reporting committee activities to the board and to mentor committee members as future chairpersons and/or board members. The president may also ask board members to represent ENA at meetings of affiliate or allied organizations. Typically, assignments are based upon a board members area of expertise.

Call for 2008 Conference Committee Members

Applications are now being accepted for those interested in serving on the 2008 ENA Annual Conference Committee in Minneapolis, Minnesota, September 24 27, 2008. For more information and to apply online, go to www.ena.org/ committees/membersOnly-default.asp between April 2, 2007, and June 3, 2007

Election Results
The results of the elections will be published in the August issue of ENA Connection and announced at the formal installation ceremony during the 2007 General Assembly at the 2007 ENA Annual Conference in Salt Lake City, Utah.

State Responsibilities
Each board member, excluding the president, serves as board liaison for five to six states. Frequent contact with state presidents is encouraged to facilitate exchange of information about the activities at the state level and the needs of members at the

16

May 2007

Committee Is Serious About its Responsibility, and Yours

Surveys Led to Bylaw Proposal
Darleen Williams, RN, MSN, CEN ENA Nominations Committee hat are you doing in September? The ENA Nominations Committee hopes that you are planning to attend the 2007 ENA Annual Conference in Salt Lake City. In addition, the Nominations Committee encourages you to consider serving as a delegate at General Assembly to help shape the future of ENA. Over the past two years, the Nominations Committee conducted several informal, unscientific surveys of ENA state leaders. These surveys helped us obtain opinions from the members who were elected to represent their states. Our goal was to determine the concerns related to candidates qualifications and ENAs elections process. As a result, the committee convened for a special working meeting March 31, 2007, and carefully developed the necessary materials for a proposed bylaw change. The proposal will be

brought before the 2007 General Assembly for review, including two very important topics clearly identified on the surveys: candidate qualifications and background checks.

Reality Hits Home

I admit that when candidate qualifications and background checks first became parts of the committees discussions, I thought, Give me a break, who would sit at home and plot to become the president of ENA to do bad things? However, after seeing the survey results and reading some of the members comments, I began to rethink this. Ironically, while watching the evening news, I learned about several national scandals involving people who misrepresented themselves, their experience and their education to gain prominent positions. It is time to ensure that we always have the right folks representing us.

It is our responsibility as members to put in place bylaws, policies and procedures to protect the good name and good work of ENA. We must have faith and trust in our elected officials. To have that faith, we must present a highly qualified slate of candidates and elect the best person to fill each position.

The Right Thing to Do

The Nominations Committee members understand their responsibilities and work diligently to fulfill them. ENA members must understand and accept their responsibilities as well by voting during association elections. Despite ENAs growth to more than 32,000 members, the percentage of those who actually vote remains at about 10 percent. As part of our efforts to encourage greater voter turnout, the Nominations Committee provides ENA mem-

bers with election information through many formats. Voting dates are broadcast well in advance of the elections. Members have the option of choosing the most convenient voting options for them, either online or by mail. We ask that you vote and encourage your colleagues to vote. Voting is your right and your responsibility. By voting, you help ensure that your leaders are not only qualified to hold office but that the process used to elect them is fair and impartial.

Official Newsletter of the Emergency Nurses Association

17

Meet the Candidates

President-Elect

JoAnn Lazarus, RN, MSN, CEN

Longview, TX Current Employer
Senior Manager Blue Jay Consulting Orlando, FL

Bill Briggs, RN, MSN, CEN, FAEN

Methuen, MA Current Employer
Trauma Program Manager New England Medical Center Boston, MA Emergency Dept. Staff Nurse, per diem Lowell General Hospital Lowell, MA

Professional Credentials/Certifications
CEN

50-Word Statement
Emergency nursing has been my lifes work. I continue to be drawn to ENA and its mission. It fuels my passion and challenges my skills. After having many roles in ENA I hope you will give me your confidence and provide me the honor of serving as your President-elect.

Professional Credentials/Certifications
CEN; TNCC Faculty; ENPC Instructor; FAEN

50-Word Statement
Overcrowded emergency departments, the nursing shortage, and uninsured patients have emergency care in crisis. You need the ENA to represent you. ENA needs experienced leaders and I have 20 years of it at the local, state, and national levels and promise to represent your interests.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? Both belonging and participating are important to the health of an organization. Only belonging to ENA means you have paid your dues and are receiving the Journal, Connection and notification of conferences and educational opportunities. This brings financial stability to the organization because of the growth in membership. However, what is more important is participating. Participating means you are contributing something to ENA and have chosen to have a voice in our profession. That voice is the soul of ENA allowing us to survive, thrive and advance the practice of emergency nursing.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? ENA has been a fulfilling part of my professional career since attending my first meeting of EDNA in 1977 in Albany, NY. I have actively participated since 1985. ENA advances Emergency Nursing Practice in countless ways. The Standard of Care and position statements back the nurse in doing the right thing. No where else are educational opportunities found specific to emergency nursing such as TNCC, ENPC, CATN, GENE, and the Managers challenge. ENA has promoted safety in the home and on the highways through its legislative involvement and community education. Having attended every annual meeting since 1985, I get my professional battery recharged by the education and the ability of the member to forge the future of ENA. But my biggest reward is in the time I spend networking with other members, sharing concerns and solutions to common problems in professional practice.

18

May 2007

Meet the Candidates

Secretary/Treasurer

Diane Gurney, RN, MS, CEN

Hyannis, MA Current Employer
Nurse Manager, Emergency Center and Express Admission Unit Cape Cod Hospital Hyannis, MA

Christine Gisness, RN, MSN, FNP, CEN

Roswell, GA Current Employer
Nurse Practitioner Emory University, Dept. of Emergency Medicine at Grady Hospital Atlanta, GA

Professional Credentials/Certifications
CEN; TNCC and ENPC Instructor/Faculty; ACLS Instructor

Professional Credentials/Certifications
CEN; ACTN Instructor; TNCC/ENPC Faculty; EN CARE Provider; ACLS

50-Word Statement
Each day we face the frontline challenges of providing care in our healthcare environment. I am reminded of the Stockdale Paradox: Confront the brutal facts of the current reality, yet retain faith that we will prevail. Belonging to ENA gives me strength and the faith that we will prevail.

50-Word Statement
It has been my privilege to be associated with ENA. I am committed to building a strong organization that reflects member needs. By being flexible, accessible and accountable, I can meet the challenges, that the office of Secretary/Treasurer will require.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? Numbers are powerful, therefore belonging to ENA gives the organization strength and credibility, not only in Healthcare, but in the Legislative sphere of influence. Power to influence provides the capacity to change, expand and evolve our practice. Participation by networking, sharing and collaboration benefits the larger group. We share expertise, creative brain-storming and a wealth of actual experience, which allow us to identify best practice. Funds are necessary to support our work and advance emergency nursing. The ENA secretary/ treasurer works collaboratively with the chief financial officer to determine the best use for those resources, as well as informs members and the Board how finances affect the operations of the Association. I believe that I have the drive and skills necessary to advocate for members as your secretary/treasurer and I would appreciate your vote.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? Without exception, an emergency nurse who wants to advance their role and affect emergency nursing practice should belong and participate in the Emergency Nurses Association. ED nurses can take advantage of the many educational activities such as Scientific Assembly, Leadership Challenge, on-line Web courses, training courses such as TNCC, ENPC, CATN, which all help to educate and improve clinical skills. Research learned through ENA can be placed into clinical practice and change outcomes. Principles of leadership can be learned through any of the educational programs. This knowledge can then be utilized by participating in the local, state or national ENA or on the job. Validate your expertise as an emergency nurse and become certified. This can advance your personal growth as well as give credence to the science of nursing.

Official Newsletter of the Emergency Nurses Association

19

Meet the Candidates

Director

Tiffiny Strever, RN, BSN, CEN

Peoria, AZ Current Employer
Trauma Outreach Coordinator Maricopa Integrated Health Systems Phoenix, AZ

Gwendolyn Williams, RN, MS, CEN

Rochester, NY Current Employer
Clinical Nurse Specialist Rochester General Hospital Rochester, NY

Joni Hentzen Daniels, MSN, RN, CEN, CCRN, CNS

Houston, TX Current Employer
Director - Clinical Services EmCare, Inc. Dallas, TX

Professional Credentials/Certifications
CEN; TNCC Instructor; ENPC Instructor; CATN Instructor; Injury Prevention Instructor; ACLS; BCLS Instructor; CPST Instructor

Professional Credentials/Certifications
CEN; TNCC, BLS, ACLS, PALS Instructor; ENPC Provider; Clinical Nurse Specialist

Professional Credentials/Certifications
CNS - Emergency Care; CEN; Certified Critical Care RN; TNCC Instructor/Faculty; ENPC Instructor/Faculty

50-Word Statement
The Emergency Nurses Association has been instrumental in not only my professional, but personal growth. I would consider it my greatest accomplishment within ENA to serve as Board of Director and help others grow professionally while promoting the mission and vision of this organization.

50-Word Statement
The ENA is the national Association for professional nurses dedicated to the advancement of emergency nursing practice. Members are actively involved in education, research, legislation, and consultation that affect their current and future practice. ENA members are viewed as experts and respected for their contributions to emergency care.

50-Word Statement
I have had the privilege of interacting with emergency nurses across the country for 24 years. As the emergency department clinical services liaison for 70 facilities across 24 states my awareness was heightened; we are united by similar concerns, challenges, and goals. It would be my honor to represent you.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? Every emergency nurse has knowledge and talent. ENA brings together that talent and knowledge, so by being an active member I have the opportunity to benefit from the assets of others. The overall result is an advancement of the profession and emergency nursing practice.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? It is through my professional association that I connect with my fellow emergency nurses. We share best practices, knowledge, and information. This connection includes the support that we receive from each otherbe it in person or electronically. Emergency nursing practice is advanced through these connections. Many professional contacts would not have been possible without the ENAs assistance in making these connections. ENAs voice is strong and the message is clear connection, communication, and support of emergency nurses. The sharing of best practices leads to improved patient care, quality, staff and patient satisfaction. Knowledge leads to further exploration and expanding outlooks. Information is power. Support helps the emergency nurse through the tough times. The nurse knows that he/she is not alone. Advancing emergency nursing practice is accomplished through the dedicated work of the members. The members are the Association. Together we move emergency nursing to new frontiers and prepare for the future. Ever watchful, ever vigilant, ever vocal.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? The practice of emergency nursing will be advanced by increasing public awareness of who we are and what we do. The ENA serves as the only venue for emergency nurses to speak as a collective voice. Paying dues to ENA is the easiest part of membership. The real work begins with active participation. As a delegate to National ENAs General Assembly 14 times since 1991, I have assisted in authoring resolutions, attended rewrite sessions and stood to support or dissuade changes that would impact emergency nursing. During those times, I witnessed the strength of this organization. Emergency nursing, as a specialty, is not where it was a decade ago; nor is it where it can be a decade from now. When emergency nursing is represented at every level of health care organizations, making decisions impacting access to care, disaster response and emergency department throughput, our patients will ultimately benefit. Even now as we are faced with greater regulatory restrictions, such as medication reconciliation, we question how such decisions can be made without emergency nursing. We will not, as individuals, be invited to participate. The ENA provides our advancement to the table.

20

May 2007

Meet the Candidates

Director

Gail Pisarcik Lenehan, RN, MSN, EdD, FAAN, FAEN

Hingham, MA Current Employer
ED Nurse Clinical Specialist, per diem Massachusetts General Hospital Boston, MA

AnnMarie Papa, MSN, RN, CEN, CNA, BC, FAEN

Glenside, PA Current Employer
Director, Emergency Services Doylestown Hospital Doylestown, PA

Deena Brecher, RN, MSN, APRN, BC, CEN

Wilmington, DE Current Employer
Clinical Nurse Specialist Emergency Department Nemours/A.I. duPont Hospital for Children Wilmington, DE

Professional Credentials/Certifications
APRN; BC (Clinical Specialist Medical/Surgical Nursing); CEN; ENPC Faculty; PALS Instructor; TNCC Provider

Professional Credentials/Certifications
FAAN; FAEN

Professional Credentials/Certifications
FAEN; CEN; CNA; BC; ACLS provider; ACLS instructor

50-Word Statement
Ive been privileged to be actively involved in ENA at the national level since 1977, served as Editor of the Journal of Emergency Nursing for 25 years, and hope to apply the wisdom and courage Ive gained to help advocate for emergency patients and emergency nurses at the Board level.

50-Word Statement
Challenging, exciting, rewarding, and fun. These are a few thoughts that come to mind when I think of Emergency Nursing and ENA. As I prepare to run for our Board, I am humbled and honored at the hope of representing each of you and our future.

50-Word Statement
Emergency nursing is a fast-paced, ever-changing discipline. In order for ENA to meet its goals, its leaders should have diverse skills and experiences, just as our members do. Together with our varied backgrounds and experiences, we can raise the bar and take emergency nursing to the next level.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? Ive worked in the emergency department since the day I graduated from my diploma program, and directly cared for patients for most of my career. Ive seen ENA enhance the clinical care and the professionalism of emergency nursing, with national conventions and courses, recognized standards, certification, interdisciplinary task forces, staffing guidelines, and the ability to sit shoulder to shoulder to address issues with JCAHO or join forces with other emergency care organizations. Ive seen a Journal article or a course save a patient the next day. ENAs voice is strengthened with sheer numbers of members; its lifeblood is the expertise, passion, and camaraderie of members who make significant, meaningful contributions that extend beyond their EDs four walls.

Position Statement and Response Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? Our professional organization, the ENA, started with two nurses determined to make a difference. Now at over 30,000 strong we are just as determined. We are the future! ENA provides a mechanism to connect nurses from around the country and the world, but cannot do it alone and needs each one of us to be successful. It takes nurses reaching out to each other, teaching, mentoring, and sharing experiences to make ENA stronger. Access to health care is in crisis, and EDs are overwhelmed as we take on the role of safety net. By tapping into the ENA listservs, reading our publications, attending conferences, and connecting with each other, we have access to the best available resources to create our preferred future and make a difference in our challenging and exciting world of emergency nursing for our patients and each other. Lets do it together. How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? Belonging to ENA provides many opportunities for independent learning through the publications provided with membership (JEN and Connection), information sharing through the members only section of the Web site, and other sources offering current trends in emergency nursing. Engaging in any of these professional activities advances the practice of emergency nursing when individual members or teams use their newly acquired knowledge to improve patient care. When a member actively participates in ENA, amazing things start to happen. Networking occurs at chapter meetings, where the nurses who provide the bedside care discuss details of current practice and the resulting patient outcomes. Best practices are shared at chapter meetings, state and national conferences. Emergency nurses who have been inspired by new ideas are anxious to return to their emergency departments to tell others about what theyve learned. These nurses who emerge as leaders take on officer roles in the organization and bring attention to local and national health care issues. We need to work together to motivate and inspire individual members to become involved at all levels of our organization. You will be amazed by what we can accomplish!

Official Newsletter of the Emergency Nurses Association

21

Meet the Candidates

Director

David Greenberg, BS, RN, CEN

South Orange, NJ Current Employer
Staff Nurse Emergency Department Morristown Memorial Hospital Morristown, NJ Part-time Cruise Nurse Holland American Line

Joseph J. Kilpatrick, RN
Philadelphia, PA Current Employer
Emergency Department Nurse Progressive Nursing Staffers Bala Cynwyd, PA

Professional Credentials/Certifications
CPR; PALS; ACLS

Professional Credentials/Certifications
ENPC/TNCC Instructor; EN CARE Instructor; ACLS/PALS Instructor

50-Word Statement
Membership in ENA has exposed me to experienced, professional mentors. This quality is the real treasure in ENA. As a Director, continuing to recruit new members and maintain the existing membership is my ultimate goal that will allow us to continue to be the premier professional organization for emergency nursing.

50-Word Statement
As a board member, I expect to participate, wherever and whenever, to further our goals. I would actively seek input from members throughout our organization, as well as outside forces, to identify new goals. A fresh outlook on various issues can only serve to improve outcomes.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? ENA advances the practice of emergency nursing by encouraging the open communication of ideas, research, and practice strategies among all ED nurses in a collegial and professional atmosphere. ENA is the platform that allows emergency nursing to maintain high standards for quality patient care.

