ENA Conference Connection, Sept. 21, 2013

Whether your patient is obese, elderly or an infant,

hypovolemic, fragile veins and varying depth can

make difficult access a real challenge.

For the first time at an ENA conference, attendees had

the opportunity to try ultrasound-guided IV access at several

labs Friday, following a didactic lecture in which instructors

reviewed the physical anatomy of the body via ultrasound, focusing

on the kidneys, liver, eyes, gallbladder and spleen. During

30-minute lab sessions, attendees were able to see the vein,

measure the depth, view volume and see whether the vein was

obstructed.

During the lab, attendees saw how the ultrasound guides

selection of catheter size, both length and gauge. The screen shows

the moment the catheter enters the vein, limiting risk of puncture

of the distal vein wall, and then calculates the length of the

catheter inside the vein.

Several attendees said the lab provided a good overview of

ultrasound-guided IV access.

‘‘The application of the ultrasound, where it can be used, kind

of extends your practice a little bit more,’’ said Erma Kinzie, BSN,

RN, CEN, of Mercy Hospital in Chicago.

Cherry Tanjapatkul, BSN, RN, CEN, MICN, of Newport Beach,

Calif., tried the ultrasound for the first time Friday.

‘‘To get the actual hands-on was very helpful,’’ she said. ‘‘It was

a good orientation.’’

‘‘I thought it was great,’’ said Cassie Richard, RN, CEN, of

Oregon Health and Science University in Portland. ‘‘It was

hands-on — we got an opportunity to practice what they taught us

in the lecture to get a feel for it to take it home with us.’’

In-kind support for ultrasound equipment and supplies was

provided by Bard Access Systems, Inc.

Marlene Bokholdt, MS, RN, CPEN, Nursing Education Editor,

Institute for Emergency Nursing Research, and Amy Carpenter Aquino,

Conference Connection

Sept. 21, 2013 • Issue 3 of 4 • 16 PAGES

LETTING ULTRASOUND

BE YOUR GUIDE

WHY IS IT IMPORTANT TO COME TO ANNUAL CONFERENCE?

Click on the TV screen to hear from your fellow emergency nurses on site in Nashville!

➡

Lab Addresses Ways to Solve Difficult Access

http://youtu.be/-201hYHimFE

Support one other, ask the tough

questions and focus on building

strong legacies. These were some of the

messages shared by ENA’s national

leaders Wednesday at the opening of

General Assembly.

ENA President JoAnn Lazarus, MSN,

RN, CEN, said the highlight of her year

was speaking to 700 student nurses at

the National Student Nurses’ Association

annual conference in April.

‘‘I have no doubt our future is in

good hands,’’ she said.

ENA’s future looks equally bright, as

Lazarus reported an increase in

membership and the fact that 10,000

members are under age 34.

ENA’s future is supported by its

enduring legacy, as ENA co-founder

Judith C. Kelleher ‘‘was able to see

the difference she made in our

organization . . . to the thousands who

are receiving better care in EDs around

the country because of her passion to

improve emergency care for everyone,’’

Lazarus said.

Deena Brecher, MSN, RN, APRN,

ACNS-BC, CEN, CPEN, president-elect,

shared the story of a medication error

she made with a pediatric patient

which — while having no negative

outcomes — changed her outlook on

errors in the ED.

‘‘As nurses, we make lots of

mistakes,’’ Brecher said. ‘‘It’s time we

started talking about them.’’

She encouraged members to

‘‘celebrate the great catches’’ in their

EDs and to make the ED the safest

place in health care for patients.

Secretary/Treasurer Matthew F.

Powers, MS, BSN, RN, MICP, CEN,

reported that the organization has a

positive financial status, with a reserve

ratio of 65 percent. The ENA

Foundation endowment stands at more

than $1.2 million, and the Judith C.

Kelleher endowment raised $148,000.

‘‘We want to make sure we are

always diligently watching over your

funds,’’ Powers said.

Executive Director Susan M.

Hohenhaus, LPD, RN, CEN, FAEN,

described 2012 as a ‘‘year of change’’

for ENA and directed delegates to the

2012 Annual Report.

‘‘We’ve come a long way since the

vision of Anita Dorr and Judy Kelleher,’’

Hohenhaus said.

