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‘T his is not going to be a sad conversation — I am that person
at the end of the conference who reminds you how
wonderful you are,’’ Lee Woodruff told attendees Saturday at the
closing session in Nashville. ‘‘You see the worst of us; you see us
when we’re angry, scared, still processing what happened to a
loved one or ourselves. . . . Even though we may not always act
that way, we are so grateful that you are there.’’
Woodruff’s husband, Bob, on assignment for ABC News in 2006
in Iraq, was seriously injured by a roadside bomb while traveling
in a convoy of American and Iraqi troops. Lee Woodruff shared
the story of Bob’s recovery, which was ‘‘nothing short of
miraculous,’’ and praised the health care professionals who helped
him and her family heal.
She choked up when telling the story of the two medical
personnel of the military helicopter crew who picked up Bob
Woodruff and brought him to safety. They had ignored orders to
turn around when fighting become too intense to land.
‘‘They heard the order to turn around, looked at each other and
said, ‘Did you hear anything? I didn’t hear anything,’ turned the
radio down and landed that helicopter,’’ she said.
‘‘You,’’ she told emergercy nurses, ‘‘do a form of that every
single day.’’ Amy Carpenter Aquino
Sept. 25, 2013 • Issue 4 of 4 • 13 PAGES
WHAT DID YOU LOVE ABOUT THE 2013 ANNUAL CONFERENCE?
Click on the TV screen to hear attendees tell of their personal highlights from Nashville!
➡
Closing Session
‘WE ARE SO GRATEFUL YOU ARE THERE’Emergency Nurses Lauded as Heroes Who See It All
‘Every day I think about bad things — things that will
hurt us, things that will impact us, that are so
significant it requires the nation’s response.’’
As director of the National Healthcare Preparedness Programs
within the Office of the Assistant Secretary for Preparedness and
Response, and as a practicing emergency physician, David
Marcozzi, MHS-CL, MD, FACEP, provided a view of how health
care coalitions (partners in preparedness) create local, state and
national resilience to disasters and save victims.
‘‘I think about that not only as a fed — I think about that as a
provider,’’ Marcozzi said. ‘‘I think about it from the standpoint of,
when that first patient comes in, have all the things been done
right before it hits the door of my ER? Am I giving that person the
best chance to live?’’
In Saturday’s general session, ‘‘Functional Coalitions and
Foundational Capabilities – The Path Forward for Emergency
Preparedness,’’ Marcozzi recognized emergency nurses who are
involved in disaster preparedness at the hospital level and at the
state level as part of disaster medical assistance teams. He also
showed how three main federal agencies involved in national
disaster preparedness — Health and Human Services, the
Department of Homeland Security and the Department of Defense
— support local and state disaster preparedness initiatives.
Showing slides of recent disasters such as the Boston Marathon
bombings, Marcozzi pointed out the DMAT members who were
on the scene assisting victims.
‘‘They need great nurses,’’ he said. ‘‘This is a wonderful
opportunity.’’
C
M
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CM
MY
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By Amy Carpenter Aquino, Conference Connection
General Session
Emergency Nurses Can Seize ‘Wonderful Opportunity’ By Joining Efforts for Local, State Readiness
3conference connection
HEALING
IN OUR GROWING COMMUNITY
BODY, MIND& SPIRITRooted in our humble beginnings more than 80 years ago, Saint Agnes Medical Center’s mission to heal Body, Mind and Spirit remains a constant. Growing from the original 75-bed hospital in downtown Fresno, we’ve evolved into a 436-bed state-of-the-art Medical Center campus, bringing together the most advanced equipment and facilities. No matter the challenge, the Saint Agnes team will continue to pursue advances in medical technologies and treatments to accomplish our goal of building a healthier community. If you believe in the mission and dedication Saint Agnes stands for, and are interested in enhancing your talents, then this is the place for you!
EMERGENCY ROOM NURSING OPPORTUNITIESNurse Manager | Staff RNs
Please stop by and visit us at Booth #468at the 2013 ENA Annual Conference, September 19-21, 2013 in Nashville, TN
The dedication and talent of our superior staff has earned us the Consumer Choice Award for the seventeenth consecutive year and the top 10% Specialty Excellence Award for Critical Care Services by Healthgrades. We are also continuing on our exciting journey toward Magnet status. If you are an RN with the skills, drive and flexibility to help us meet these challenging goals, join us today.