Position Statement and Response

How does belonging to AND participating in ENA, your professional organization, advance Emergency Nursing practice? The ability of any organization to make changes lie in the collective force of its members. All emergency nurses should at the very least belong to ENA. However, just belonging is not enough. Each of us must also actively participate at the local, state and national levels to facilitate change at each of those levels. Emergency nursing practice is identified starting from the bedside nurse, through advanced practitioners, ending with upper management. As active members, each of these individuals need to identify, advocate for and ultimately change the way we practice. Identification of practice issues come from the bedside and are filtered upward to the national organization who will then choose a cross-section of these same active members to formulate a position statement. Once this statement is published, it has the backing of experts in our field of emergency nursing and is used as a guideline for practice across the world. Emergency nurses need to be in the forefront for all issues regarding anything related to our practice. Strength in numbers, where the participants are actively pursuing a common goal is the best way to ensure that we are invited to the table when major issues are discussed.

22

May 2007

Meet the Candidates

Nominations Committee
The national, state and local activities of Nominations Committee candidates reflect only 2004, 2005 and 2006, with the exception of the listed board position of the past board member candidate.

Geographic Area Central

Virginia C. Myerscough, RN, BSN, CEN
St. Louis, MO Staff Nurse DesPeres Hospital St. Louis, MO

Geographic Area West

Ron Loomis, RN, BSN
Surprise, AZ Registered Nurse Banner Good Samaritan Medical Center Phoenix, AZ

National 2005-06 State 2007-04 Local 2007-04 2007-04

Nominations Committee Member State Membership Committee Chair

State 2007 2007

Government Affairs Committee Member, AZENA

Geographic Area East

St. Louis Chapter Treasurer St. Louis Chapter Membership Committee Chair

Tracylain Evans, RN, MS, MPH, MBA CEN, CCRN, EMT-P

Norwalk, CT Director EMS/Trauma Norwalk Hospital Norwalk, CT

Melissa D. Tibbs, RN, CEN

Manchester, TN Head Registered Nurse Winchester Urgent Care Winchester, TN

State 2007

Member, CTENA

Local 2004

Past Board Member

President, Chapter #111

Benjamin E. Marett, RN, MSN, CEN, CNA-BC, FAEN

Rock Hill, SC Staff Educator Piedmont Medical Center Rock Hill, SC

Paula Sue Trujillo, RN

Dayton, TN Staff Nurse Erlanger Health Systems Chattanooga, TN

State 2007 2007-04 2006

National 2005-07 2004-05 2000 President, TN State Council EIC Chairperson President, TN State Council Chapter 2004-05

Nominations Committee Member JEN Editorial Board ENA President President, Catawba

Local 2006 President, Scenic Cities Chapter 2005, 2006 Injury Prevention Chairperson

Official Newsletter of the Emergency Nurses Association

23

ENA Members Share Medication Reconciliation Successes

s emergency departments around the country prepare for what could be their first Joint Commission visit to include the National Patient Safety Goal 8 medication reconciliation requirement, ENA Connection presents two of several success stories submitted by ENA members. The medication reconciliation requirement for National Patient Safety Goal 8 has been in the implementation stage since early 2006. The Joint Commission describes medication reconciliation as the process of comparing the medications that the patient/client/resident has been taking prior to the time of admission or entry to a new setting with the medications that the organization is about to provide. The purpose of the reconciliation is to avoid errors of transcription, omission, duplication of therapy, drug-drug and drug-disease interactions and others. It is up to each organization to determine how this process takes place. Whenever and however the comparison takes place, it should take place early enough to improve the safety of the organizations medication management processes, and hence patient/client/resident safety. In May 2006, ENA, the American College of Emergency Physicians (ACEP) and the American Academy of Emergency Medicine (AAEM) sent a letter to the Joint Commission expressing concerns about performing medication reconciliation in the ED. The Joint Commission has been receiving multiple inquiries from hospitals

ENA members who have been instrumental in developing successful medication reconciliation processes offered insights into what does and does not work for the ED.

San Antonio, Texas

We saw right off the bat that this would be very difficult for the ED to do, just because of the volume, stated Kenneth S. Wamer, RN, BSN, director of emergency services at Southwest General Hospital in San Antonio, Texas. He expects his 28-bed ED, which also has a six-bed fast-track unit, to receive 46,000 patient visits in 2007. Wamer estimated that it took Southwest General approximately six months to create a workable medication reconciliation process that meets both the Joint Commissions requirements and the needs of the EDs nurses and doctors. The first step was working with the EDs electronic medical records vendor to create a template for entering medication information. When we enter medications for patients from the triage standpoint, it automatically flows into our medication reconciliation form, he explained. When we get to the point where we are ready to pull our charts, all those medications cross over, which makes it easier for the doctors and the nurses. If the patient is being admitted, we can go over the medications with the admitting physician and reconcile them at that point. The ED had to start off with a paper form when its electronic tracking system vendor had difficulty providing the correct format for the medication reconciliation chart. That early process created extra work for ED nurses who had to enter medication information twiceonce on the paper chart and once in the electronic record. The vendor has since produced the right form in an electronic format, making it a more efficient process. The triage nurse begins the medication reconciliation by listing medications only; the nurse who cares for the patient once he or she gets into a room continues the process by filling in dosages, frequency and other information. Medications given during the patients ED visit are easily added

to the bottom of the list and signed off by the ED physician. The form makes provisions for patients who cannot recall or relate all of their medication information, which was one of the main concerns raised by ENA, ACEP and AAEM. We have a place on the form to document if the patient doesnt know his medications or dosages or is otherwise a poor historian, said Wamer. The director is pleased with the current process and has high hopes for the EDs impending Joint Commission visit. After we got it going, the nurses actually liked it and our doctors loved it, Wamer said. This saves the doctors from going to the chart for their own records and medications, because its all right there for them. If they dont find the medication reconciliation form right away, theyre asking for it.

around the country that are having challenges with applying the Standard in the ED setting, ENA President-Elect Denise King, RN, MSN, CEN, said in a July 2006 interview. While the Joint Commission has modified the medication reconciliation requirement in the ED in response to the organizations comments (see Joint Commission Responds to ENAs Concerns), the process is still required for any patient who enters a health care organization and will either receive medications or a service that may interact with medications he or she was already taking.

Morgantown, West Virginia

When the Joint Commission came out with its medication reconciliation requirement in 2005, the ED team at Monongalia General Hospital in Morgantown, West Virginia, got cracking. We have a medication administration team that meets weekly regarding safe practice in giving medications, and it challenged us and our clinical educators to come up with a plan, said Joanne M. Liptock, RN, CCRN, CEN, CLNC, director of emergency services. When their electronic medical records vendor was not prepared to offer a medication reconciliation component, the ED team decided to develop its own form. We went through 16 different drafts and came up with a form that not only served as a list of medications but also served as an order form for the admitting physician, in addition to having all the necessary requirements, Liptock said. The ED went live with its medication reconciliation process in March 2006 with a promise to the nursing, medical and pharmacy staffs that it would not make any changes for one year to ensure safety. We made a promise to compile all the glitches, which were plenty, and leave it alone for one year. Yesterday we sat down and said, OK, now we are going to take all those glitches and any additional information that the Joint Commission provided and do one more edition, Liptock said in late March. Liptock proudly reported that the current version of the medication reconciliation process won high praise from the Joint Commission, which asked the ED to submit its form for best practice after its September 2006 visit. See Medication, page 29

Joint Commission Responds to ENAs Concerns

The following excerpt was retrieved from FAQs from The Joint Commissions 2007 National Patient Safety Goals at www.jointcommission.org/ NR/rdonlyres/9ECF1ED6-E04E-41DE-B7BC-174590CEDF33/0/ 07_NPSG_FAQs_8.pdf. What is the current expectation for medication reconciliation in the emergency department (ED)? Can we use different levels of medication reconciliation depending on the severity of the patients condition? A consensus recommendation by the American Association of Emergency Medicine (AAEM), the American College of Emergency Physicians (ACEP) and the Emergency Nurses Association (ENA) provides for three levels of intensity of the medication reconciliation process in the ED, as follows: a. Screening reconciliation, for all ED patients should include routinely obtaining from each patient at each ED visit a list of the patients current medications (usually done by the triage nurse) b. Focused reconciliation, as directed by the emergency physician, based on medical relevance, should include seeking additional information about the patients medications (exact drug list, dosage/route, etc.) from the patients pharmacy, primary care physician, family, etc. c. Full reconciliation, for admitted patients should be completed by the receiving inpatient unit and pharmacist This consensus recommendation from the AAEM, ACEP and ENA is in full compliance with NPSG requirement 8A since each level includes obtaining a list of the patients current medications to be used when ordering or prescribing medications in the ED. Therefore, this approach is acceptable to The Joint Commission in meeting requirement 8A.

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May 2007

ENA Announces Call for Courses and Faculty

2008 ENA Annual Conference
Minneapolis, Minnesota September 24-27, 2008

oin ENA as a faculty member for the 2008 ENA Annual Conference, September 24-27, in Minneapolis, Minnesota. Interested individuals are encouraged to submit course proposals by October 12, 2007. Faculty chosen to present will receive complimentary registration, airfare, hotel and per diem. Share your knowledge and experience with an international audience of emergency nurses that includes advanced practice nurses, trauma coordinators, managers, administrators, medical directors, clinical specialists, prehospital coordinators and educators. Areas of focus for the program include: clinical, advanced clinical, advanced practice, pharmacology, research, education, wellness, leadership and professional issues and injury prevention. Share your creative solutions that address ENAs three clinical priorities (ease of practice, ED crowding and patient safety). The standard course length is 75 minutes. Faculty are encouraged to present at least two separate topics or be prepared to repeat their lecture(s). Standard courses requiring multiple faculty are discouraged unless a convincing need can be demonstrated. As we continue to develop the Center for Advanced Practice Learning (CAPL), courses specifically tailored for nurse practitioners and clinical nurse specialists will receive strong consideration. Submissions for CAPL courses can be didactic lectures of a traditional 75-minute length or threehour workshops involving interactive or hands-on skills. Additionally, proposals for presessions also are requested. These workshops, containing in-depth content presentation, should be three to eight

hours in length and address topics applicable to the majority of the emergency nursing audience. Proposals are reviewed and scored for clarity of the course description, objectives, content outline, creativity of proposed presentation, its significance to emergency nursing and the speakers presentation skills and history. Course proposals must be submitted in the format requested. Incomplete or incorrectly submitted proposals will not be reviewed. To review the full submission criteria and to obtain the interactive electronic submission form, visit the Current Calls section of the ENA Web site at www.ena.org and select the link labeled 2008 ENA Annual Conference Call for Faculty and Courses. You may also contact the ENA Educational Services department at AnnualConference@ena.org. Mail your completed proposal to: 2008 Scientific Assembly Course Proposals Emergency Nurses Association Attn: Department of Educational Services 915 Lee Street Des Plaines, IL 60016-6569 You also can submit your proposal electronically to AnnualConference@ ena.org. For questions, contact Educational Services at 800/900-9659, Ext. 4123. Note: Presentation proposals that are not complete or that are not submitted in the requested format will not be considered. Formal notification of selection will occur approximately 90 days after the submission deadline of October 12, 2007.

Official Newsletter of the Emergency Nurses Association

25

Patient Safety from page 1

4 percent excess in-hospital mortality (Institute for Healthcare Improvement, 2006). Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph that is resistant to antibiotics called betalactams. Beta-lactam antibiotics include methicillin and other more common antibiotics such as oxacillin, penicillin and amoxicillin. MRSA is spread among people who have close contact with people who harbor the organism. Both colonized and infected patients are major reservoirs of the bacteria, but when a person is infected, it is more likely that the organism could be transmitted to others. MRSA is almost always spread by direct physical contact and not through the air. Transmission of MRSA may also occur through indirect contact by touching objects, such as towels, clothes, bandages or sports equipment contaminated by the infected skin of a person with the bacteria.

nose, pharynx, axilla, rectum and perineum. Infection refers to the invasion of the bacteria into tissue with growth of the organism. Infection may occur when the bacteria enter a break in the skin. MRSA infection is characterized by a laboratory test positive for MRSA accompanied by clinical signs of illness, such as fever, elevated white blood count and inflammation. The role played by the inanimate environment in transmission is uncertain. The ability of MRSA to contaminate a large variety of hospital items (e.g., chairs, bed frames, mattresses) has been demonstrated in several studies. Studies have also shown that S. aureus has the potential to survive for long periods and is resistant to desiccation. Although there is no evidence demonstrating the direct transmission of MRSA from the environment to patients, there is evidence that contamination of the environment with MRSA is sufficient to contaminate the gloves of HCWs and, thus, lead to transmission to patients.

Risk Factors Associated With MRSA

History of MRSA infection, colonization History of (within past 12 months): hospitalization; dialysis or renal failure, diabetes; surgery; long term care residence; indwelling catheter or medical device Injection drug use, incarceration Close contact with someone known to be infected or colonized with MRSA High prevalence of MRSA in community or population Local risk factors: consult local public health department mouth during procedures and patient-care activities that are likely to generate splashes or sprays of blood, body fluids, secretions and excretions. Limit the movement and transport of the patient from the examination room to essential purposes only. Appropriate Device Handling Handle used patient-care equipment soiled with blood, body fluids, secretions and excretions in a manner that prevents skin and mucous membrane exposures, contamination of clothing and transfer of micro-organisms to other patients and environments. Ensure that reusable equipment is not used for the care of another patient until it has been appropriately cleaned and reprocessed and that single-use items are properly discarded. Ensure that patient-care items and potentially contaminated surfaces are cleaned and disinfected after use. Clean non-critical medical equipment surfaces with a detergent/disinfectant. Do not use alcohol to disinfect large environmental surfaces. Use barrier protective coverings as appropriate for non-critical surfaces that are: 1) touched frequently with gloved hands during the delivery of patient care; 2) likely to become contaminated with blood or body substances; or 3) difficult to clean. Select EPA-registered disinfectants, if available, and use them in accordance with the manufacturers instructions. Keep housekeeping surfaces (e.g., floors, walls, tabletops) visibly clean on a regular basis and clean up spills promptly. Use an EPA-registered hospital detergent/disinfectant designed for general housekeeping purposes in patient-care areas when uncertainty exists regarding the presence of multidrug-resistant organisms. Appropriate Laundry Handling Handle, transport and process used linen soiled with blood, body fluids, secretions and excretions in a manner that prevents skin and mucous membrane exposures, contamination of clothing and transfer of micro-organisms to other patients and environments.

General Considerations
The Institute for Healthcare Improvements 5 Million Lives Campaign recommends the adoption of the five components of care in an effort to reduce MRSA infections: Hand hygiene Decontamination of the environment and equipment Active surveillance cultures Contact precautions for infected and colonized patients Device bundles (central line bundle and ventilator bundle) To reduce the incidence of HAMRSA, the initiation of a robust control program is required. Changing practice requires a change of culture and a change in what is acceptable.

