‘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

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‘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.’’

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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.

8 conference connection

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

Client CodeClient

LiveOverall TrimBleed

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ACI0002084300Genentech/Activase

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Inks Cyan, Magenta,

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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”

12 conference connection

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.