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  1. A new practice improvement initiative and study indicates active shooter training and simulations are vital to ensuring staff is equipped to respond effectively should their emergency department ever become a target for such an act of violence. The goal was to develop and successfully implement a safety strategy that increased the ability of a large pediatric emergency department staff to effectively respond to an active shooter in their hospital. The corresponding survey results, set to be published online in the Journal of Emergency Nursing, show that out of 202 emergency nurses and ancillary staff members who participated in active shooter training, 92 percent felt better prepared to respond if a shooting occurred at their facility. Additionally, 70 percent of participants reported an increase in knowledge and readiness. "We are in the infancy stage of this conversation," study co-author and Emergency Nurses Association member Mary Baker, BSN, RN, said of active shooter training in hospitals. "As emergency nurses, we practice our ACLS and PALS a lot. We've gotten very proficient at it because it's always top of mind. But when it comes to preparing for a catastrophe such as an active shooter in our own emergency department, most nurses have no idea how we'd react because we aren't preparing for it." Active shooter situations and mass casualty incidents have become an unfortunate and increasing reality in society today. That has put emergency nurses on the front line of caring for victims of mass casualty incidents, but also on alert for the possibility their facility could become part of a large-scale disaster or tragedy. Due to the complexity and potential devastation of such an incident, it is critical for emergency nurses to be prepared. ENA knows it is vital for emergency nurses to regularly engage in active shooter training and mass casualty preparedness. To further prepare emergency nurses for their role in those scenarios, ENA is offering multiple opportunities for emergency nurses to participate in readiness courses and activities at Emergency Nursing 2018 - ENA's annual national conference dedicated to the emergency nursing profession occurring Sept. 26-29 in Pittsburgh, Pennsylvania. Mass casualty readiness educational sessions and activities at ENA18 include: MCI Escape Room Participants work as emergency nurses in a small community hospital emergency department with limited resources. After a brief description of the disaster, attendees will be broken into groups of five to quickly go through stations, solve clues and demonstrate skills needed for a variety of patient scenarios in a mass casualty incident or other disasters. "Game of Thrones" Attendees can compare make-believe traumatic injuries from the hit HBO series "Game of Thrones" to real-life traumatic injuries caused by modern threats to provide today's emergency nurse an opportunity to correctly identify these injuries and learn the proper course of treatment. DisastER Check out the 35-foot helicopter at the center of the exhibit hall and listen to ongoing presentations from Air and Surface Transport Nurses Association on topics such as transport after a mass casualty. State of Emergency - How We Prepared for Richard Spencer: Wendy A. Swan, director of emergency services at the University of Florida Health, describes how a Level I Trauma Center and emergency department prepared for a radical speaker, and the potential influx of thousands of associated supporters and counter-protesters. For more information on these mass casualty readiness activities, register for Emergency Nursing 2018.
  2. From the Emergency Nurses Association pressroom: DES PLAINES, Ill. (March 13, 2018) The Emergency Nurses Association today announced it will bring new emergency nursing education to the Las Vegas strip April 26-27 at its inaugural Spring Regional Symposium. Emergency nurses have the opportunity to network with local leaders and participate in clinical and leadership sessions to expand their knowledge and skills. ENA president Jeff Solheim, MSN, RN, CEN, TCRN, CFRN, FAEN, FAAN, will be a featured guest speaker among other experts in the field. "We are excited to offer a new educational opportunity to the emergency nursing community," Solheim said. "The symposium in Las Vegas will be the first of many local symposiums designed to bring ENA's world-class education to nurses around the country." Engaging sessions include: Care for the Transgender Patient in the ED Lateral Violence in the ED Manual Strangulation: What do Emergency Nurses Need to Know? Providing Efficient Care for Psychiatric Patients Through Crisis Triage The Spring Regional Symposium will take place at Planet Hollywood. Registration is $150 for ENA members, $175 for non-members and $100 for students. Registration includes reception, meals and hands-on, interactive training. Participants can earn contact hours from one and a half days of expert-level sessions. Additional educational sessions will be announced on ENA's website as they become available.