2 conference connection

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By Amy Carpenter Aquino, Conference Connection

General Assembly

POSITIONS OF STRENGTHLeaders Passionate About ENA’s Health and Legacy and the Importance of Raising Questions

Clockwise from top: 2013 ENA President JoAnn Lazarus, MSN, RN, CEN; Secretary/Treasurer Matthew F. Powers, MS, BSN, RN, MICP, CEN; Executive Director Susan M. Hohenhaus, LPD, RN, CEN, FAEN; and President-elect Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN.

http://www.ena.org/about/Documents/AnnualReport.pdf

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http://visit.clinicaldecisionsupport.com/ENA2013


Joined Together By Judy

ENA Remembers Kelleher With Roses, Reflections

General Assembly participants

honored ENA co-founder Judith C.

Kelleher in a warm and touching tribute

Wednesday. As the rich sound of

bagpipes filled the room, ENA’s Board

of Directors, past presidents and state

council leaders lovingly placed yellow,

white and red roses in two large vases

at the front of the room.


RN, CEN, said the roses represented

friendship, remembrance, sincere love,

courage and respect and that the white

and red roses together signified unity. A

glass case containing Kelleher’s nursing

cap and cape stood on display and

soon will have a permanent home at

ENA headquarters in Des Plaines, Ill.

‘‘ENA lost an exemplary leader when

Judy passed away this year,’’ Lazarus

said. ‘‘She was a part of our family, and

as her family, I know that we will

continue to make Judy proud as we

work to move her dream forward.’’

Kelleher’s granddaughter Charlene

Wilson described attending her first

ENA conference with her grandmother

15 years ago.

‘‘I offered to listen to her practice

her speech, and she looked at me like I

was crazy,’’ Wilson said. ‘‘She had no

cards, she needed no rehearsal, because

she spoke from her heart. She spoke of

caring and of community and of

change. She spoke of vision. It was

easy for her because she spoke to a

group of like-minded people she

considered her family.’’

Wilson said it was at that conference

that a special group of members

‘‘strongly encouraged’’ her to become

an emergency nurse, which she did.

‘‘Like I had a choice,’’ she quipped.

‘‘I am proud and I am grateful for this

opportunity to speak on Judy’s behalf

and to thank all of you for the love and

the friendship, for all the cards and the

notes; she kept them all,’’ Wilson said.

‘‘Thank you for being kind and caring,

and as strong and as spirited as she was.

Thank you for continuing her legacy.’’

State leaders felt honored by the

opportunity to pay tribute to a visionary

and much admired leader.

‘‘Someone stepped up 40 years ago

and recognized that emergency nursing

is a separate specialty,’’ said Nebraska

ENA State Council President Cindy

Slone, RN, CEN, who soon will

celebrate her 40th year in nursing. ‘‘She

organized us and made us what we are

and put us on the map.’’


Charlene Wilson (left photo) talks to

leaders and delegates about

her grandmother, ENA co-founder

Judith C. Kelleher. Emergency nurses

at General Assembly filled

vases with roses in Kelleher's honor

(right photo).

5conference connection

NEVADA TAKES TOP TURTLEENA President JoAnn Lazarus, MSN, RN, CEN, announced the winners of the turtle decorating contest at General Assembly on Wednesday. State councils and chapters created and decorated toy or ornamental turtles with an ENA flair. The theme was inspired by Lazarus’ president-elect address to the 2012 General Assembly in which she urged delegates to ‘‘Behold the turtle — he makes progress only when he sticks his neck out.’’

Lazarus will make donations to the 2014 ENA Foundation State Challenge campaign in honor of the top three winners. They are as follows:

• First place – Nevada ENA State Council (pictured below)• Second place – Greater Twin Cities ENA Chapter• Third place – Nebraska ENA State Council

Turtles were judged by representatives of Friends Life, a Nashville organization that provides services for adults with intellectual and developmental disabilities.

Lazarus also shared that the first ENA Party With a Purpose held Tuesday evening raised $910 for Friends Life.

Amy Carpenter Aquino

‘KICKING THE TIRES’ ON REVISED TNCC

Nashville is known as

Music City, but on

Tuesday and Wednesday,

it was pilot season.