Health-Care-Associated MRSA
Methicillin-resistant Staphylococcus aureus has become a prevalent nosocomial pathogen in the U.S. Staph infections, including MRSA, occur most frequently among persons in hospitals and health care facilities (such as nursing homes and dialysis centers) who have weakened immune systems. These health-care-associated MRSA (HA-MRSA) infections include surgical wound infections, urinary tract infections, bloodstream infections and pneumonia. In hospitals, the most important reservoirs of HA-MRSA are infected or colonized patients. Although hospital personnel can serve as reservoirs for MRSA and may harbor the organism for many months, they have been more commonly identified as a link for transmission between colonized or infected patients. It has been well-documented that the primary route of transmission of MRSA is via the hands of health care workers (HCWs), which may become contaminated by contact with: a) colonized or infected patients; b) colonized or infected body sites of the personnel themselves; or c) devices, items or environmental surfaces contaminated with body fluids containing MRSA. Colonization is the presence of the bacteria on a persons body without observable clinical symptoms. When this bacterium is isolated from a healthy individual, the person is said to be colonized. It is estimated that 25 to 30 percent of the U.S. population is colonized with S. aureus at any given time. The number of MRSA-colonized people at any one time is not known. When a person is colonized, bacteria live on the skin but cause no harm. MRSA colonization also occurs at the

Infection Control for Outpatient Management of S. Aureus SSTI, Including MRSA

Contact precautions should be used for all patients who present with open or draining skin or soft tissue infections (SSTI) and all patients known to be infected with MRSA or at high risk (see Risk Factors Associated With MRSA) of being infected with MRSA. Patient Examination in a Private Room Wear gloves (clean non-sterile gloves are adequate) when providing care for patients. Change gloves after having contact with infective material that may contain high concentrations of micro-organisms (e.g., wound drainage or dressings). Remove gloves before leaving the patients room and wash hands immediately with an antimicrobial agent. After glove removal and hand-washing, do not touch potentially contaminated environmental surfaces or items in the patients room to avoid transfer of micro-organisms to other patients and environments. Wear an isolation gown when providing care if there will be substantial contact with the patients wound. This will protect skin and prevent soiling of clothes during procedures and patient-care activities that are likely to generate splashes or sprays of blood, body fluids, secretions and excretions or cause soiling of clothing. Remove the gown before leaving the examination room. Wear a mask and eye protection or a face shield to protect mucous membranes of the eyes, nose and

Resources
Management of Multidrug-Resistant Organisms in Healthcare Settings, 2006. Healthcare Infection Control Practices Advisory Committee (HICPAC); www.cdc.gov/ncidod/dhqp/pdf/ar/mdroGuideline2006.pdf Grundmann H, Aires-de-Sousa M, Boyce J, Tiemersma E. Emergence and resurgence of methicillin-resistant Staphylococcus aureus as a public-health threat. Lancet. 2006; 368:874-885. Klevens RM, Edwards JR, Tenover FC, McDonald LC, Horan T, Gaynes R, and National Nosocomial Infections Surveillance System. Changes in the epidemiology of methicillin-resistant Staphylococcus aureus in intensive care units in US hospitals, 19922003. Clin Infect Dis. 2006; 42:389-391. Kuehnert MJ, Hill HA, Kupronis BA, Tokars JI, Solomon SL, Jernigan DB. Methicillin-resistant Staphylococcus aureus-related hospitalizations, United States. Emerg Infect Dis. 2005;11:868872. Noskin GA, Rubin RJ, Schentag JJ, et al. The burden of Staphylococcus aureus infections on hospitals in the United States. Arch Intern Med. 2005;165:17561761. Rubin RJ, Harrington CA, Poon A, Dietrich K, Greene JA, Moiduddin A. The economic impact of Staphylococcus aureus infection in New York City hospitals. Emerg Infect Dis. 1999; 5:9-17.

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May 2007

CONCEPTSAND ISSUES IN EMERGENCY CARE MAKING RICULUM GUIDE RAPID SEQUENCE INTUBATION ST A TICE ORIENTATION TO EMERGENCY NURSING TR T H R O U G H A F O R E N S I C L E N S A L CW W O L E A W AO R G E S S O H W. N A . R E N AND DRIVING IN BICYCLE AND HELMET SAFETY IKE W
Comfort and Class Tailored Shirt
Go to your next business meeting in ENAs newest classic shirt. Tailored to meet the highest business standards and yet casual enough to be paired with jeans. Womens and mens sky blue or tan; long-sleeved shirt has straight pointed collar with double-stitched seams. Made of 55% cotton and 45% polyester for a soft inviting finish. Embroidered ENA logo. Womens sizes: M, L, XL, 2X or Plus 1X. Mens sizes: M, L, XL, or 2X Price: $40 ENA Member Price: $28.50

Junior Executive Padfolio

The perfect organizer and notepad when you need something to jot messages and meeting notes. Rich-looking simulated leather features zipper closing to keep your valuables safe in burgundy or tan. Price: $25 ENA Member Price: $16.50

ENAs Growing Together Beverage Mug

What better way to start your day than with ENAs new beverage mug. Snow-white ceramic is the perfect backdrop for ENAs purple trademark logo and our symbol of Growing Together. Price: $18 ENA Member Price: $12.50

The Role of the Preceptor: A Guide for Nurse Educators, Clinicians, and Managers (2nd edition)
Jean Pieri Flynn, EdD, RN Madonna C. Stack, MA, MPA, RN

Mosbys Comprehensive Pediatric Emergency Care (Revised Edition)

Barbara Aehlert, RN, BSPA

Emergency Nursing: 5-Tier Triage Protocols

Julie K. Briggs, RN, BSN, MHA Valerie G.A. Grossman, RN, BSN, CEN

This text is essential to nursing faculty and nursing clinicians who want to set up preceptor programs, guide student experiences, or help orient novice practitioners to the practice setting. It explains the differences between precepting and mentoring or teaching; provides insights into preceptor programs; and explores internships, residencies, and mentoring. 159 pages ISBN 0-8261-3715-6 2006 Price: $43.95 ENA Member Price: $38.50

This unique book includes the essentials of pediatric emergency care, plus additional information on growth and development, selected childhood illnesses, environmental emergencies, and child maltreatment. It incorporates both prehospital and hospital management of pediatric emergencies; includes Pediatric Advanced Life Support, and reflects the 2005 emergency cardiovascular care guidelines. User-friendly features include: common medications table, chapter quizzes, laminated quick reference card providing easy access to critical information such as heart rates, blood pressure, appropriate size oropharyngeal airway, pediatric algorithms and pain assessment tools. 768 pages ISBN 13 978-0-323-04746-3 ISBN 0-323-04746-7 2007 Price: $39.95 ENA Member Price: $35.95

This brand new handbook delivers quick access to triage protocols for the most common complaints seen in emergency care settings. The 5-tier triage acuity system assigns five acuity levels based on severity and the need for intervention to ensure better accuracy and consistency among staff and greatly reduce the risks involved with triage. This cutting-edge system is rapidly becoming the international standard for assessing patients. 258 pages ISBN 158255-371-8 2006 Price: $48.95 ENA Member Price: $40

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May 2007

From the States from page 3

and the Department of Public Health and Environment. The information should be available online November 2007. Meanwhile, proponents of SB10, including the Service Employees International Uniona driving force behind the measuresaid they will introduce and back another bill later in the session that takes a more balanced approach.

New Mexico Bill Protects Health Professionals Responding to Emergencies

Under New Mexico House Bill 605, signed into law April 3, 2007, volunteer health professionals who respond to a public health emergency now will be covered via workers compensation benefits. The new law covers medical practitioners deployed by the Department of Health both in New Mexico and outside of the state. Until the passage of HB 605, New Mexico law did not provide an effective mechanism for ensuring injury and death benefits would be available to unpaid, deployed health professionals, leaving those who volunteer potentially unprotected for injuries they may suffer while deployed. In order to assist communities in New Mexico and around the nation to respond to health emergencies, the New Mexico Department of Health has created a health professional registrycalled

New Mexico Servesto identify health professionals, including physicians, nurses, EMTs, ED technicians and other allied professionals, who are willing to be deployed as needed to health emergencies. In a statement supportive of the passage of HB 605, Department of Health Secretary Michelle Lujan Grisham noted that her department and its health system must rely on the willingness of such unpaid health professionals who make heroic commitments, risking their lives and health to serve during health emergencies.

Medication from page 24

They were thrilled that it was one-stop shopping, she said. Everybody was using the same form, and the physicians could see the form and did not have to write out medications; all they had to do was circle Yes or No, Continue on or Admission. Then the form was faxed to the pharmacy. The ED took a proactive approach to the problem of patients not being able to remember all of their medication information. When we started medication reconciliation, we knew the public had to be educated, Liptock explained. We went ahead and supplied medication cards to everyone who came in. Our hospital has a large health fair at a local mall, so we set up a booth and said, Bring your pills with you. Well help you figure it out and write it down for you. Were teaching patients to take their medication list with them wherever they go. Liptock credits the state of West Virginia and the West Virginia Hospital Association for developing a durable, universal, statewide medica-

tion card that includes pertinent information such as advanced directives. The ED is addressing the issue further with a trial in which roaming pharmacists on patient floors look at medication reconciliation forms and talk with the patient or contact the patients pharmacy to try to fill in missing or incomplete information. Look for additional medication reconciliation success stories from ENA members in upcoming issues of ENA Connection.

Rhode Island Bill Banning Nurse Overtime Approved

February 13, 2007, the House approved a bill banning mandatory overtime for nurses in the state. The measure is similar to one that was approved unanimously by the Rhode Island House of Representatives on the final day of last years legislative session but died in the Senate. According to Rep. Raymond Gallison (D-Bristol/Portsmouth), this years bill is different because it gives hospitals more flexibility to deal with emergencies. Nevertheless, Craig Syata, vice president of the Hospital Association of Rhode Island, is opposed to the measure. He told the committee that forced overtime is rare. The bill is now in the Senate and referred to the Labor Committee.

Related to this topic

Read more about the ENA, ACEP and AAEM joint response to the medication reconciliation requirement in the August and September 2006 issues of ENA Connection at www.ena.org/publications/Onli neConnection/2006/2006TOC.asp.

Vote
Voting begins

2007
May 17, 2007
Election polls close

Remember to cast your ballot

June 15, 2007, 5 p.m. Central Time

Official Newsletter of the Emergency Nurses Association

29

ENAF Recognizes 2006 Donors

he ENA Foundation expresses gratitude and thanks to the following organizations and corporations for contributing cash gifts to ENAF and its scholarship and research grant programs from January 1, 2006, through December 31, 2006.

$1,000 - $4,999 Gifts

Applied Measurement Professionals Inc Armstrong Medical Industries Inc. California ENA State Council Colorado ENA State Council Elgin Cosmopolitan Club GreatBanc Trust Hill-Rom, Inc. Kentucky ENA State Council Manhattan Bronx ENA Local Chapter Medtronic Inc. Nurses Service Organization Sigma Theta Tau International St. Lukes Roosevelt Hospital Suffolk County ENA Local Chapter Tennessee ENA State Council The Gannett Foundation University of California Wisconsin ENA State Council

Less Than $1,000 Gifts

Aircast Inc. Bluegrass ENA Local Chapter Coastal Carolina ENA Local Chapter Community Medical Center Connecticut ENA State Council Genesee Valley ENA Local Chapter Louisiana ENA State Council Massachusetts ENA State Council Miller Cooper & Co. LTD New Hampshire ENA State Council New York ENA State Council Ohio ENA State Council Runco Office Supply TheraRising Inc.

$100,000 Gift
Emergency Nurses Association

$10,000 Gifts
AstraZeneca Pharmaceuticals LP Cardinal Health Foundation Monster Inc. Schering-Plough Corporation

$5,000 - $9,999 Gifts

Bank of America Illinois ENA State Council Texas ENA State Council Wellpoint Anthem Inc.

ENAFs 2007 Online Auction Kicks OffBring Your Items and Your Bids
The 2007 ENA Foundation Online Auction will go live May 21 and conclude June 8. ENAF is now accepting auction donations in the areas of entertainment, sports, travel and tours, getaways, restaurants and cultural activities. Cash contributions are also being accepted. To donate, send an email to foundation@ena.org or call 800/900-4000, Ext. 4100. Beginning May 21, ENA and nonENA members can bid on some fantastic items. The proceeds from this auction fund scholarships and research grants for ENA members. Support for ENAF events, including the online auction, has enabled the foundation to increase its funding of scholarships and research grants by $133,000 over the past four years.

at the ENA Foundations t e

TRIBUTE TO THE BEATLES

2007 ENAF Scholarship Applications Due June 1

The 2007 ENAF scholarship information and online application are accessible on the ENA Web site at www.ena.org/foundation/ scholarships. Categories include undergraduate, EMS, advanced practice and doctoral. All applications must be submitted by June 1, 2007.

Dress up like the Beatles with your colleagues for a rock-and-roll evening with audience participation. The warm-up act is a Beatles Look-Alike Contest. The best Beatles look-alike group will win a special prize. Remember the Fab Four as you Enjoy the music performed by the high-energy band, Yesterday, a Tribute to the Beatles Act. Continue your Beatles experience when you Dance the night away to your favorite Beatles tunes. WHEN: 2007 ENA Annual Conference Friday, September 28, 2007 8 p.m. to 10 p.m. TICKETS: $65, includes one beverage
The proceeds from this event support the mission of the ENA Foundation, which provides emergency nurses with educational scholarships and research grants.

30

May 2007

Call for 2008 ENAF Board of Trustees Nominations

Due July 1, 2007
call for nominations is being extended by the ENA Foundation board of trustees for 2008 ENA member and corporate trustee-atlarge positions. Two ENA member and three corporate terms will need to be filled. The ENAF board of trustees meets twice a year in conjunction with Leadership and Annual Conferences. Trustee terms on the board are for two years. Criteria for both categories follow:

Ability to communicate the foundations mission to members at the state council and local chapter levels: Achievement of successful cash and in-kind fundraising results. A history of giving and commitment to the ENA Foundation.

vant to the discipline. The criteria are further defined as: Skills and talents to acquire larger cash and in-kind ENAF contributions either from within the membership or from external organizations, primarily corporate entities. Corporate history of giving and commitment to the ENA Foundation. Applications are due July 1, 2007. The online application form can be found on the ENA Web site at www.ena.org/committees.

Corporate Trustee Experience

Corporate trustee nominees will be sought for their companys support of the foundations mission and the capacity to make financial and/or inkind contributions. Categories of industry expertise may be identified, such as medical device/equipment, pharmaceutical, publishing, technology, recruitment or others deemed rele-

ENA Member Trustee-at-Large Positions

ENA state council, local chapter or comparable grassroots-level experience.

ENAF 15th-Anniversary Legacy Gifts

Susan E. Shapiro, RN, PhD, CEN Kathy Robinson, RN, BS, FAEN

ENAF Online Auction

Join the Fun and Get Great Deals
begins:

t is our pleasure to thank the following individuals for accepting the challenge to commit a minimum of $1,500 as a 2006 Legacy Gift made in their names and honoring the ENA Foundations 15th anniversary: Nancy Bonalumi, RN, MS, CEN Renee Holleran, RN, PhD, CEN, CCRN, CFRN, FAEN Patricia Kunz Howard, PhD, RN, CEN Mary Jagim, RN, BSN, CEN, FAEN Betty Nolan, RN, MA, CEN Jean Proehl, RN, MN, CEN, CCRN, FAEN Diane Schertz, RN, BS, CEN, FAEN Susan Shapiro, RN, PhD, CEN Annabelle May, RN, BSN The campaign yielded nine Life Member supporters, individuals who are frequent financial supporters of the Foundation, providing $13,500 in total funds for 2008 Foundation scholarships and research grants. We thank you for your leadership in providing your Legacy Gifts to the Foundation.

May 21, 2007

ends:

June 8, 2007

Float free. Dine out. Catch a game. All part of this years fantastic auction menu. More items to choose from. More ways to be part of the action.. Get ready to bid. when: Goes liveMay 21, 7 a.m. EDT
Concludes June 8, 9 p.m. EDT

where: Log onto your computer and go to

http://enaauction.cmarket.com

why: The proceeds from the auction sup-

Related to this topic

For more information on the foundations fundraising efforts, visit www.ena.org/ foundation/fundraising.

port the mission of the ENA Foundation which provides emergency nurses with educational scholarships and research grants.

The ENA Foundation is accepting auction donations now in the areas of entertainment, sports, travel and tours, restaurants, and cultural activities. Cash contributions are also being accepted. To donate, e-mail foundation@ena.org or telephone 800/900-4000, Ext. 4100.

Official Newsletter of the Emergency Nurses Association

31

Updated CEN Exam Launches July 2007

Darleen Williams, RN, MSN, CEN, BCEN Secretary/ Treasurer he Board of Certification for Emergency Nursing (BCEN) works very diligently to ensure that every certification exam it produces is of the highest quality, reflecting current, general emergency nursing practice for the Certified Emergency Nurse (CEN), including current practice for its associated specialties and subspecialties CFRN (Certified Flight Registered Nurse) and CTRN (Certified Transport Registered Nurse). Beginning July 2007, the CEN exam will be updated again. How do the members of BCEN really know what the most current emergency nursing practice is? They know because you told them.

Updating the Exam

BCEN and Applied Measurement Professionals, Inc. (AMP), the company BCEN uses to develop and deliver its certification exams, work together to conduct and evaluate a role delineation study (RDS) approximately every four years. This study is a detailed questionnaire consisting of questions regarding emergency nursing practice, activities, procedures and medications. The RDS is sent across the country to both current CENs and non-CENs alike asking the recipients to evaluate their emergency nursing practice as compared to the existing CEN certification exam content outline.