  3. Founded in 1970, ENA has proven to be an indispensable resource to the global emergency nursing community. With more than 42,000 members worldwide, ENA advocates for patient safety, develops industry-leading practice standards and guidelines, and guides emergency healthcare public policy. Dates: Sep 13-16, 2017 Registration: Online Form Attendance:3,500 Highlights: CNE contact hours. CERPS, Up to 150 Sessions, Hands-On Learning, 200+ Sponsors and Exhibitors, Advocacy, Networking, Music & Dancing, Welcome Party at Ballpark Village. Emergency Nursing Conference 2017 Be part of the most exciting hands-on emergency nursing education: Emergency Nursing 2017. Held in St. Louis, Missouri, this four-day conference is an opportunity to expand your knowledge, learn new skills through hands-on opportunities, and return to your ED reinvigorated to share new ideas and best practices. The largest conference dedicated to emergency nursing includes: More than 150 sessions ranging from pediatrics and geriatrics, to leadership, trauma, and more Interactive demonstrations, hands-on learning labs, and Mass Casualty Incident (MCI) Training ADVANC-ED - a 6-bed area with interactive manikin simulation exercises, and a SIM Wars friendly competition against your peers The NEW TECH-ED area, a close-up look at the newest and most advanced high-tech emergency care products Electronic Posters (ePosters), featuring the latest emergency nursing research and evidence-based practice Cadaver and Ultrasound hands-on labs Networking, networking, and more networking Some of the sessions include: Strategies for Implementing the Geriatric ED Guidelines: Education, Best Practices, Quality Improvement Ultrasound Assessment and Guided Procedures in the Emergency Department Bridging the Academic-Practice Abyss: Nurse Residency and ED Professional Development The Colorado Cannabis Experience - Lessons Learned for Other States Trauma Nurse Fellowship: Developing the Novice Trauma Nurse Human Trafficking in the Emergency Department: Navigating Medical Forensic Protocols Emergency Management of Chronic Pain Body Modification: The What, How, and Pitfalls ED, ICU, Critical Care in the Emergency Department Opioid Addiction and Death Spiraling Out of Control Download Emergency Nursing 2017 Registration Brochure WELCOME PARTY AT BALLPARK VILLAGE Thursday, Sept. 14 - 7:00-11:00 pm Enjoy an evening of fun at Ballpark Village, the newest dining and entertainment district in the St. Louis area. This first sports anchored entertainment district located next to Busch Stadium, home of the St. Louis Cardinals, offers a wide variety of restaurants, bars, lounges, and entertainment venues. Come join us for great food, and a whole lot of fun! Exhibit Hall The Exhibit Hall offers hands-on training, product specific training, and access to more than 200 leading suppliers of products and services for every type of emergency care environment. Take new product ideas back to your institution. DisastER From natural disasters, to major accidents, DisastER requires emergency preparedness for catastrophes in the field. Located in the Exhibit Hall, this hands-on DisastER area offers techniques in S.T.A.R.T. Triage, self-aid, buddy-aid, tourniquet application and lessons from the field. Featuring hands-on work with MCI, military SMRT tents, and medical helicopter, these exercises prepare nurses for emergencies outside of the ED. Short ED Talks will also be held here. All hands-on training and ED Talks in the DisastER area start at the top of the hour during Exhibit Hall hours. ENA Way Follow the arrows on the Exhibit Hall floor and head towards the music. ENA Way is where you will find: ENA Marketplace, filled with ENA educational products and merchandise ENA Foundation, where you can donate to help nurses further their education, or learn about how to apply for a scholarship. ENA LEARN kiosks, where you can learn about and purchase ENA digital educational products ENA Career Fair and Wellness, hosting a professional headshot photo lounge and job center ENA Education Booth #426 Journal of Emergency Nursing Booth #429 Academy of Emergency Nursing Booth #427
  4. While at the 2017 ENA Convention in St. Louis, allnurses got the opportunity to interview Alex Wubbels, the Utah nurse who in July 2017, was violently secured in handcuffs and placed in a squad car for not complying with a police officer's request to draw blood on an unconscious patient without a warrant or consent. The video of the incident went viral. Alex has received support not only from her place of employment but also from an outraged nursing community. "The University of Utah Health supports Nurse Wubbels and her decision to focus first and foremost on the care and well-being of her patient," said Suzanne Winchester, the hospital's media relations manager. "She followed procedures and protocols in this matter and was acting in her patient's best interest. We have worked with our law enforcement partners on this issue to ensure an appropriate process for moving forward." We talked with Alex at the 2017 ENA Conference about how she is coping with this traumatic event. Alex Wubbels also shared with us that there has been an update in the investigation. The Salt Lake City Mayor announced that "The findings of the IA investigation and the Civilian Review Board will be sent to Chief Mike Brown who will use them to help guide his decision as it relates to the employment status of the two officers involved." The officers were found to have violated department policy. The following video gives additional details.