Seventeen individuals

attended the full two-day

pilot of the new edition

of Trauma Nursing Core

Course, or TNCC. A team of

instructors were selected to teach

the course, led by Ray Bennett,

BSN, RN, CEN, CFRN, CTRN,

NREMT-P, chairperson of the Course

Administration Faculty. Members of

TNCC Revision Work Team, headed

by Diane Gurney, MSN, RN, CEN,

FAEN, oversaw the program.

‘‘The purpose of the pilot was to

take the car out of the garage, kick

the tires and make sure all of the

parts were working,’’ Bennett said.

‘‘We tried to use the new material

under real course structure and

conditions, just as they will be used

[when the course is launched].’’

The participants went through all

of the components of the revised

course, including the provider

manual, lectures, hands-on skill

stations and testing, so that the work

team could get a sense for the flow

and feel of the new course. The

group represented nurses ranging in

experience from novice to expert.

In addition to the two-day

course, more than 100 participants

sat for a test validation session on

Wednesday. Each individual was

asked to review a draft of the

provider manual and include

feedback on both the manual

content and test questions.

Feedback provided at the pilot

sessions will be reviewed by the

TNCC Revision Work Team for

consideration in the final product,

which is due to launch in early 2014.

‘‘Overall, the two days were a

success,’’ Bennett said.

By Renée Herrmann, Conference Connection

The TNCC pilot instructors in Nashville.

WORK TEAM• Kathleen Carlson, MSN, RN, CEN, FAEN• Diane Gurney, MS, RN, CEN• Ray Bennett, BSN, RN, CEN, NREMT-P• Jami Blackwell, BN, RN, CEN• Joseph Blansfield, MS, RN, NP• Melanie Crowley, MSN, RN, CEN• Dawn McKeown, RN, CEN, CPEN• Vicki Patrick, MS, RN, CEN, FAEN

THE TEAM BEHIND THE TNCC PILOT

INSTRUCTORS• Gail Dodge, MSN, RN, CEN• Jan Elliott, RN• Sandy Waak, RN, CEN• Beth Broering, MSN, RN, CEN, CPEN, CCNS, CCRN, FAEN• Judy Leverette, MSN, RN, APRN, FNP, EMT-B, CEN, NP-C• Rhonda Manor-Coombes, RN• Sean Varricchio, MSN, BS, RN, CEN• Rachel Schumate, RN, CEN, CPEN


FAMILY COMES TOGETHER Emergency nurses made the scene Tuesday in Music City for conference registration and reconnecting with colleagues.



DOWN TO BUSINESSENA leadership and more than 600 delegates gathered Wednesday and Thursday for the 2013 General Assembly. Look for more coverage in the Sept. 25 Conference Connection.


Attendees gathered Wednesday in the Delta D Ballroom for

the Anita Dorr Memorial Lecture and Luncheon.

ENA President JoAnn Lazarus, MSN, RN, CEN, began the

luncheon by presenting the Judith C. Kelleher Award to AnnMarie

Papa, DNP, RN, CEN, NE-BC, FAEN. According to those who

nominated her, Papa demonstrates knowledge and expertise in

emergency nursing practice, education and research. She is active

in numerous nursing associations and is an ENA past president.

‘‘Her passion for emergency nursing leadership is apparent in

her interactions with colleagues and her undying willingness to

help others achieve their own goals,’’ Lazarus said.

Upon receiving her award, Papa asked previous recipients to

stand and be recognized.

‘‘This is about Judy’s legacy,’’ she said, referring to ENA

co-founder Judith C. Kelleher, who passed away in January.

After lunch, Lazarus introduced the ‘‘wind beneath my wings’’

— her husband, Richard Lazarus, who focused on the

importance of family and began his address by providing a

history of family presence during resuscitation and ENA’s efforts

to promote this practice. He next discussed the second kind of

family presence, among those in the workplace.

‘‘Colleagues are like family. Some you get along with, some

you’d rather not see, but they are there every day,’’ he said.

Citing several studies, he noted that camaraderie is a key to job

satisfaction.

Finally, he described the third kind of family presence

through the story of his and JoAnn’s marriage. He recounted

struggles and joys but noted that the biggest lessons he learned

were while he was along for the ride, traveling with his wife

during her ENA and work engagements.

‘‘I image your co-founder brought her family along with her,’’

he said.