If you were one of the dedicated emergency nurses who invested the time to complete the online CEN RDS survey, you helped create the new CEN exam blueprint. Both the BCEN and AMP are grateful for your time and expertise and want you to know that you made an important contribution to emergency nursing certification. Once all that data has been collected, it is compiled and reviewed by the members of the CEN Examination Construction Review Committee (ECRC) and the AMP test development experts. This group carefully reviews the data, compares it with the current CEN exam content outline and uses all of this information to develop a new CEN exam blueprint that accurately reflects current emergency nursing practice. Starting July 2007, CEN candidates will be tested on the updated CEN exam content outline at www.ena.org/bcen/cen/CENContentListing-2007.asp. The updated CEN exam content outline is task-oriented as opposed to the current topic-oriented content outline. A taskoriented outline provides the CEN candidate with more information regarding specific emergency nursing tasks as it pertains to the CEN exam. Specific disease states are identified under each content area. The table below compares the domain area differences between the

current CEN exam and the updated CEN exam.

Renewal Is Just 1, 2 or 3
Did you know that once you pass the CEN exam, you never have to take the test again? There are three easy renewal options (ROs) for renewing your CEN. The first is by submitting at least 100 continuing education contact hours (CECH) of which 75 must be in the clinical category (CEN-RO by CE). Check out the CE calculator on the BCEN Web site for help in calculating your CECHs for renewal (www.ena.org/CEN-RO/ce_fees/ logstep_nodb.asp) The second option is taking a renewal exam on the Internet (CENRO by IBT, which stands for InternetBased Testing). This is a newer renewal option designed to measure competency and provide an educational opportunity. Candidates have 30 days to complete the IBT and may enter and exit the exam unlimited times during this time period. Candidates who successfully pass this exam earn 30 CECH. The third option is to take the exam CEN-RO by Exam. CEN renewal candidates can register and pay for any of these options on the BCEN Web site at www.ena.org/bcen/cen/CENRO_default.asp,

Do it Now
It is estimated that there are more than 100,000 emergency nurses practicing in the U.S. today, of which more than 33,000 are current ENA members. There are approximately 14,859 CENs. Are you a member of ENA? Are you a CEN? If you answered No to both of these questions, what are you waiting for? Demonstrate your commitment to your emergency nursing specialty and to your own professional growth by taking advantage of the benefits of ENA membership and BCENs certification options. These opportunities are focused on a single goal, helping emergency nurses provide the highest quality of care for their patients.

CEN Domain Areas

Current CEN Exam

17 9 10 9 12 15 7 18 12 13 8 13 7 150

CEN Exam Effective July 2007

21 9 10 6 15 13 6 18 9 10 11 15 7 150

Change
+4 Same Same -3 +3 -2 -1 Same -3 -3 +3 +2 Same

Current: Cardiovascular Emergencies 07 Update: Cardiovascular Tasks Current: Gastrointestinal Emergencies 07 Update: Gastrointestinal Tasks Current OB/GU/GYN Emergencies 07 Update: OB/GU/GYN Tasks Current: Maxillofacial/ Ocular Emergencies 07 Update: Maxillofacial/Ocular Tasks Current: Neurological Emergencies 07 Update: Neurological Tasks Current: Orthopedic/Wound Management Emergencies 07 Update: Orthopedic/Wound Management Tasks Current: Psycho/Social Emergencies 07 Update: Psycho/Social Tasks Current: Respiratory Emergencies 07 Update: Respiratory Tasks Current: Patient Care Management Emergencies 07 Update: Patient Care Management Tasks Current: Substance Abuse/Toxicological/Environmental Emergencies 07 Update: Substance Abuse/Toxicological/Environmental Tasks Current: Shock/Multi-System/Trauma Emergencies 07 Update: Shock/Multi-System/Trauma Tasks Current: Medical Emergencies 07 Update: Medical Emergencies Tasks Current: Professional Issues Emergencies 07 Update: Professional Issues Tasks Totals

32

May 2007

Remembering a Champion for Certification and Continued Competency

Richard Morrison, PhD, BCENs Public Member, Director-at-Large

ichard Morrison, PhD, a stalwart advocate for excellence in health care, died March 8, 2007, from complications related to throat cancer. He was 71 years old. Morrison had served as the Board of Certification for Emergency Nursing (BCEN)s public member since January 1, 2004. Richard was an incredibly intelligent, articulate, funny and humble man. At every BCEN board meeting, he clearly demonstrated his strong advocacy for society as a whole. He firmly believed Richard Morrison, PhD that certification was one important tool that society had for ensuring that health care providers were competent to deliver care. I will always have a unique perspective on certification and life because of having known Richard, stated Darleen Williams, RN, MSN, CEN, BCEN board secretary/treasurer. Morrison not only talked the talk, he walked the walk. From 1984 to 1994, he was executive director of the Virginia Department of Health Professions, where he was responsible for all aspects of research and policy related to that states regulation of health professions. He also served on the board of directors of the Council on Licensure, Enforcement, and Regulation (CLEAR) and was a member of the first Citizen Advocacy Center (CAC) board of directors. He most recently served as an avid volunteer for the Virginia AARP, as health care policy specialist for the groups executive council and as a public member of the Virginia Health Quality Center, Virginias Medicare Quality Improvement Organization. Morrison received his bachelors degree from Christopher Newport College, a masters in sociology from the College of William and Mary and a doctorate in social policy from Virginia Commonwealth University. He constantly pushed BCEN to ensure public awareness of our certifications, and he did this with down-to-earth and amazing intellectual style. I am saddened beyond words. I feel privileged to have known him, and BCEN is better for having received his wisdom and insight these past few years. Continued competency is his legacy, remarked BCEN Chairperson Jacqueline Stewart, RN, MSN, CEN.

BCEN Thanks Orlando Regional Medical Center

rlando Regional Medical Center hosted the Board of Certification for Emergency Nursing (BCEN) Strategic Marketing Meeting January 13 and 14, 2007. Darleen Williams, RN, MSN, CEN, BCEN secretary/treasurer, was instrumental in arranging this sponsorship and in coordinating participants. The meeting was facilitated by Applied Measurement Professionals (AMP), BCENs test delivery and development vendor.

Back Row: Denise Malcolm, BCEN Operations Manager; Jen Vankestern, RN; Alice Jackson, RN, MSN, CEN; Robin Gilbert, RN, MSN, CEN, BCEN Chair-Elect. Front Row: Patrick Gallager, MBA, Applied Measurement Professionals; Laurie Johnson, RN; Darleen Williams, RN, MSN, CEN, BCEN Secretary/Treasurer; Jacqueline Stewart, RN, MSN, CEN, BCEN Chairperson; Tancy Stanbery, MSEd, CAE, BCEN Certification Officer; Dorothy Rizzo, RN, CEN. Not pictured: Ann Marie Wood, RN, CEN & Ann Peach, RN

Certified Emergency Nurse

Update d Exam Con www.e tent begins Ju na.org/ ly 2007 bcen

Memorial Service
American Association of Retired Persons is holding a memorial service in honor of Richard Morrison at the Virginia Commonwealth University in Richmond, Virginia, May 21, 2007, at 10:30 a.m.

Become a CEN
Get Certified! Stay Certified!
Emergency nurses who have become CENs experience:

Personal satisfaction Increased self-esteem Career advancement opportunities Financial rewards

Become a Mentor
Yo u K n ow I t ! Now Pass It On!
Become a CEN mentor and encourage other nurses to study for the CEN exam.

Invest in your nursing staff Increase retention Help reduce adverse events Reward high achievers Promote continued learning

Visit the BCEN Web site for more details at www.ena.org/bcen

Official Newsletter of the Emergency Nurses Association

33

BCEN Recognizes 2006 Certified Emergency Nurses

Congratulations to the nurses who became certified or recertified during 2006. These Certified Emergency Nurses (CENs) have demonstrated the attainment of a defined body of emergency nursing knowledge and are formally recognized for their commitment to professional growth and development. This list includes the second half of the CENs being recognized. The first section appeared in the April issue.
Florida (continued) Arthur Kissel Christina Knauer Sandra Knight Georgine Kruedelbach Don Krueger Mary Krupa Kevin Lawson Linda Legel Chantal Leonard Katherine Leonard Patricia Lewis Nancy Libby Leslie Line Charlotte Lissl Santha Locklear Donna Lowstetter Jayson Lynn Jocelyn Manassah Ginette Marcotte Alex Markwell Susan Marrine Maria Mas Rose Massey Mary Jean Masters Patricia Mathews James Maverick Laurie Maxwell Susan Maymon Patricia McGill Brenda McKenzie Vandolyn Mcintosh Patricia Mclaughlin Kim Meals Pamela Mercer Susan Meyerer Suzanne Miller Sarah Mims Donald Mitchell Dorothy Montanez Ann Moore James Moore Marguerite Mu Valerie Mullins Janet OBrien Shelley ONeill Shannon ONeill Jessica Oliver Antoinette Owensby Jungsook Park Noel Perez Nichole Phillips Michelle Pipino Gary Rafferty Kelly Ramey Jennifer Reilly-Miller Maureen Ris Elizabeth Robinson Linda Robinson Heather Rodgers Jeanette Rogers Renita Roque Rhonda Rose Carolyn Rosier Jennifer Ross Elrod Kay Russell Susan Ruszin Carmen Sanchez Marcia Schram Eva Schwartz David Segona Ann-Marie Serrano Raymond Shanahan Svetlana Shurik Amy Sims Laurel Sinclair Doreen Smith Jaimie Smith Nadine Smith Janet Sopcheck Donna Sparks Polly Spate Beth Spence Diane Speranza Patricia Stadler Robin Story-Powers Lucilla Strickland Judy Stuparitz Janet Stys Michelle Sullivan Maureen Sullivan-Tevault Tracy Suveges Tracy Swetokos Aileen Tamares Rainelle Taylor Cathy Terhaar Joan Thompson Russell Titus Michelle Toppi Michael Trachman Michelle Tracy Sari Trotman Patricia Tufano Kristen Tuzzo Connie Uber Pedro Valdes Shannon Vaughan Elizabeth Vogel-Rogers Stephen Wagner Robert Wainwright Andrew Walker Ian Watson-Kerr Catherine Webb Deborah Westphal Melanie Wetmore Marilyn Willix Kimberly Womack Sharon Yarbrough Brenda Yearicks Barbara Yeider Heather Zak Georgia Judith Addy-Keller Vickie Ansley Linda Baggott Judith Borucki Connie Bowers Betty Brooks Kimberly Brown Debra Callahan David Chaffin Christa Chosewood Christopher Dawson Jeffrey Diller John Dornbusch Jill Dunagan Judith Edwards Kelly Ferris June Fletcher David Fountain Sandra Frasier Theresa Gassett Chris Gisness Robin Godwin Mark Gore Michele Greene Deborah Hammond Jennifer Hartley Mary Hayes Evelyn Hickman Troy Holder Michael Hudson Teresa Hughes Cassandra Humphrey Christine Jacob Cheryl Jones Harpreet Kaur Raymond Lauer Patricia Lee Sheri Leslein Mark Andrew Liles Dean Lindsey Lynda Lucas Daniel McBride Bethany McLeroy Cheryl McNamara Donna Merrifield Angela Moon Barbara Muller-Feldman Deborah OSteen Rita Osuji Debra Pender Pamela Powell Windy Proffitt Denise Proto Lisa Roberts Lisa Robinson Daniel Rowland Priscila Schulz Lavenia Seyfried Andree Shackelford Karen Shandor Samuel Shartar Sherry Shlomov Shannon Shuler Mary Smith Melinda Smith Robert Smith Tracie Sowinski Carolyn Spradlin Terri Stephenson Christy Sullivan Lynn Talmadge Karen Talton Mary Tate Carlene Thames Shannon Thomas R Allen Tillman Carmen Trawick Cyndi Troutman Frederick Turner Louise Turner Kimberly Tyler Renee Van Kouwenberg Kelli Vaughn Linda Vick Denise Warner Kimberly Whitfield Tricia Williamson Julie Wilson James Wolfe Nancy Workman Bobby Wright Carlo Yoshisaki Guam Merlida Cabral James Hutchinson Gregory Jones Charles Martin Benette Sadler Hawaii Leah Aguiling Lynn Blanke Brenda Gartner Beverly Inocencio Elizabeth Joyce Lori Karnes Stacy King Joline Labbe David Lewis Michael Mullen Sean Mulvey Denise Pokroy Tiffany Rae Kurt Rutter Iceland Gunnhildur Gunnarsdottir Idaho Stacy Austin Lori Beck Cynthia Cook Sharon Costner Mary Anne Cox Victoria Farris Jennifer Fields Sallie Fogg Robyn Furnish Lori Garza Teresa Lee Hall Steven Hardin Michelle Harris Shari Hayman Pamela Holmes Christine Horak James Jarvie Fay Kenning Loretta Kingsbury Ana Larraneta-Anthony Michelle Lowe Donna McBride Nancy Meyer Cathy Mockli Tammy Nally Nancy Phillips Dominic Pomponio Michelle Purcell Michael Riegel Shelly Robinson Christine Shirazi Dixie Skinner Clyde Suttlemyre Amber Vance Rosie Willy Rhett Wintch Illinois Andrea Airhart Alida Alden Linda Alexander Robin Alvarez Michelle Ashby Charlene Bannon Robert Beal Geoffery Beatty Dolce Bermudo Candice Bornack Len Brooks Gloria Brummer Barbara Burlingame Gisele Burnett Therese Campbell Gabriel Campos Susan Cannon Douglas Cheek Sharron Chivari Susan Cizek Doreen Clough Connie Damron Donna Darr Amber Davis Madoline DemabildoDeramos Terry Digate Sara Drummer Denise Dudzinski Mary Dunkel Margot Duval Shannon Dzury Dianne Endress Michael Epping Mary Fannin DeAnn Faragoi Mary Fecht-Gramley Jennifer Flanagan Kevin Fox Raju George Mary Gillespie Vicky Goeddeke Marites Gonzaga Sally Griepentrog Erika Hachey Melodie Havlick Lynette Hemphill Karol Hensel Donna Herring Alan Hix Timbolin Holmes Lagrimas Hurd Jennifer Jaltuch Jennifer Jones Robert King Dena Klein Zeb Koran Rebecca Kovack Kenneth Kozbiel Barb Landgraf Linda Lebus Mary Leonard Lori Libby Lisa Livingood Cheryl Lorenzin Kim Marie Macygin Vaiva Marchertas Brenda Margold Susan Marston Heidi McClain Elaine McClure Malena McElmurry Carole McKinstry Sandra Mercer Carol Mills Rhonda Moore Mary Moran Diana Moyer Nancy Osness Joann Palace Jeri Papuga Toni Parris William Paunan Diane Pick Thomas Popper Wanda Pritts Nancy Raschke-Deichstetter Ethel Reilly Catherine Rennau Linda Rivera Mary Rosendohl Julie Runyon Leslie Saindon Raymond Salazar Louis Savoia Carol Schulz Anne Scranton Anniesa Selimos John Spannuth Terry Sperry Carole Sullivan Susan Surane Staci Sutton Lillian Taeger-Doody Thomas Tear David Thorpe Ellen Turnbull Tricia Vaughan Nancy Wall Arianna Warfel Ardith Wells Barbara Westlake Shelley Wiborg Teresa Wiesbrock Mary Jo Wodziak Shirley Wolford Tracy Yun Carol Zimmerman Indiana Jamie Alumbaugh Deborah Barniville Jennifer Becher Leslie Bindner Evelyn Bluett Annette Chard Jennifer Counceller Amanda Davis Scott DeBoer Raenelle Doshi Lynn Douglas Cathy Edwards Gregory Evans Marilyn Farrow Jerri Featherston Caroline Fisher Susan Fisher Denise Foster Karen Grissom Sean Groves Julie Gunderson Mandy Gwinnup Connie Harsin Yonna Heath Matt Heffelfinger Joseph Hollis Diane Hountz Toni Ionni-Hoffman Adrianne Jones Linda Kelley Michele Konnick Rebecca Lane Martha Lang Elizabeth Leising Charity Leist Kevin Lee Letz Loretta Lord Rebecca Lovins Tonya Mains Kate Marciniec Susan Martin Mary McMullen Amy Mcgill Cynthia Meyer Robin Mourey Lisa Mull Valerie Noah India Owens Stephanie Pierce Gayle Porter Kristen Quirk Patrick Rauscher Vickie Roberts Jean Roland-Kennedy Paula Rothrock Theresa Ruby Linda Rust Cherrie Schmidt Dennis Schmidt Theresa Shull Dan Sipkosky Tamara Skelton Stacey Snyder Amy Solomon Catherine Spry Jo Tabler Tabitha Vaughn Rebecca Walker Amy Wallace Stephanie Wells Catherine Wigley Teresa Will Clarise Wroblewski Iowa Jennifer Achenbach Mark Addy Tracy Albaugh Kathryn Anderson Kathryn Bainbridge Lowell Birkey Kristine Bonnett Deborah Boots Mary Burgfechtel Linda Charley Karen Cochran Marcia Conn Melanie Cowman Kathy Dahlgren Vicky Earlywine Sharon Frye Cindy Galles Brooke Gilchrist Katie Haberman Linda Hagmeier Suzanne Herzog-Lopez Catherine Jones Debra Julian Victoria Langfeldt Barbara McCormick Delilah McIntyre Tamara Meier Sheryl Obrien Linda Peterson Erica Pitlik Jennifer Platz Lori Poldberg Matthew Powers April Renegar Susanne Scherbring Rebecca Schwartz Astrid Smith Juli Thackery Diane Thompson Laurie Van Kley Connie Vierkant Chad Ware Roberta Wheeler Holly Young Kansas Kirk Akasaki Pamela Albright Lorette Blumberg Amanda Brame Gail Ciesielski Eileen Derks Carol Groen Lavon Harmon Abby Hess Joan Horton Kelly Howe Jo Kerns Jacqueline Klemann Cynthia Kolich Marilyn Lindstrom Tori Maisch Janice Marcy-Smith Cynthia Martling Jeanine Mccullough Marsha Mendenhall Julia Molstad Fred Neis Yanina Noland Katrina Otto Cynthia Princ Judith Russell Lucy Silk Cheryl Spittler Mitzi Stamey Tracey Stark Mary Vanpetten Debbie Veatch Ronald Williams Meichelle Wood Kentucky Mary Catherine Allard Daniel Andrews James Barrineau Lisa Cantwell Belinda Cooke Judith Cremeens Kimberly Dingus Marsha Farrell Deborah Flerlage Terry Foster Karilynn Fournier Camille Grace Christa Hall Michele Halloran Amy Herrington Amanda Humphrey Jamie Juliano Marcia Kapfhammer Betty Kuiper Patricia Kunz Howard Fredia Lawrence Melinda Leamon Audrey Mattingly Stephen Metzger Elizabeth Nolan Audrey Ockerman Sharon Phillips Karen Ray Amy Rennekamp Linda Robinson Karen Rogers Joyce Salyer Molly Schaeffer Jon Schermerhorn Elizabeth Schroeder Baxcetta Senters Shelley Sheets Diane Slone-Gillum Stephanie Steff Leslie Stone Kimberly Sturgill John Vereb Megan Vernatter Theresa Vietor Billie Jean Walters Faith Webster Hollis Whitehead James Kyle Williams Kimberly Withers Korea Mina Lee Louisiana Jeff Atkins John Babcock Natalie Bienvenu Thomas Butcher Karen Caruso Kim Clark Anne Colwart Michael Condatore Georgia CraigheadRoberts Teresa Daniel Mark Drummond Joan Duplantis Rosemari Gahn Angela Gautreau Dupuy Darlene Guillot Michelle Hoskins Regina Johnson Pamela Kemp Tavell Kindall Cynthia King Donna Landry Glenn LeBlanc Geronna Leonards Ruth Lowry Karolyn Martinez Todd Matherne Pamela Mattio Megan Mayers Peggy McCain Ricky McCrory Brent McDonald Ann Meyer Benjamin Miller Charles Moffitt Shawn Neely Andrea Normand Patrick Gerard Oncale Alicia Pellegrin Kerri Perry Cheryl Probst Karol Raman Bruce Reeves Beverly Romero Julie Root James Ruckman Karyn Shine John Simar Eileen Smith Flo Smith Gina Speyrer Lisa Tabor Bradley Tate Mary Susan Thomas Gina Versaggi David Vincent Christine Wallace Nancy Werner Christopher White Maine Roland Auger Jane Baxter Richard Boisselle Theresa Bouthot Charles Braine Tonya Brown Dorothy Budge Christa Burch Mary Burton David Byers Frank Caparelli Beth Carnicella Frances Caron Elaine Colfer Kimberly Couture JoAnn Crocker Carla Cutting Jane Dunstan Samantha Ester-Luciano Dawn Fairfield Deborah Fox Dale Gordon Wendy Haskell Nancy Jackson Susan Jones Jeanne Leighton Colleen Lemon Erin Luck Judy Lunbery Cecile Martin Janet Martin Paul Millard Michael Mirisola Cara Moore Pamela Morin Sean Murphy Elizabeth Nalli Belinda OBrien Susan Papineau Melissa Pelkey Sharon Pelletier Connie Pratt Suzanne Querze Thomas Read Anna Robinson Geneva Sides Scott Smith Karen Jarboe Marla Johnston Ilene Jones Rose Jones Shirley Kase Patricia Kelly-Kobus Michelle Kirwan Kirk Koneval Cathleen Lindauer James MacKey Eloisa Martinez Barbara McCall Nelson McCall Mary Melvin Teresa Anne Mireles Carolyn Mirzai April Motovidlak Diane Narron Richard Noonan Luz Obedoza Imelda Olmedo Joey Owens Cheryl Parks Margie Petrovic Deborah Phillips Eryl Quilao Ann Robinson Gordon Ross Michelle Sack Beverly Scott Ann Stinely Margaret Surratt Amy Swartz Aster Teclemariam Lisa Tenney Paula Terzigni Terry Tucker Brian Wahl Cheryl Walk Greig Williams Benjamin Winkler Angela Wolff