As a member of our team, you'll not only benefit from an amazing work environment, but you'll also enjoy on-site child care services and a close-knit cosmopolitan California community that's just 90 minutes from the beautiful Yosemite Valley.
For immediate consideration, please apply online at www.samc.com. We are an equal opportunity employer and a proud member of Trinity Health.
DILIGENCE BEFORE
DISASTER
4 conference connection
Second Annual Awards Gala
Recognizes ENA’s Shining Examples
ENA President JoAnn
Lazarus, MSN, RN,
CEN, and master of
ceremonies Terry M.
Foster, MSN, RN, CEN, CCRN,
FAEN, celebrated the ‘‘best of
the best’’ on Saturday at the
second annual ENA Awards
Gala. Recipients of the 2013
ENA Annual Recognition
Awards and the Lantern
Awards, along with nine
Academy of Emergency
Nursing inductees, received
red carpet treatment at the
Gaylord Opryland Resort and
Convention Center.
Awards gala attendees
enjoyed an elegant reception
and dinner during the
three-hour ceremony. All
award recipients were brought
on stage to receive their
awards and pose for a picture
with Lazarus, whose cowboy
hat and boots added some
Nashville flavor to her awards
ensemble. Some line dancing
demonstrations with Foster
and a live local band
completed the country music
theme, but the evening was
clearly focused on the
recipients and inductees as
they were recognized for their
contributions to ENA and the
practice of emergency nursing.
Amy Carpenter Aquino
THE STAR TREATMENT
ENA President JoAnn Lazarus, MSN, RN, CEN, shows off her line-dancing skills on stage with the Awards Gala's master of ceremonies, Terry M. Foster, MSN, RN, CEN, CCRN, FAEN.
5conference connection
The nine new inductees of the Academy of Emergency Nursing (holding award certificates) are honored in front of their peers at the gala.
6 conference connection
A NIGHT AT THE GRAND OLE OPRY ™ — AN ENA FOUNDATION EVENT
Friday night was a smash hit for the ENA Foundation, with 1,200 emergency nurses heading to the Grand Ole Opry to hear performances by country music stars Kristen Kelly, Jimmy C. Newman, Wade Hayes, The Henningsens, Jesse McReynolds, The Willis Clan, Jim Lauderdale, Jeannie Seely, The Whites, George Hamilton IV and John Conlee. The ENA group represented the largest contingent attending from one organization in the history of the Opry.
Jim Lauderdale Chris Hollo, Grand Ole OpryKristen Kelly Chris Hollo, Grand Ole Opry
7conference connection
BID BUSINESSMore than 200 pieces of men’s and women’s jewelry were up for grabs at the ENA Foundation jewelry auction from Thursday to Saturday, raising more than $23,000 that will be used to fund ENA Foundation scholarships and research grants.
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TRY IT LIKE SEW
Education
GETTING AHEAD OF LATERAL VIOLENCE IN THE NURSING WORLD
Lateral violence among nurses isn’t
only a problem in the United
States but worldwide, and one issue
is that the nursing profession fails to
recognize it as a problem.
On Thursday, Robin Weingarten,
MSN, RN, CEN, presented ‘‘Lateral
Violence Among Nurses in the ED:
Resolving the Conflict,’’ which
defined lateral violence, examined the
extent of the problem in nursing and
provided suggestions for what nurses
could do when they recognize the
problem in their unit.
‘‘All meaningful communication
stops with violence,’’ Weingarten said.
Signs of lateral violence include
aggressive body language and
obscenity, as well as clique-forming
and gossip within a unit.
One issue Weingarten noted with
the problem of lateral violence is that
many nurses see this as a ‘‘rite of
passage’’ — experienced nurses are
mean until the newer ones learn the
ropes in the department.
Effects of lateral violence include
decreased productivity and decreased
focus on patient care as well as high
rates of turnover, which lead to
increased costs. This can impact
patient safety and satisfaction and
increase errors.