By Renée Herrmann, Conference Connection

Anita Dorr Lecture and Luncheon

Celebrating the Past Along With the Presence

HEALING

IN OUR GROWING COMMUNITY

BODY, MIND& SPIRITRooted in our humble beginnings more than 80 years ago, Saint Agnes Medical Center’s mission to heal Body, Mind and Spirit remains a constant. Growing from the original 75-bed hospital in downtown Fresno, we’ve evolved into a 436-bed state-of-the-art Medical Center campus, bringing together the most advanced equipment and facilities. No matter the challenge, the Saint Agnes team will continue to pursue advances in medical technologies and treatments to accomplish our goal of building a healthier community. If you believe in the mission and dedication Saint Agnes stands for, and are interested in enhancing your talents, then this is the place for you!

EMERGENCY ROOM NURSING OPPORTUNITIESNurse Manager | Staff RNs

Please stop by and visit us at Booth #468at the 2013 ENA Annual Conference, September 19-21, 2013 in Nashville, TN

The dedication and talent of our superior staff has earned us the Consumer Choice Award for the seventeenth consecutive year and the top 10% Specialty Excellence Award for Critical Care Services by Healthgrades. We are also continuing on our exciting journey toward Magnet status. If you are an RN with the skills, drive and flexibility to help us meet these challenging goals, join us today.

As a member of our team, you'll not only benefit from an amazing work environment, but you'll also enjoy on-site child care services and a close-knit cosmopolitan California community that's just 90 minutes from the beautiful Yosemite Valley.

For immediate consideration, please apply online at www.samc.com. We are an equal opportunity employer and a proud member of Trinity Health.

AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN, receives the Judith C. Kelleher Award.

ENA 2013 President JoAnn Lazarus, MSN, RN, CEN, and husband Richard Lazarus.

www.samc.com

ACV-51061_M3_ENA_PostAd.indd9-13-2013 2:41 PM Patricia Lopez / Arielle Benjoya

Client CodeClient

LiveOverall TrimBleed

# of Colors

ACI0002084300Genentech/Activase

6.625” x 9.125”7.125” x 9.625”None

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Job info

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Gotham (Book, Bold, BoldItalic), Berthold Akzidenz Grotesk (Regular, Bold)

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Inks Cyan, Magenta,

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from hsplopez5577 by

Printed At

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”

www.gene.com

‘My life journey has taken me to

the darkest places.’’

Jeff Henderson, known as Chef Jeff,

was the first African-American

executive chef at Café Bellagio in Las

Vegas, has appeared on the Oprah

Winfrey show, hung out with Will

Smith and is the author of the New

York Times best-selling memoir

Cooked. As a small boy growing up

poor and fatherless in South Central

Los Angeles, though, Henderson was

told he wouldn’t live past age 18.

He seemed on a trajectory to fulfill

that prediction when at age 16 he

arrived in the emergency department

with a stab wound to the chest after a

gang-related dispute.

‘‘It was the ER nurses who told my

mother that I was going to be OK,’’

Henderson said during Thursday’s

keynote speech. ‘‘It was a nurse in a

shopping mall who came to my aid,

using her sweater to apply pressure to

the stab wound in my chest.’’

Henderson shared his story of how

he discovered his potential and gift

during a 10-year incarceration for

selling drugs. Prison is where he made

the connection between education and

the American dream, learning business

skills from fellow inmates and finding

his talent for cooking in the prison

kitchen. Upon his release, he sought

out acclaimed chef Robert Gadsby,

who gave him his first kitchen job.

‘‘I knew that in order to become

the best, you have to be among the

best,’’ he said. ‘‘That’s why you guys

are here. I did the same thing in my

career.’’


Keynote Address

Chef Jeff: ‘You Have to Be Among the Best’


TIP OF THE HAT FROM THE ENA FOUNDATION‘‘It has been an absolutely fantastic year with many outstanding fundraising and program accomplishments,’’ said Julie Jones, BS, RN, CEN, chairperson of the ENA Foundation Board of Trustees.

Speaking at Thursday’s Opening Session, Jones invited attendees to visit the ENA Foundation booth to see the wall of names of members who have received academic scholarships and research grants this year thanks to donations from groups and individuals.