Massachusetts Theresa Adjan-Vallen Rozanna Alperovich Tracy Anderson Susan April Susan Arruda Beth Ann Barros Cynthia Bechtel Lisa Belanger Andrew Bell Jody Bergeron Susan Bettencourt Bridget Billings Cheryl Bouchard Jane Bowler Mary Brickett Peggy Brouillet Barbara Burdo-Phipps Terry Buttaro Coletta Candini Deborah Clark David Denneno Ramona Devenger Tracy Disilva Dagmar Dockery Debra Donahue Lora Elinoff Mary Feeney Diane Flanagan Marie Fletcher Marilyn Fletcher Wendy Fliger Lynn Forgues Dana Gerrard Joseph Gianni Carolyn Goudey Linda Greenberg Sharon Hamel Maryland Andrew Harding Sarah Arnett Jennifer Baker-Rosebrock Kathleen Herard John Kane Monika Bauman Daniel Kelleher Sue Beckman Stacia Khorey Tania Bellia-Weiss Catherine Kight Summer Bossler Alice King Helen Bradley Therese Kramer Margo Buda Gail Laplante Nancy Cimino Susan Lavallee Judy Cradic Glennie Lupo-Dodge Kathryn Cramer Troupe Laura Maguire Mary Delauney Kathleen Mahoney Catherine Dischner Jean Mansfield Maria Dobson Laura Ferguson-Weigman Shean Marley Gail Marshall Dannielle Fretterd Margaret McCarthyCynthia Gallagher Mogan Madelyn Gries Stacey McEachern Sarah Grimm Susan McGahn Martha Gurzick Samantha McHale Lisa Hall Kerry McMahon Irma Hartman Paula McNamara Susan Hatef Tracie McPadden Michael Hite Tara Meekins Mary Kim Howe Mary Middlemiss Edwin Howell

34

May 2007

Diane Miller Moses Miller Linda Molchan Daniel Nadworny Patricia Normandin Paul Olmsted Stephen Ouellette Elizabeth Pahigian Steven Palmer Georgia Pasqualone Jeanine Perry Ashley Polucci Cristina Prokop Laura Raymond Kathleen Reardon Regina Renaud Laura Ribeiro Joanne Richard Cathy Samuels Pamela Sanborn Meaghan Shea Michelle Sheridan Patricia Shields Robert Shields Kathleen Spinelli Mary Stock Mary Taylor Dena Thornton Judith Tobin Anne Turner Catherine Underwood Ellen Varney Heather Waden Maureen Ward Kevin Whitney Nancy Wood Marsha Woodard Michigan Karen Barkman Laura Beaudoin Debra Briske Edward Brun Barbara Chapman Douglas Dascenzo John Davanzo Karen Delrue Cathy Deplonty Noreen Diedo Shelly Dove Annette Duquette Mikki Favor Cathie Frederick Lucinda Geiser Nancy Gibbs Elizabeth Giering Sherri Giguere Debbie Gilmore Wright Thomas Graeser Corey Grahn Beth Green Mae Hartsfield Janice Jury Samantha Lang Iva Lange Elizabeth Letts Patricia Manion Michael Marsiglio Anne Matzka Patricia Mayne Grace McCallum Marilyn Merkle Dawn Merriman Geraldine Muller Paul Munger Stephanie Murphy Todd Nickoles Deborah Niedbala Martha Nuyen Christine OBrien Suzanne OBrien Lisa Oberg Julian Olvera Laurel Paradise Jacqueline Pavlich Andrea Perri Margaret Perrin Holly Peterson Jeff Pietsch Lena Pinkard Kimberly Quitter Caren Ray Karen Recker Kathleen Ribbens Toni Riske Sandy Shutt Kelsey Sly Marjorie Taylor Michele Teno Carol Torra Kim Trafelet Janet Tucker Lorri Tupica Valerie Uryga Sheryl Veurink-Balicki Thomas Whilden Cheryl White

Kathleen Wolowiec Katrina Young Shanda Zaharako Minnesota Susan Anderson Beth Ashmore Nancy Beyer Lisa Bezenek Shannon Borja Kari Brych Renee Clabo Suzann Cruikshank Molly Delaney Paul Drucker Stephen Feltes John Fisher Jason Foos Sarah Fuller-Gipp Charles Hartsfield Sharon Hartsfield Debra Hatlestad Mary Healy Eugene Husted Karen Jansky-Koll Gayle Jensen Darlene Kotelnicki Valerie Kriegler Judy Larson Nancy Lash Laurie Lozier Valerie Mateer Sherrie Murphy Heather Nelson Nancy Olson Molly Ortega Kimberle Parrott Karie Pearce Christine Peterson Joanne Pufahl Becky Rogotzke Jean Schmidt Michele Schoenborn Margaret Schoolmeesters Jennifer Smith Kathryn Soland Beverly Speltz Elizabeth Staples Laurie Starr Alyssa Stenson Nancy Strong Ann Uhlig Mary Van Grinsven Tammy Vasfaret Barbara Wagner Bonnie Whipple Lois Wiley Terry Wurtzberger Diane Yoch Mississippi Sonja Adkins Steven Arnold Joy Avery James Boyanton Michael Collins Dawn Compton Michelle Denette Mary Elliotte Sheryl Flynt Joshua Foster Carlton Garner William Gibboney Kathryn Gift Kelly Hartzog Jessica Havard Stephen Hunter Jean Jeff Linda Jenkins Gary Johnson Kobi Jones Donna Loring Louis Nichols Paula Patrick Amanda Perry Connie Plotkin Shirley Price Mark Randall Wesley Ray Howard Riddle Cindy Robertson Lewis Rogers James Spruiell Sara Tate Joseph Upton Hannah Willard Jennifer Wyatt Jason Zimmerman Missouri Jennifer Aiken John Archer Chad Baker Annette Behney Alice Beshears Jami Blackwell John Bonnard

Kandi Bouma Elaine Briggs Sara Brockfeld Terry Bruce Gail Carroll Judy Chambers Brenda Childers Barbara Clausen Patricia Clutter Lisa Cockrell Carol Constant Louise Cooper Beverly Crawford John Daniels Amy Determann Kathy Domiano Jerry Dorris Alice Ellison Christopher Filley Kelly Garrett Heaviland Monta Rae Glaser Janice Grosvenor Tammy Hargrave Toni Hawkins Derek Hoffert Janet Kaminsky Sheila Kauffman Jana Kidd Katharn Kirwin Karen Kopp Jimmie Lawrence Diane Lorenz Laura Lowe Theila Luetjen Stephen Maguire Candace McClain Kim McKenna Lois McKinney David Mumm Karma Murr Virginia Myerscough Leslie Nakoneczny Thelma Norton Nicole Oris Laura Pinson Pamela Polly Donna Pond Helen Sandkuhl Nathan Schatz Betty Seeley Scott Shelp Neal Sidebottom Lisa Simpson Kendal Smith Thomas Stumbaugh Mark Testerman Carla Tolbert Mary Torp Hester West Rebecca Ziehr Montana John Bleicher Bill Capshaw Linda Cole Anne Dollar Melissa Fuller Steven Glow Traci Jasnicki Vickie Johnson Steven Lamb Peter Lucas Lynne Ludivig Catherine Matthews James Milos Andrea Mulligan Peggy Perkins Becky Petrashek Jeanne Schnelbach Cynthia Scott Karen South Jaimie Swandal Susan Walsh Elaine Wilson Nebraska Justin Abbott Margaret Blair Lea Anne Bogart Nancy Buras Pat Callaway Kai Carlson Catherine Carrico Brenda Dankert Cheryl Dolinski Carmen Draper Ronda Ehly Celeste Felix Carol Fielder Karen Fowler Darlene Gottschalk Erin Heisler Linda Jensen Jefferson Joiner Colleen Jones Kaycee Kamrath Debra Krueger

Sharon Lee Patricia Lenaghan Paige Lindstedt Barbara Lueder Diane Marsh Carol McGill Lisa Michael David Nissen Theresa Pankowski Marcene Patton Elizabeth Raetz April Reed Denise Senske Marjorie Van Riper Michael Van Ruler Jayne Vollmer Rachel Vonderfecht Kari Watson Cheryl Winans Laura Wooters Pamela Zyck Nevada Tamera Allred Edelyn Barry Jessica Castner Barbara Conton Susan Crowder Jeri Dermanelian James Freed Eunell Geraci Cherish Heath Toni Hoyes Shelby Hunt Dorothy Jackson Dean J Marc Johnson Camille Lombardi Cynthia Mezzano Brenda Mohamed John Morrison Jackie Reyes Robert Reynoso Jacob Ricks Mindy Small Dorita Sondereker Linda Walker New Hampshire Kelley Anagnos Catherine Bullard Aaron Chase AnnMarie Chase Curtis Cote Jean Francis Stephanie Franz Valerie Greene Sarah Hubbird Tracy Hurd Elizabeth Hutchinson Stephen Jameson Iryna Kuramshyna Deborah Lee Scott Lindsey Julia Lynch Joseph Majewski Jean McGovern Susan Moore Robert Paris Brian Putney Lauri Szawlowski-Doty Denise Thibeault Cora Trimbur Deborah Upton New Jersey Maureen Aguis-Scheeler Lelanie Argosino-Agulto Larisa Barnes Lorraine Barrett Irina Benenson Ray Bennett Joseph Bentivegna Theresa Bertolotti Dana Bindas Carol Bissinger Frances Blom Nancy Bombaro Lynne Booz Carole Boutilier Catherine Bove Cecelia Bowles-Johnson Michael Boyce Jane Boyle Dawn Branin Bernadette Breese Marylou Brown Patricia Brown Sharon Burke Rogelio Buyo Rosemary Carroll Carolyn Carty Patricia Caslow Karen Cepero Marvella Cephas Stephanie Chen Carol Cichy Raluca Clark