While conflict is natural and a sign
of growth, Weingarten said,
unresolved conflict is the problem.
Suggestions for resolving conflict
include creating a blame-free
environment, having zero-tolerance
policies in place and not avoiding
difficult conversations.
Renée Herrmann
A hands-on advanced wound-
closure workshop Sept. 18
allowed Annual Conference
participants to practice advanced
stitching techniques using beef tongue
models and three types of wound-
closure materials.
‘‘If you sew anything other than
people, you may be familiar with this
first technique,’’ said Andrew Galvin,
MSN, BSN, RN, ACNP-BC, CEN, about
a running percutaneous suture. The
stitch can work for children or
intoxicated patients, Galvin noted,
because it’s fast, easy and does not
require staples.
‘‘It’s basically a hem stitch,’’ he
noted. All that is required is a needle
driver and a sharp pair of scissors.
Participants also practiced the same
stitch with a ‘‘lock’’ for extra strength.
Galvin cautioned about stitch
alignment in lip and facial lacerations:
‘‘These are devastating lacerations, and
meticulous care is required. If you
wouldn’t close this on a family member,
don’t do it on a stranger. Get help.’’
Sydney Gay, MSPA, PA, was on
hand to help participants refine their
techniques in constructing deep or
buried sutures.
‘‘Parents love these stitches because
you can’t see them,’’ Galvin said.
Participants practiced running
percutaneous sutures, running
subcuticular sutures and vermilion
border sutures in the session.
Margo Schafer
Presession Participants Practice Advanced Suturing Techniques
Top: Andrew Galvin, MSN, BSN, RN, ANCP-BC, CEN, demonstrates suturing methods which attendees then practiced themselves (left) on cow tongue models.
BOSTON BOMBINGS OFFER INSIGHT INTO CRISIS BEST PRACTICES
T he Boston Marathon is considered a
‘‘planned’’ mass casualty incident
each year. Five local trauma centers
surround the marathon route, and the
city’s first responders, health department
and elected officials work together
annually to plan for all possible marathon
outcomes and scenarios.
‘‘We were ready,’’ Dan Nadworny,
BSN, RN, emergency department clinical
manager at Beth Israel Deaconess
Medical Center, told ENA members at the
‘‘Boston Strong’’ educational session
Friday. The 54-bed ED beefs up staff and
reconfigures its layout to prepare for a
surge in patients experiencing heat
exhaustion, aches, pains, heart attacks
and sprains. Historical data has shown
that a typical marathon surge might bring
in anywhere from 10 to 54 patients.
Still, on April 15, when two pressure-
cooker bombs exploded near the
marathon’s finish line, the city’s
emergency response system was
challenged to an extreme level. Within 10
minutes of the first explosion, BIDMC
received its first two patients.
‘‘People who make bombs don’t make
bombs out of nice things,’’ said
Nadworny, who said the staff received 10
patients in 39 minutes, plus 14 more, all
requiring immediate surgery. Many were
single or double amputations. A hazmat
tent was set up in minutes, and all patients
were screened with a Geiger counter and
X-rayed for shrapnel and nails.
Triage was moved outside the hospital.
‘‘In the early stages, we didn’t have a
good understanding of who had done
this,’’ Nadworny said. ‘‘We needed to
keep a sterile environment in the ED. We
needed a fast turnaround because of the
seriousness of the incident. Changing the
triage traffic flow allowed us to screen
patients more quickly.’’
Margo Schafer
9conference connection
On Saturday, attendees brought
their burning questions to the
experts at the IENR Research
Lounge. Doctorally prepared
emergency nurses from the
Academy of Emergency Nursing,
the Institute of Emergency Nursing
Research’s Advisory Council and
the general membership came to
help other nurses participate in the
research process.
The six-hour format was new
to this year’s conference, said ENA
senior research associate Altair
Delao, MPH. Within the first hour,
30 people had signed up to talk to
an expert researcher, and traffic
was steady throughout the day.
Walk-ins and appointments were
accepted.