‘‘In the audience are 20 members who received assistance to attend this conference,’’ Jones said to loud applause. Another 10 members received ENA Foundation scholarships to attend the 2013 Leadership Conference, and 13 more have

an opportunity to receive an ENA Foundation grant. Submissions are due this fall.

‘‘All these scholarships and grants are made possible by donations from state councils, chapters, our industry partners and individuals like you,’’ Jones said.

The 2013 ENA Foundation State Challenge campaign broke all previous records, raising $121,500.

‘‘Because we raised more money, we

will have more scholarships and grants to give back to you next year,’’ Jones said.

Donning a sparkly tiara, Jones invited attendees to visit the foundation’s jewelry auction in the Exhibit Hall; proceeds will support 2014 scholarships and research grants. Changing to a pink cowboy hat, Jones gave a shout-out to everyone who bought a ticket to the sold-out ENA Foundation Event at the Grand Ole Opry.

‘‘There are many ways to support the ENA Foundation,’’ Jones said, ‘‘and it all adds up.’’

Amy Carpenter Aquino

www.enafoundation.org

Topics Discussed at Town Hall Meeting


GET UP TO SPEED ON GENEClick the screen to hear ENA eLearning manager Bree Sutherland explain the new course!

➡

T wo primary themes emerged at the

ENA town hall meeting in Nashville

on Tuesday: requests for the ENA Board

of Directors to address a member-signed

memorandum of concern regarding

recent changes within ENA, and requests

to reinstate processing and approval of

online continuing education applications.


RN, CEN, acknowledged that she and

other board members had been

forwarded an e-mail containing a

memorandum of concern. The e-mail

was written by past ENA presidents and

distributed to several ENA members via

e-mail before the conference. It asked

for greater transparency within the

organization and expressed concerns

regarding a number of changes within

the organization and the board.

Lazarus noted that although the board

did not receive the memorandum

directly from the authors, she initiated a

meeting while in Nashville with the

original 14 authors. Lazarus also said the

board takes the concerns of the

members seriously and would provide a

response at a future date.

Other members at the town hall

shared concerns about ENA approving

continuing education programs. Many

asked ENA to reinstate processing of

continuing education applications online

after it been suspended through

November.

‘‘We rely on you for our contact

hours,’’ one member said, ‘‘and we need

to know that you will support us on this

issue.’’

Pierre Désy, ENA Chief Development

Officer, assured members that the CNE

issue would be addressed within 24

hours. The next day, Lazarus

communicated the following information

to all members:

We apologize for the challenges you

may have experienced regarding your

CNE applications. The ENA team is

working diligently to rectify the situation

so that all applications are processed in a

timely manner. Providing all members

with high-quality services is extremely

important to ENA.

• All CNE application forms have

been updated and posted on the ENA

Website (CNE Webpage)

• We are currently working on a plan

of action to process pending applications

• By the end of next week (Sept. 27),

ENA will follow up with all CNE

applicants who have submitted an

application since July 1, 2013, regarding

the next steps for approval of applications

• If you have submitted a CNE

application for an educational event to

be held in September 2013, ENA will

work with you to identify the best way to

get your CNE application approved at no

additional cost to you.

‘‘Thank you for your feedback,’’

Lazarus said before adjourning the town

hall meeting.

By Margo Schafer, Conference Connection

More from the Exhibit Hall! Page 15

http://youtu.be/PxN3IHPnhjE


There's more to see and read about

Annual Conference on ENA's

Facebook page!

OPENING SESSIONConference opened officially to all attendees Thursday with messages from ENA President JoAnn Lazarus, MSN, RN, CEN, the ENA Foundation and "Chef" Jeff Henderson and a live-streaming clinical simulation lab.

https://www.facebook.com/ENAorg

https://www.facebook.com/ENAorg


THE EXHIBIT HALLMore than 200 exhibitors were on hand beginning Thursday to offer leisurely distractions and demonstrate the latest products and services geared toward emergency nursing.


Watch for the wrap-up edition of Conference Connection on Wednesday, Sept. 25

with more photos, videos and coverage of educational sessions and weekend events!

EMERGENCY NURSES IN STEPThursday night was the time for all attendees to sparkle and shine — and enjoy food, live music and some Tennessee line dancing — at the Welcome to Nashville Party at the Delta Atrium.

2013 Annual Conference photography by Jules Clifford