Mary Colberg Katherine Collins Michael Cook Louis Cortes Elizabeth Costanza Marion Courter Toni Cranmer Patricia Cullen JoAnn Cummings Eileen Cusanelli Cindy Cutts Cresencia Daquipil Jeffrey Davis Joan Dawson Irene De Launay Judith DePalma Mercedes Delafuente Susan DiBenedetto Michele Dolan Pamela Dolan Josette Dombrowski Eleanor DominguezCuratolo Judith Dubberke Barbara Lynn Duffy May Durano Catherine Feeley Carolyn Fernandez Stephen Field James Fieselman Anthony Filippelli Catherine Filippelli Lisa Fitzpatrick Maribett Flores Lynne Marie Flynn Allida Frese Beata Gallehdari Marguerite Gatto Cathi Goldfischer Nancy Gover David Greenberg Nancy Grierson Daryl Gruenhagen Susan Guilliams Robin Gunia Monica Hancsin Claire Hargreaves Cristina Hartman Mary Jane Hartwick Molly Ingersoll Michael James Mary Kady Catherine Kan Veronica Keene Robin Keida Deborah Kennedy Tracy Kiley Jennifer Kirkendoll Lisa Kleschick Nirmal Kumar Jolly Kuruvilla Virginia Kurz Carole Lang Francine Latourette Diane Lawson Kathleen Lee Margaret Levin Karen Lynd Carol Magariello Robert Mannion Susan Marinelli Loinda Marino Elizabeth Martone Janet Maruca Lizy Mathew Ann Mathiews Pauline Mattaliano James McChesney Elizabeth McCoy Carol McDonald Elizabeth McFarland Karen McNiff Diane McVey Beverly Merkle Patricia Michalsky Paul Mikita Joann Miller Kendra Mochel Maureen Moore Laura Morales Tracey Mulqueen Anne Mulvenna Sandra Nagy Andrea Natalie Jacqueline Noll Fritz Ocmeja Patrick Opperman James Otte Theresa Otte Patricia Padams Jorge Pardo Reynaldo Pella Jaime Pitner Nicole Powasnick Patricia Prin James Pritchard Deborah Prodoehl

Robin Puma Lorraine Quirk Sharon Rainer Carl Reichard Shanda Richer James Richmann Jorge Rin Jo-El Riordan Helen Robinson Elizabeth Rodrigues Dan Rooney Suzanne Salamanca Linda Samson Cindy Santoro Olivia Sasher Maryellen Scavone Jeni Schoenfeld Jane Schroeter Marianne Schubert Joan Schultz Walter Schuster Tracey Scott Ana Serrano Ann Margaret Servis Donna Simpkins Monica Sirusas Erin Skladanek Kathleen Soltis Frances Spinda Lucy Stanley Chrisanne Starrett Mary Stauss Catherine Stornelli Patricia Strahan Dawn Straniero Donna Stringer Dolores Szenczi Kathryn Talarico Joanne Tobiasz Victoria Tomshaw Diane Tornatore Cleo Trapp Joseph Treimel Jeanette Trotman Florentina Turbela Evelyn Vargas Susana Veranga Margaret Verzella Joanne Virgilio John Visokay Pamela Vlahakis Christopher Waga Linda Wagner Kevin Webb Steve Weinman Elizabeth Whetzel Margaret White Mary Whitecavage Claudette Williams Aaron Wnorowski Margaret Wolf-Eber New Mexico Julia Avitt Julia Azua Deanna Barton John Baumann Carol Beadle Allean Raneta Bonin Mary Campbell Diane Coady-Ramsay Echelle Crenshaw Meg Dahrling Katherine Daniels Anthony Daquino Rhonda Davis Sarah Davis Kelli Dominguez Lisa Everson Catherine Fitzgerald Brent Foreman Mary Harper Keith Haynie Shonda Hillard Erica Hockenhull David Holt John Houston Sonda Lanier Jacqui Lawrence Renee Lewis Shawna Macy Jeanne Marotta Ann Martin Kevin McFarlane Rita Myers-Wieringa Dennis Osborne Felicia Pugh Diane Reddan Monica Rodriguez Mary Russell Teresa Sandoval Heather Schulz Lissa Shaffer Cristall Short Sharron Sims Patricia Verzino Ann Whitehead

Melissa Willis Deanna Wolf Carolyn Wolsey New York Karen Accurso Moses Agborenow Tita Aguilar-Niere Barbara Ahlstrin Carrie Alfano Angela Alleyne Guisela Alvarez Jorma Andrada Jay Andross Maria Teresa Anicete Sherie Ashdown Robert Asselta Davis Austria Barbara Badgley Johanna Bannert-Sica Sandra Barker-Powell Bruce Barry Julie Bartle Janeen Bass Cielo Bautista-Garcia Mariquita Belen Beth Benard Nora Bennett Maria Berry Alycia Bethea-ONeill Indra Bhagwandin Deborah Blue William Bodeker Patricia Bonanno Amandine Boujon Colleen Bouyea Mary Ellen Bovino Jill Brennan-Cook Deborah Brockmeyer Carrie Brooks Corrine Brown Hyacinth Brown Shirley Bruno Ivy Budhai Henry Carol Butler Remedios Cabrera Cecelia Carew-Joyner Maryann Cashin Nadene Casse Diane Castro Lynnie Casumpang Lemos Ann Chase Leonid Chlafer Michael Clarke Beverly Codrington Lolita Compas Alice Corbett William Cordi Andrea Craine Eileen Cronin Margaret Cunningham Ray Cupid Donna Curcio Elizabeth Daley Paula Dart Sandra Davis Darcie De Milt Kenneth DeMott Melisa Delaney Josephine Delos Santos Lori Demino Patricia Denn Karen Dewar Manjula Dhayalan Cheryll DiVincenzo Michael Dixon Margaret Doyle Diana Durfey Erica Dusseldorp Esme Elisson Sandra Estes Carol Anne Fazio Carol Floyd Lera Flynn Michele Forness Liam Larkin Forster Janice Francischine Deslin Francois Deborah Freeman John Fuller Barbara Furthman Dina Gage Margaret Gallagher Kellie Gauthier Dina Giulietti Patricia Gladstone Michele Glover Elisa Goldblatt Joanne Graham Jan Greenfield Kathleen Griffin-Kluger Edward Guardia Annette Hamilton Margaret Hansen Tyrone Harewood Denise Harris

Abigail Hasan Anna Hassell Mary Hayes-Quinn Allison Heller Charles Heller Ann Heywood Gene Iannuzzi Maureen Ibrahim Nicholas Internicola Mary Ellen Jennison Vanessa Jewett Dorna Jodoin Patricia Johnson Josephine Johnston Virginia Jones Colleen Karen Carolyn Katzman Nancy Keck Catherine Kelly Sheila Kennedy Julie King Heidi Klie Marie Knott Doris Korona Michele Kosinski Lisa Kosits Steven Koster Connie Kraft Leena Kuriakose Sally Kuzniewski Yocheved Lauwick James Lavoie Susan Lawton Glen Lechtanski Eileen Liles Lawrence Loewy Elizabeth Longmore Diana Lorenz Christine Lyons Carol Madigan Waclawa Magdits Mary Mahoney Chemin Malone Laarni Manuzon Gracia Marquis Rebecca Matteson Deborah McCaig Bonnie McCall Moriah McCullagh Ann Marie McDonald Laurie McGookin-Ritshie Theresa McGrath Susan McIntosh Christine McKeon Hannah Megacz Virginia Metacarpa Joann Michaelsen David Miller Franklyn Miller Arlene Morizio Nicole Mormile Kathleen Morrissey Patricia Moses Vicky Moskowitz Daragh Murphy Diane Murphy Barbara Ann Naccarato Kathy Nanry-Mathieu Leah Neider Ger Nelson Venise Nelson-Brooks Jenifer Nerone Noreen OConnor Doreen OGrady Margaret Ort Eni Osorio Haesook Paik Stacy Palma Charles Pandolph Beverly Panico Judith Pashoukos Kathy Peterson Luis Pina Michael Pinard Colleen Pino Phyllis Quinlan Paul Quinn Robert Quist Rachel Randag Mary Lou Reidy Regina Ricotta Kristina Rioux Maria Rivera Kathleen Roeland Ann Marie Rohan Bridget Romani Kathleen Rosa Eva Santiago Jacki Satterlee Michael Schoendorf Denise Schultz Karen Schwartz Danielle Shadic Susan Shea Janet Shelters Nancy Smith Barbara Sommer

Official Newsletter of the Emergency Nurses Association

35

BCEN Recognizes 2006 Certified Emergency Nurses (continued)