Kris Corwin, MSN, RN, CEN,
CPEN, came to the lounge to find
resources and assistance for a
research project on resuscitation
in her emergency department.
Denise Edge, MSN, RN, a
doctoral student, spoke with Diane
Salentiny-Wrobleski, PhD, RN,
CEN, about her capstone project
on blood culture contamination.
‘‘She was pointing me in
directions I didn’t even think
about,’’ Edge said.
Salentiny-Wrobleski said a key
part of research is ensuring that
the key players are at the table at
the beginning of any project;
otherwise, solving the problem
can be difficult. She also noted
that the library is a researcher’s
most important resource.
‘‘I don’t think most people
know how much our librarians
can do for us,’’ she said. She
encouraged Edge to speak with
her librarian to establish a
personal relationship.
Renée Herrmann
Lounge Leads Researchers in New Directions
10 conference connection
REVIEWS CONTINUE FROM NASHVILLE
Click on the TV screen to hear what more of your fellow ENA members loved about the conference.
➡
BEST RESEARCH POSTER
Emergency Provider Attitudes Towards Sickle Cell Patients• Paula Tanabe, PhD, MSN, RN, MPH• David M. Cline, MD• Jontue’ Hinnant, BSN, BA, RN• Susan Randolph, RN, CEN• Susan G. Silva, PhD• Dori Taylor Sullivan, PhD, RN, NE-BC, CPHQ, FAAN• Victoria L. Thornton, MD, MBA, FACEP• Ann White, MSN, RN, CEN, CCNS, CPEN• Caroline Freiermuth, MD
NOW PRESENTING . ..
POSTER WINNERS The following Poster Award recipients were announced at Friday's General Session:
Jontue' Hinnant, BSN, BA, RN, and Paula Tanabe, PhD, MSN, RN, MPH.
BEST EVIDENCE-BASED PRACTICE POSTER
An Emergency Department’s Journey: Implementation of Evidence-based Tools Reduce Restraint Usage• Brenda Luchs, MSN, RN, CEN• Mary Bigowsky, MSN, RN, NEA-BC• Michelle George, BSN, RN, CEN• Senka Pavetic, RN
Brenda Luchs, MSN, RN, CEN, presents the information in the winning poster she co-authored.
ACV-51061_M3_ENA_PostAd.indd9-13-2013 2:41 PM Patricia Lopez / Arielle Benjoya
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ACI0002084300Genentech/Activase
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Emergency Nurses Assoc ia t i on and Genen tech
Partnering in the fight against strokeExplore online educational modules and increase your knowledge of strokeENA and Genentech have partnered together to provide online training, with educational resources to help you better identify, diagnose, and treat stroke, featuring:
• Quick, easily accessible interactive lessons that teach proper recognition and management of stroke
• Knowledge assessments and progress checks
• Certificate of completion*
Module 1: Stroke basics
Module 2: In-hospital diagnosis of stroke
Module 3: Treatment and management of stroke
© 2013 Genentech USA, Inc. All rights reserved. ACI0002084300
*This program certificate does not satisfy requirements for Continuing Education credits.
To learn more about this online learning management system, visit: • www.ena.org/education/onlinelearning/Pages/Stroke.aspx or • http://learn.healthstream.com/accesspoint/genentech
S:6.625”S:9.125”
T:7.125”T:9.625”
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FAB LABSConference attendees were able to pick up valuable education using their own hands Friday during two procedural cadaver labs sponsored by Vidacare and an ultrasound lecture and labs made possible through in-kind support and supplies from Bard Access Systems.
ENA Strategic Sponsor
13conference connection
Diane M. Schertz, BS, RN, FAEN (left), a longtime friend of ENA co-founder Judith C. Kelleher, joins Kelleher's granddaughter Charlene Wilson in holding the portrait of Kelleher on display at General Assembly and in the exhibit hall.
Continue to be part of the conversation on ENA's Facebook page!
Full coverage of the 2013 Annual Conference will appear in the December issue
of ENA Connection.
2013 Annual Conference photography by Jules Clifford
FAREWELL UNTIL
PHOENIX!Pre-registration for Leadership
Conference 2014 begins in mid-October.
Watch for updates at www.ena.org.
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