Julie Soule Lynn Speer Teresa Spinella Laura Stahl Mary Jo Stark Kathleen Stynes Jonathan Sunico Anne Swido Sharon Thompson Deborah Travis Constance Tucker Susan Turner Anne Walsh Jean Walsh Austen Ward Claudette Wenke Delta Williams Gwendolyn Williams Anne Wilson-Rizk Veronica Winters Eileen Wood Catherine Woodward Cynthia Wright Linda Yonkin Lee Ann Zeltmann Xiaojing Zhai Carrie Zuti North Carolina Beverly Adams Beverly Altizer Alexander Andresen Elizabeth Arpe Goodman Kathleen Ashton Martha Autry Ronda Ayers Donna Barker Margaret Barks Desiree Beaulieu Cynthia Berdeau-Gardner Jamie Blue-Matthews Karen Booth Linda Boroi Debra Braun Jamie Burk Marian Byerly Marc Canegallo Cathy Carringer Maureen Cattie Shannon Champion Wendy Chandler Kelly Cheek Ann Conerly Karen Corker Wendy Craven Karen Crawford Amy Crittenden Cheryl Cummings Caroline Cusick Patty Dowd Jeff Doyle Christen Duke Denise Dull Peter Dyck Sandra Falise Patricia Fields Joanne Flemming Rachel George Catherine Graham Nicholas Greene Amy Gunter Lori Hallisey Susan Hathcock Lynn Hawk Lou Hawkins Naomi Heath Kristin Hires Scott Holman Angela Hopson Brenda Huffman Ann Hutchins Lawrence Ide Teresa Jackson Joyce Johnson Lara Johnson Robin Jones Cynthia Kinlaw Christina Knight Jennifer Lane Judith Lathrop Kristine Lawler Sharon Layton Sherry Leviner Vickey Lewis Kathy Lindsey Constance Lord Holly Lybarger Lori Mancuso Claudia Marozzi Joie Marshall Anthony Martin Michael Martin Elaine Matthews Marcellina May Wendy McCall Amanda McNabb Joann Mccollum Charles Merrill Kathy Miller Linda Miller Lucille Montminy Shanna Montrose Treva Morgan Rita Moss Gerri Nordstrom Michelle Parris Linda Patrone Roger Pfendler Donna Phinney Tammy Potter Kathleen Powers Daniel Rash Michelle Reed Kathy Reid Jill Reuille Joyce Rogers Sandra Roth LaRaye Rudicile Andrew Selos Sandra Settle Maya Shapland Dena Sigman Robert Smith Joyce Spinicchia Lynn Stevens Vicki Stevens Nancy Stone William Talmadge Susan Taphous Jimmy Taylor Kimberley Tester Mary Thomas Robert Thomas Pamela Tillman Marsha Tomlin Karen Tomlinson Debbie Travers Korene Wallace Ann White Patricia White Christy White-Fisher Kathleen Whitney Amy Williamson Karen Wilson Paula Wilson Annette Witczak Ronald Witkowski Murtis Worth Monica Young Russell Ziebell North Dakota Patricia Bollinger Rebecca Busch Sheila Geffre Peggy Hornung Suzette McCall Roxanne Montgomery Elizabeth Perius Howard Walth Ohio Linda Albers Esther Alexander Kathleen Alexander Nancy Alexander Lynn Alt Mark Anderson Cheryl Aubin Jana Austin Kathleen Ballman Beth Berkhemer Jeffrey Bevan Donna Blair Marcella Booth Deborah Bosley Marilyn Boyle-Rose Carol Brinker Beth Brown Anna Bullock Denise Burke Hella Casapini Jane Cooley Mary Lou Daugherty Barbara Dean Stephanie Dittelberger Mary Jo Domanski Brenda Douglas Peggy Drew Pamela Dymond Nancy Eckard Melanie Eckstein Mark Elam Catherine Ann Engartner Pamela Erpenbeck Joan Everson Deborah Fancher Ann Fluegeman Pamela Gallagher Donna Geitter Scott Gillette Andrea Glassman Vickie Gottfried Cindy Graham Heather Graves Vickie Graymire Lynne Guappone Margaret Gulker Kate Hagenbuch Clarice Hall Julie Hanson Christine Harrington Cynthia Henry Holly Herron Jessica Hollar Debra Hoplight Joann Inscho Lori Jenkins Heidi Joiner Darlene Keene Lisa Kisaberth Linda Kleinhenz Anna Konuch Jodi Kuhlman-Moore Wendi Lacey Kimberly Lang Robin Lapham Lora Laszlo Linda Leasure Elizabeth Lewis Lori Lill Amber Limbach Stephanie Mackey Julia Mahoney Debby Manemann Elizabeth Matern Pamela McGarvey Judy Messner Angelia Mickle Linda Miller Lorene Miller Anne Moss Catherine Neff Mary Anne Neff Christine Neuhardt Elisabeth Novakovich Lisa Odom Jenifer Pack Beth Pease Alesandra Petek Kathy Platz Deborah Porter Margaret Prebonick Janice Reffitt Patti Riley Karen Robinson Sandra Robinson Cynthia Ronk Kathleen Ruble Jennifer Ruckstahl Jennifer Schueler Aimee Schumacher Deborah Schwaiger Sonya Selhorst Vicki Siler John Singleton Carolina Sizemore Mary Sokolowski Shelly Spencer Darrell Spurlock Debra Van Blarcum Nancy Wagner Sharon Walsh-Hart Jason Wannemacher Michele Wargo Karen Weaver Jodi Wilson Mary Ellen Wilson Daniel Wren Anita Wulu Denice Wurschmidt Cynthia Wyse Rebeccah Young Craig Zahniser Debra Zang Oklahoma Lori Atkins Marcia Bassity James Bramlett Bobbie Britt Kayce Campbell Cathy Carns Tim Castoe Ramona Clawson Chellie Clingan April Collins Carolyn Colwill Grace Cross Tamara Eitzen Ami Flores Rebecca Hamilton Kimberly Holmes Brock Hubble Bernard Huhane Kathleen Imhoff Nancy Iven John La Rochelle Connie Leonard Kimberly Metcalf Joanna Milgrim Kim Moore Gayle Murphy Kathy ODell Shirley Orr Luke Peterson Jeanne Pirtle James Purcell Christopher Redden Cole Register Alex Reyes Wendi Reynolds Tamara Rice Karen Ritz Gregory Rohleder Sheryl Ronne Shelley Simmons Matthew Sims Clarissa Torres Charlene Vance Sheila Villines Kim Walton Veronica Wells Kenna Wenthold Mark Westbrook Betty Read Wharton Ontario Denny Bauman Melodie Cannon Bryan Giles Mary Jacobs Karen Kertcher William Kertland Christine McDonald Fay Reis Michael Roy Oregon Todd Adelman Nancy Ashton Genevieve Baldwin David Barbian Lynn Barr Jamie Baxter Linda Behrens Susan Blanchette Katherine Blazer Nancy Bond Carol Bonnono Kirsten Borglum Kerry Bramwell Elaine Brown Rene Brown Frederic Butzon Diana Cave John Christian Stann Clare Kathryn Conway Denise Coughlin Juanita Culver Rao Dickens Autumn Doss Diane Douglass Noelle Dowling Holly Eller Jerri Ellington Leslie Evans Jennifer Francis Nancy Gisle Linda Gregory Nadine Grzeskowiak Rachel Gustafson Melinda Hartenstein Mary Head Robert Ivey Jerrie Jaquith Lisa Jeffers Erin Kelly-Madden Michelle Kelsey Patricia Kennedy Karen Kerber Lorrie Kerrigan Jodi Kimball Deborah Koffler Carol Kohn Denise Langley Kristina Larson Jenelle Loomis Marie Lowery Stacy Lundholm Todd Luther Mary Marschall Jared Martin Renee Martizia-Rash Ronald Meinung Brian Moran Sarah Mortensen Patricia ODea Anita Ott-Hendrickson Donna Partridge Dana Raney Steve Reher Jennifer Romans Colleen Sabol Ali Salem Jane Sawall Eileen Schmeller Hope Simpson Samantha Sinclair Catherine Skulley Colin Smith Michael Smith Karen Steinbock Jill Strauch Janette Suffield LeeAnn Summers Jamie Sutherland Elizabeth Swarts Howard Thompson Amber Tinney Jason Tofel Michelle Togni Bruce Tufts Mary Ann Vaughan Paul Wagner Eileen Wheaton Amby Wilfong Randall Williams Janie Willman Mercedes Wilson Ida Wolfer Rhonda Wood Wendie Wunderwald Sherri Young Melitta Zollner Collista Zook Pennsylvania Sebastian Alappattu Florence Alvino Frank Amanze Barbara Anderson Barbara Andrus Selina Angelo Medlen Arevalo Mary Auman Roberta Ayers Brenda Barton Gary Bates Stacy Batistig Sandra Bauman Sue Baumcratz Cynthia Bayer Joseph Baysek Deborah Beattie Richard Beck Dawn Becker Mary Bedosky-McCann Joy Bendel JoAnn Betten Kelly Beyerle Chelise Biel Brian Billig Lee Ann Bortz Kimberly Boyle Sharon Brady Lorraine Brattelli Dana Breon Linda Bross Faye Brown Stephen Brunish Mary Bugniazet Harootunian Kenneth Bullwinkle Aric Bunch Candace Burcheri Kelly Burrichter Christina Burtis Christine Campbell Aaron Carpenter Judy Casolo Michele Cassic Elisabeth Cate Christopher Chamberlain Michele Chase Karen Cherinka Susan Cissone Deborah Clark Jason Clark Jean Colella Michael Condon Cheryl Conradi Karen Conway James Cook Barbara Cooper Randall Crownover Lisa Culligan Victoria Curtin Lisa Davidavage John Davidson Barbara Davis Mary De Simone Kathleen De Vaul Rebecca DeKoning Colleen Demopoulos James Di Iorio Sandra Dicesari Gloria Didonna Leticia Domingo Kathleen Dommel Christina Donaghy Pauline Donnelly Jennifer Donohue David Dormer Richard Dorsam Michael Dubin Sharon Ehrlich Melissa Eisenhard Nancy Eisenhuth Christine Ekas Barbara Engdahl Brian Evans Judith Failing John Fairbaugh Kristoffer Farrell Patti Faux Robert Felton Victoria Firth Kevin Fitzsimmons Evelyn Flatley George Flood Georgine Fontaine Donna Formica-Wilsey Kim Foster Craig Franciscus Robert Freas Kim Freeman Cheryl Friel Maureen Ann Frye Beth Ann Gagge Susan Galiczynski Hannah Garland Susan Gaunt Christopher Gazdick Sandra Gemmell Christopher Gennaria Michelle Getz David Gibson Jennifer Glenn Dawn Gray Calvin Greer Helene Grega Veronica Gregg Melinda Guinard Patricia Haberberger Diana Haines Edith Hancock Anne Hardy Jane Harkins Janet Harris Ashley Hartlett Mary Hartzell Robert Haywood Theresa Heigl Nancy Hesse Mary Ann Holgash Sharon Hornig Michael Horwitz Michael Hosking Elaine Hossler Cynthia Howe Jacqueline Howenstein Virginia Huffard Jennifer Hutnyk Kathleen Hyatt Jan Johnson Ricky Kaiser Katherine Kapuschinsky Michael Kasold Barbara Kelley Diane Kerr Millie Kessler Frank Kislan Karen Klein Barbara Konopka Valerie KrasneskiSchreiber Ida Kravitz Terri Kress Rosemary Kromer Margaret Kroznuski Lara Kwetkauskie Kelle Lach Philip Landis Cheryl Lang Donna Laporte Kerry Larkin Christina Lauderman Mi Ra Lee Carla Lehman Lisa Lendvay William Luckock Kelly Lyles Joseph Makem Dale Maljevac Leslie Maloberti Alice Maloney Andrew Martin Julaine Martin Donna Martonik Tracee Matincheck Margaret McCall Gloria McCarthy Isabel McCormick Janet McCoy Theresa McFarlane Leasa McGill Rosanne McLaughlin Melissa McLeod Alexis McNeese Christine McPeake Margaret Mellinger Mollie Menapace Cristine Mentzer Nicole Meredith Susan Merry Carrie Meyer Margaret Miller Valerie Miller Tara Monahan Brian Mongrain Kathryn Morris Julie Mosebrook Mary Murcek Christine Murray Paul Muzopappa Patricia Myers Pamela Nagle Jill Naomi-Russell Donna Neff Prolung Ngin Barbara Nolan Carol Noriega John Novak Daniel Noznisky Cathy Nuyianes Kimberly O Shea Blanche OHara Mark Oherrick Heather Orelli Donna Otte Amy Pagano Cheryl Palmer Tish Palumbo Adrienne Pasquarello Matthew Patzek Megan Paul Linda Phillips-Palma Judith Pleskonko Celeste Plunkett Lisa Polier Joseph Polisi Gail Pupo Joan Puzycki Lynn Rains Teri Rebert Bethany Reed AnnMarie Reid Katherine Reier Joan Revilak Jan Rhoads Karol Richardson Bonnie Roberts Phillip Rogers Cheryl Rose Cheyenne Rothermel Darlene Rowe Charles Russnok Lisa Ruth-Sahd Joseph Rycek Mary Sadler Susan Salley Joseph Saloma Rose Savage Nancy Savel Karol Schaeffer Renee Schick Patricia Schlegel Michael Schleifer Jean Schnable Carol Schneider Karen Schreffler Michael Schreyer Stephen Schuit Deborah Schweppe Tammy Seamens Sandra Shaw Bryan Shepard Brenda Shields Owen Siegel Theresa Simon Debbie Simpson Keli Simpson Paul Sinay Donna Sinderman Pauline Skok Kathleen Slagel Carolyn Smith Nancy Smith Staci Smith Susan Somerson Charles Sonday Dina Sorensen Michael Squillace John Steinhart Cindy Stemmler Susan Stidham Jennifer Stout Frederic Strohl Nancy Stynchula Karen Sylvester Robert Tarr Carol Taylor John Taylor Christine Titus Theresa Tomlinson Ryan Traeger Mark Trently Robert Turoski Karen Ugliuzza Linda Van Horn Robert Varner Beverly Virtue Courtney Vose Brian Vukotich Diane Waggoner Wayne Waite Jennifer Walker-Reikow Lynn Walwro Deborah Warner Doris Warner Kathleen Weidner Jaime Weigand Matthew Weintraub David Weischedel Renee Welshans Abigail Wertz Michael Whalen Beth Whitehead Jean Will Susan Williams Christi Wimer Jenny Wright Mary Jo Wummer Loralea Yoncha Vicki York Lucille Young Linda Zapsic Rosemary Zimmer Karen Zurn Rhode Island Pamela Burlingame Stacey Capizzano Lisa Clarke Donna Daniele Kim Demasi Robert Grocott Pat Hulsebos Kenneth Hynes Francoise Lamansky Laura Moreau Carol Ross Jennifer Thiesen Roberta Wood Saudi Arabia Lotta Karhunen South Carolina Barbara Alexander Grace Bays Sharon Bearden Susette Berlin JoAnn Bilka Mark Boswell Mary Burch Mariah Bywater Ryan Camp Pamela Campbell Heather Crist Maryann Crowe Michele Davies Brian Deem Susan Dennison Wendy Devanney Paula Dixon Cathleen Doscher Lance Dyer Elizabeth Feltz Laura Gallagher William Garrett Rebecca George Stephanie Gettys Julie Grant Rebecca Hall Mae Hill Crystal Hooper Lori Hooper Dawn Horle Melinda Horn Nancy Hudson Joy Huntington Robin Infinger Karen Ingram Rebecca Jenkinson Martha Kelly Anne Leaphart Nora Lee Margaret Loftis Meri Mastrianni Jennifer Millard James Mobley Charles Mock Penny Myers Kelvin Oakley Catherine Osika-Landreth Sandra Ostapeck Elaine Robb Jennifer Rodgers Melissa Rose James Rouse Linda Shinneman Susan Sottile Momeier Pamela Strickland Phyllis Teal Leslie VanDenhout Brian Vest Susan Wakeley Roxie Watts Sonia Wernsman Tonya Whitaker Jacquelyn Young South Dakota Linda Barck Dawn Birkla-Mauk Marsha Block Leah Burggraaf Jodi Dauffenbach Lisa Kreutzmann Lisa Lindgren Becky MacManusHexum Karla Nygren Shari Platek Cresta Strub Leah Van De Berg Lois Van Der Vliet Lorayne Whitehead Jill Wiesner Tennessee Neely Anderson Robert Anderson Jeffrey Argo Christopher Arnold Lynde Austin Sherlyn Baker Andrea Bergen-Rourke Calvin Blair Bonnie Bomar-Vincent

36

May 2007

Joseph Brentise Brandy Brown Eric Bullock Jennifer Burress Ashley Callonas Melissa Cameron Tonya Caperton Karla Clanton Melissa Cogdill Cheryl Conrad Christy Cooper Martinus Corder Jeremy Cote Matthew Doane April Donaldson-Binkley Melanie Dooley Judy Dreaddy Sheldon Dreaddy Randall Farrar Carrie Fox Karen George John Green Natascha Greene Carol Grizzel Stephanie Hannah Clarinda Hansen Nora Harvey Betty Hauk Saundra Howell Wava Huddleston Donna Jackson Charles Janow Tracy Jarnagin Jeffery Johnson Sonya Johnson Sandra Jones Marlene Jones-Wilson Francis Jordan Pamela Kubisiak Judy Lawson Janis Leavell Sherry Lee Karen Lettre Linda Martorano Christopher Mayberry Sue Maynord Cynthia McKinney Walter Mcclain Monte Meisamer Dana Meulenberg Joel Miller Paige Mingle Reba Montgomery Amy Moore Kathryn Moore Timothy Morman Deborah Naylor Paula Parker Mary Patterson Nancy Pearson Melissa Perkins William Perry Cathy Philpott Deborah Pinchok Felicia Potts Ronnie Raines James Rediker Autumn Redmond Diana Shaffer Christina Smith Jacqueline Snow Wendy Steen Nancy Stevens Carolyn Sumner Juanita Vaughan Kenneth Walker Janice Weatherred Marsha Welch Goodman Alma Wells Tracey Williams Teresa Wingo Texas Carol Abbott Tedd Adair Clay Adam Mechele Adrian Jill Adsit Jill Alderink Dawn Allen Hector Alvarez Jeana Amos Kathryn Anthony Amy Antley Robin Appleby Ross Arnold Evelyn Atkins Rachel Avila Alma Baghezza Kathleen Baldwin Jeffrey Barganier Mark Barnes Susan Barnes Leysa Batot Robin Batson Michael Behning Charyl Bell-Gordon Philip Bellah Jeremy Belschner Judy Bingham Adam Black Susan Blume

Remedios Bonus Rosie Boston-Young Jolayne Bourque Sheri Bowen Paulette Bowker-Wallis Glynis Box Elizabeth Branigan Marie Breakiron Susan Bremer Sharon Breton Tracey Bridges Terry Brooks Jeffrey Brown Douglas Burg James Butler Diane Byrnes Andrea Cabrera Gloria Caclini Trent Cameron Kathy Cantu Kirstin Carlson Natalie Carpenter Norma Carpenter Helen Catherine Carroll Gary Carter Annabel Castro Deborah Castro Brenda Renee Chapman Carolyn Chisholm Christine Chizek Charles Clark John Cline Nathan Collum Nancy Crumpton Tammi Culp Christopher Curtis Patricia Davenport Jo Ann Davis Virginia Davis Sharon Dawson Gwendolyn DeBias Rudolfo DeLeon Joanne Deacon Marie Dean Rebekah Dechon Frank Delatorre Cesar Delgadillo Noel Desapio Jane Destefano Nancy Devore Dawn Dewall Wanda Dias Janet Dickson Vicki Dillard Brett Dodwell Shywanda Donald Nancy Donaldson Mary Doris Susan Douglass Danette Dover Harriat Downey-Pitts Vicki Dugan Mary Dunklin Peggy Durant Susan Edge Sandra Enriquez Rhonda Evanchak Kirk Evans Ruby Fagan Stephen Fecura Justin Fink Lorraine Flatt Roberta Fletcher Jesus Flores Nancy Floyd Katie Foarde Timothy Ford Thalia Forero David Fornet Julie Fowler Elvera Franzen Shelley Frawley Randy Freethy Eric Frost Maria Gabrish Penny Gaddis Kathleen Gann April Ganz Marisol Garcia Jason Garner Donald Garrett James Garrison Marina Garza Glen Gaskill Richard Gastelum De Vonna Gayle Hollie Gehring Evon Geilhausen Judith Gilbreath Deanna Gillespie Joseph Gillett Teresa Gilliam Tina Gillis Cynthia Glenn Namis Golbasi Larry Gomez Jacquelin Gondeck Jeannette Gonzales Joan Good Darlene Goode Camille Green Kathleen Griffin

Debbie Griffith Debra Groomes Manolito Guerra Manuel Guerrero Deeon Guevara Ana Guillen-Salinas Mary Martha Hall Dana Hamons Terri Hardee Jennie Harlaque Anne Harris Brenda Helms Ella Hendrix Denise Henson Catherine Hernandez Patricia Hernandez Vickie Herndon-Betts Janetta Hightower Victoria HolbrookEmmons Dolores Holcomb Brian Holland Emmitt Hollingshead Leslie Holloway Gloeli Hortillosa Dottie Howard Michael Howie Martha Hughes Tommy Hughes Doris Humphrey Mary Humphrey Shelley Hutson Olivia Hyndman Rachel Jacquet Anne Janes Laticia Janssen Martha Jebens Denny Joe Benita Johnson Lisa Jones Christina Jones-Piercy Kerrie June Kathy Justman Judith Kelley Deborah Kendrick Terri Kimble Pamela Klassen Sharron Klinchuk Lesley Knights Terrie Knowles Robert Knox Karen Kolar Tommie Konecny Delores Kraft Sharon Krawietz Mariamma Kurian Thomas Lackey John Lapper David Lara Jan Latta Mary Leblond Alberta Leighfield Melanie Leshe Mary Lewis Lori Litzinger Hugo Lopez Michael Lopez Kenneth Lounsbury Michael Ludwig Jill Luker Alexander Lyerly Isela Lyerly Tracey Mackling Betsy Madden Lourdes Maier Janice Mangurten Will-Anne Marmaduke Nancy Marraro Deanna Martin Francisco Martinez Sarah Mason Gretchen Mayes Shelia Mays Martha McBride Chris McCarty Michael McCoy Sharon McDougal Carmen McFerrin Nancy McGowan Ivy McKinney Donna McMahan Margo Mendoza Belinda Metts Barry Meza Michael Mickan Nancy Mierke Kelly Miles Emile Miller Heidi Miller Kimberly Miller Henry Mineros Grace Monroe Michael Moon Donna Moore Dwight Morrow Lori Muhr Janet Munyasa Robert Myers Suzanne Myers-Phariss Nancy Nagel Pamela Nalley Alicia Napper

Maria Veronica Narcise Shannon Nelson Dennis Nicholas Yvette Nichols Vicki Nuzum Robin OKeefe Lynda Olcese Becky Oliver Kenneth Olson Sandy Osborn Kami Owen James Owens Philip Parsons Janis Partin Jason Paslean Lesley Paslean Sheila Pearson Rebecca Pemberton Javier Pena Candy Perez Julia Phaneuf Jodiann Phillips Brenda Piganelli Gary Postenrieder Robert Potter Kristine Powell Jennifer Rago Becky Ramer-Rathke Kelly Randermann Kevin Ray Karrie Rea Iris Reedom Reginald Regan Arla Reimer Lavaughn Renner Geraldine Reyes Munoz Amy Richardson Michael Riffle Laura Roberts Nancy Robinson Kathy Rockwell Pablo Rojas-Duarte Eddie Roman Judy Rosa Marla Rousse Victoria Rowe Kristy Ruiz Sarah Runnels Janie Russell Robert Sabbara Scott Sadler Kimberly Saenz Daniel Saltarelli Lilian Sanchez Cynthia Saunders Travis Schochler Alexis Schultz Glenda Self Pamella Sevigny John Shannon Susan Short David Shreckengost David Simmons Kirk Sinclair Linda Smith Patrick Smith Russell Smith Sharon Smith Cheryl Soria Sharon Southwick Brenda Spence Paula Spencer Andrea Srogen Bonnie Stanke Denise Stawick Brett Steffen Ingrid Steinbach Will Stewart Meagen Stillwagoner Lee Elena Stockton Ray Stockton Louis Stout Karolyn Swann Charles Swanson Jean Tan Vicky Taylor McKenna Tana Tessier Wendy Thal Kathi Thompson Sue Thompson Gaylen Tips Shonna Tobias Loretta Tolley Misael Tonacao Evelyn Torres Melissa Torres John Torres-Whitmer Kelly Townsend Russell Treadaway Stephen Trout Tonye Usher Lisa Valle Kent Vandergriff Debbie Vanderwilt Ana Linda Vergel De Dios Lisa Vermeersch Patti Voegele Jennifer Walker Susan Wallace Lawanna Waller Sandra Walterscheid

Jane Ward Ellen Weaver Susan Webber Barbara Weir Kathleen Weymer Rachel Wheeler Sondra White Susan White Keith Wichinski Bryan Williams Carol Wilson Sondra Wilson Tony Woodard Joan Young Stephen Young Stephanie deJongh Utah Ronald Berendson Marla Frampton Marketa Friel Denise Hofmann Stacie Hunsaker Diane Kendall Jennifer Knight Ann Lystrup Nancy Mecham Wynel Newman Sheri Palmer Kayleen Paul Tara Potyrala Jaime Smith Barbara Stuart Tracy Wingert Vermont Janet Carroll Jane Dalton Susan Duckett William Earle Irene Fortin Beth Gould Ann Griffith Joyce Guillemette Kathy Gutierrez Joanne Lalime-Rheaume Arlene Law Joan Libby Judy McCarthy Gregory McLelland Kerry Mogan Karen Rhodes Eileen Rice Donna Toohey Tracy Webster Julie Wojtkowski Virginia Kimberly Adkins-Pugh Janice Alley Virginia Austria Brandon Bailey Malcom Bershadsky Rhonda Boyett Leslie Buchanan Andrew Campbell Anna Clark Lauren Clarke Stacy Coleman Nada Combs Florence Connors Paula Countiss Jennifer Coxwell Kimberly Croft Kenneth Davis Rosamma Devasia Hermione Everett Tristan Fensterman Kathy Fletcher Karen Follin Brenda Frame Deborah Franklin Elizabeth Frith Shannon Fullen-Roberts Delores Gehr Crystal Geller Jamie Graff Yvette Greaves Charles Green Gloria Greene Patricia Hallett Karen Hamilton Bess Hannigan Nancy Hargis Jacqueline Hennaman Yvonne Hensley Chaz Higgs Sharon Holden Stephanie Huang Frances Hudson Elizabeth Irland Lisa Jamerson Ruth Kaiser Susan Kalaine Margaret Kaspar Meggan Klippen Mary Kossey Steven Kostrzewa Eleanor Kruta Ruthanne Lafever Julie Little Karen Lynch

Evelyn Marr Faith Marsman Karen Matney Cathey McCann Edythe McGoff Carol McGovern Darla McKimmie Melody Meehan Robert Melady Beverly Metcalf Edward Meyers Donna Miller Bethanne Mills Thomas Mitchell Tanya Molnar Nancy Moser Sandra Nestor Leslie Ney Judy Nickels Maria Ocampo Phyllis Owens Steven Pack Anne Payne Deeann Perkuchin Cathy Phillips Paul Phillips Keoviengkhone Phouminh Tina Pryor Diane Reed Nancy Erin Reeve Roderick Reid Shawn Reid Carolyn Rinaca Michelle Ripka Joseph Romeo Karen Sanford Cheryl Schmitz Mariles Serra Kassim Sheimo Timothy Smith Audrey Snyder Freda Spencer Lorraine St. Laurent Benita Stanley Geraldine Straber Elizabeth Suydam Laura Sykes Christine Tabor Kelly Tucker Ronald Van Sise Lynn Vitzthum Joe Walsh Rebecca Wenger Cristina Whitaker Linda Whitt Lewis Williams Shelley Woodley Dejon Wright Donald Yearout Washington Deanna Allen Susan Allen Anita Alston Cynthia Antoon Andrea Arns Kira Aryss Woo Hyun Bae Elisabeth Baird Jamie Bambrick Theresa Barchenger Alita Barnes Myra Michelle Batts George Baxter Pamela Baynes Jessica Bell Elna Benoit Sandra Bergren Lorna Boulton Matthew Bouthillier Patricia Bowden Joseph Bright Teresa Brunstad W M Buford Heather Cochran Carrie Codd Michael Coggins Elizabeth Colombi Christopher Cox Ladonna Cozine Tonya Crippen Millie Cunningham Annette Currey Tyler Dalton John Delgado Eva Dewig Teresa Doull Cassandra Dubbels Linda Dyson Cheryl Einerson Judith Enriquez Jennifer Erickson Celeste Etherington Gordon Fields Bif Fink Kimberly Fitzgerald Lynn Fleck William Foust Douglas Garrett Mary Gehling Patrick Giles

Victor Gordon Amy Graham Theresa Grieder Carol Habib Bonita Haggith-Hesketh Brandon Hill Helen Holt Jennifer Hrivnak Dona Hruby Richard Huff Sunny Hwang-Oras W Jarvis Deanna Johnson Julie Johnson Jennifer Jordan Teresa Keith Catherine Kovar Hsueh-Niang Krug Hee Lee Linda Leum Cheryl Lewis Marcia Limbach Debra Logan Paula Lombard Barbara Loners Tara Lopez Marlon Macapinlac Audora Macklin Amber Matthews Carla May Penny McCallum Carmel McGann Gram McGregor William McKeen Pamela McMillen Angeli Medina Marie Meyers Shannon Miller David Montague Debra Montague Michele Moseley Mary Mueller Kelley Murphy Deborah Nelson Vi Nguyen Vickie Nostrant Valerie Novotny-Dinsdale Vicky Oliver Lisa Olson Karen Parker Michael Payne Suzanne Perrin Heather Pfeiffer Diane Pitchford Mary Ploeger Vonda Polinkus Jana Purdy Noel Ramirez Pamela Rathbone Rebecca Reidy Stacey Reitz Josue Reyes Kathleen Richardson Christopher Ricketts Gail Ritterhouse Nenette Rivera Cynthia Rivers Wendelin Rockwell Carol Rogers Brian Rogge Janet Rothnie Kathleen Rowan Susan Sampson Allan Sanders Ruth Schaffler Catherine Schoonover Debra Seguin Sandra Sinclair Diane Smalley Sharon Smeltzer Chad Smiley Susanne Smith Julie Sphuler Margaret St Clair Leitha Steed Kathleen Stidham Michelle Straub Kim Striber Pamela Stutts Janet Telcs Christina Terenzi Roberta Thorn Cheryl Trapp Donna Tuning Diane Turner Amanda Unger Judy VanHook James Vaughan Patsy Vazquez Suzanne Waddill-Goad Laura Wallstrom Valinda Walter Troy White Ron Whitten Carol Zada Heather Zagar

West Virginia Dean Ambrozak Teresa Beydler Elizabeth Blosser Kathryn Brinker Brenda Conch Randal Conrad Debra Daniels Nicole Ferrell Beverly Hathaway Okey Hendrick Johanna McClanahan Sandra McCoy Tina Nelson Timothy ONeal Darlene Scott Karen Seel Carole Wood Wisconsin Connie Anderson Debra Bartoshevich Jana Bohman Joan Boll Charles Bonney Kathleen Burges Jessica Buzaitis Kathy Carter Bebe Ceschi Barbara Chisholm Erika Christensen Rose Clowes Leslie Coffey Jean Coopman-Jansen Kristine Corwin Theresa Dachel Sandra Dehlinger Catherine Denihan B William Duran Mary Freeman Karen Gissing James Gray Harry Halma Joel Herlevi Jane Hottinger Elizabeth Huffman Susan Johnston Roseann Kelly Alice Kramer Lisa Kromanaker Jacqueline Krueger Elizabeth La Velle Michelle Lambert-Webb Candice Lindorfer Kathryn Moon Cheryl Paar Margene Post Roger Rognrud Sue Schindler Donna Schuster Alana Schutts Gerhard Semon Debra Slaby Julie Stietz Jill Sullivan Bonnie Swanoski Stacey Wald Lisa Wand Sharon Warsaw Rita Wermers Brian Wienke Mary Williams Phyllis Zolandz Wyoming Robert Anderson Angela Booth Karen Dutton Betsy Egeland-Zook Kelly Jackson Julia Norlin B. Joan North Dawn Piaia Rae Lynn Russell Jennifer Toman Sandra Tuft

Official Newsletter of the Emergency Nurses Association

37

New Products
Harmony medical storage carts offer ease of maneuverability and storage solutions
InnerSpaces new Harmony medical storage and procedure carts come in four frame sizes to accommodate a range of storage needs. All models are available with standard drawer configurations or can be customized using the Build-A-Cart option. Heavy-duty plate casters, central key lock and a pull-out writing surface are standard. An optional electronic keyless entry also is available that incorporates an auto re-lock feature, low battery indicator and manual key override. A locking drawer can be used in conjunction with trays and baskets to comply with The Joint Commissions standards for medications and syringes. Accessories are available to accommodate medical equipment and devices, monitors, laptop computers and other items that increase the carts functionality. Easily stored canisters come in 12 cans of 135 wipes or six cans of 220 wipes. Individual packets also are convenient and easy for children to carry and use when soap and water are not available and come in nine boxes of 120-count. For more information, visit www.pdipdi.com or call 845/365-1700.

MI Rule Visions
MI Rule Visions, from Apex Innovations, is validated as a clinically and statistically significant tool for increasing the ability to identify ST elevation or depression in a 12-lead ECG. It offers an easy, user-friendly competency tool for 12-lead ECG

Harmonys slotted aluminum frame rails are designed for easy installation and positioning of side-mounted accessories. All Harmony models are available in white, and Harmony 24 models are also available in blue, yellow and red. For more information, visit www.innerspacecorp.com or call 800/467-7224.

on an irrigation bottle will avoid the need for relabeling. To be in compliance with The Joint Commission regulations, it is now necessary to label saline when poured out of the original bottle into an irrigation basin. An impact pressure ranging to 15 psi can be generated when using the SplashCap, which generates pressures within the recommended ranges for syringe irrigation and at least as much pressure as is commonly used with irrigation bottles with holes punched in the lids. Squeezing with two hands generates more pressure. In many instances, when using SplashCaps copious irrigation, emergency departments may be able to bill at a higher level of complexity and care. Check with billing representatives to find out how the SplashCap might not only pay for itself, but also significantly increase billings for the improved care provided. SplashCap 10015 comes with 15 caps. SplashCap 10100 comes with 100 caps. For more information, visit www.splashcap.com or call 800/821-SPLASH.

ing, transporting and burying bodies in mass disaster situations. Large coffins can hold up to 400 pounds; small coffins can hold up to 250 pounds. Assembly without tools takes minutes. The assembled coffins can be stacked three high and are forkliftcompatible. Coffins are shipped in water-resistant packaging. Sold individually, they can be stacked unassembled in pallets of 20. For more information, visit www.dqeready.com/everybody or call 800/355-4628.

Glutose 15 packaged for easy opening in an emergency

Glutose 15, Paddocks oral glucose gel for hypoglycemia, is now available in new grape and lemon flavors. Each unit-dose tube contains the recommended 15 grams of glucose to treat hypoglycemia, needs no refrig-

Sani-Hands for kids ensures clean hands

Sani-Hands for kids are instant hand-sanitizing wipes from Professional Disposables International, the health care division of Nice-Pak Products. The antimicrobial gel rub enhanced by the friction of a wipe cleans and sanitizes hands more effectively than the rub-in gels alone, killing 99.99 percent of germs and helping to reduce the risk of illness.

SplashCap speeds wound irrigation

SplashCap, a wound irrigation bottle shield, makes wound irrigation simpler and easier resulting in faster turnaround times in the emergency department. Designed by an emergency department physician, SplashCap is the first irrigation shield to fit any standard saline bottle. The builtin nozzle eliminates the occasional needle stick risk, and the built-in shield avoids potentially dangerous splatter. The fit of SplashCaps narrow shield design allows it to contain splatter on body ridges where lacerations naturally occur. The irrigation cap is sold separately from bottles, making it economical and convenient to stock. Using the SplashCap directly

education. Through a unique patented design process, MI Rule Visions allows you to see normal, depressed or elevated waveform movement in all 12 leads. By rotating or tilting the top edge of MI Rule Visions toward or away from you, the ST segments change, providing a clear, solid reference. It comes with AHA/ACC and CMS guidelines for best practices, risk stratification and treatment strategies, biomarkers, differential diagnoses, drug references and more. The tool is available as: MI Rule Visions with ECG Practice Kit, with practice ECG kit, set of eight ECGs; MI Rule Visions with Single ECG, with single practice ECG; MI Rule Visions with ECG Kit 5-pack, with practice ECG kit, set of eight; and MI Rule Visions with Single ECG 5-pack. For more information, visit www.mirule.com or call 866/294-4599.

eration, has a two-year shelf life and is a convenient alternative to orange juice for EDs. Glutose gel is specially packaged for easy opening in an emergency. For more information, visit www.glutose.com or call 800/328-5113. Disclaimer: All information included in new product descriptions was provided to ENA Connection by the manufacturers. ENA claims no responsibility for this content.

EveryBody coffin assists in fatality management during disasters

Historically, coffins have been too cost-prohibitive to be considered for mass fatalities, and their inherent design made them inefficient for bulk transport. The EveryBody coffin helps ensure that bodies are managed in an efficient and dignified manner during a mass fatality. Available in two sizes (large and small), it provides a means for handling, stor-

38

May 2007

L I F T
2007

Y O U R
A N N UA L

S P I R I T
C O N F E R E N C E

ENA

September 2629, 2007 Salt Lake City, Utah

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COPIES OF THE

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www.ena.org E-mail: marketing@ena.org Call: 847/460-4118

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connection
May 2007 Volume 31, Issue 4

Dates To Remember
May 28, 2007 Registration deadline for the May 31 Encore presentation, Maximizing Employee Performance Through Motivation June 1, 2007 Application deadline for 2007 ENA Scientific Assembly Exhibition Scholarships June 3, 2007 Deadline to submit online applications for 2008 Annual Conference Committee June 15, 2007 ENA elections polls close at 5 p.m. Central Time. August 1, 2007 Deadline for ENA Leadership Conference 2008 Research and Management Project Abstracts September 26-29, 2007 2007 ENA Annual Conference, Salt Lake City, Utah

the Official Newsletter of the Emergency Nurses Association

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ENA Connection is published 10 times per year from January to December by the Emergency Nurses Association, 915 Lee St., Des Plaines, IL 60016-6569, and is distributed to members of the Association as a direct benefit of membership. Copyright 2007 by the Emergency Nurses Association. Printed in the U.S.A. Periodicals postage paid at the Des Plaines, IL Post Office and additional mailing offices. POSTMASTER: Send address changes to ENA Connection, 915 Lee Street, Des Plaines, IL 60016. ISSN: 1534-2565 Phone: 847/460-4042 Fax: 847/460-4002 Web site: www.ena.org E-mail: connection@ena.org

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Non-member subscriptions are available for $50 (USA) and $60 (foreign). Director of Communications M. Anthony Phipps Managing Editors Amy Carpenter Aquino Jill Lewis Senior Graphic Designer Leslie A. Arendt Board of Directors Officers: President: Donna Mason, RN, MS, CEN President-Elect: Denise King, RN, MSN, CEN Secretary/Treasurer: JoAnn Lazarus, RN, MSN, CEN Immediate Past President: Nancy Bonalumi, RN, MS, CEN Directors: Sherri-Lynne A. Almeida, RN, MSN, MEd, DrPH, CEN, FAEN Bill Briggs, RN, MSN, CEN, FAEN Christine Gisness, RN, MSN, FNP, CEN Diane Gurney, RN, MS, CEN Mitch Jewett, RN, CEN J. Jeffery (Jeff) Jordan, RN, MS, MBA, EMT-LP Anne May, RN, BSN Executive Director: David A. Westman

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