  5. allnurses

    Addressing Bullying in the ED

    allnurses.com staff recently had the opportunity to interview Lisa Wolf, PhD, RN, CEN, FAEN, Director of ENA's Institute for Emergency Nursing Research. She has published research about bullying and how it affects nurses patient care. How does bullying in the ED manifest itself? Bullying can manifest as the dynamics of aggression, which includes overt hostility, denigrating comments, giving inappropriate assignments for the nurses' experience and expertise, and selective reporting. More difficult to identify and call out, however, are the dynamics of exclusion, which is marked by a withdrawal of help, support, and information. These types of behaviors often result in a nurse being "set up to fail", which has consequences for patient care. How does this differ from bullying in other departments? I don't know that it is very different in other departments, but the constant flow of patients, the short turnaround times, and the initial lack of knowledge about patient conditions make the emergency department a particularly high-risk area for this dynamic to manifest. What kind of collateral damage results from bullying in the ED? Workplace bullying is a significant factor in the dynamics of patient care, nursing work culture, and nursing retention. The impact on patient care cannot be overestimated, both in terms of errors, substandard care, and the negative effects of high turnover of experienced RNs who leave, compounded by the inexperience of newly hired RNs What methods did you find to be the most effective in addressing/decreasing bullying? Our respondents report that a "calling it out" strategy by both staff and management is the most effective way to reduce bullying and its consequences. An assessment of hospital work environments should include nurse perceptions of workplace bullying, and interventions should focus on effective managerial processes for handling workplace bullying As a result of your research, what type of training do you recommend? Given that management is the key role in mitigating bullying behaviors, education in the identification of bullying behaviors (especially those marked by the dynamic of exclusion) and in addressing them with staff is probably the most effective way to reduce workplace bullying. Bullying is becoming more pervasive in our culture as a whole. However, as nurses on the forefront of life and death decisions, it is imperative that nurses have a toolkit to deal with bullying at work. The American Nurses Association published a position paper on this in 2015 with a goal; "to create and sustain a culture of respect, free of incivility, bullying and workplace violence." ENA has also published guidelines to deal with and curb lateral violence which is defined as; "violence, or bullying, between colleagues (e.g. nurse/nurse, doctor/nurse, etc.)." "According to a 2011 study by the Emergency Nurses Association (ENA), 54.5 percent out of 6,504 emergency nurses experienced physical violence and/or verbal abuse from a patient and/or visitor during the past week. The actual rate of incidences of violence is much higher as many incidents go unreported, due in part to the perception that assaults are "part of the job"." ENA offers a toolkit with six distinct steps to address workplace violence. The first step is acknowledging that it exists and that nurses have the capability to decrease the incidence. There are many shareholders in this initiative including the front line staff but managers and administrators also have a key role in this. JCAHO, OSHA and other governmental agencies require documentation of a safe workplace and offer recommendations as well. Violence should never be tolerated. Do you feel safe from lateral violence in your emergency department? What has your ED done to combat lateral violence?
  6. traumaRUs

    How to Be Organized during Chaos

    You work in the level one ED in a big city - its a fairly normal evening, the usual variety of patients, some that are truly emergency, others not so much and the majority somewhere in the middle. Suddenly the EMS radio starts blaring with the news that there has been a mass shooting incident at a population dense venue. The voice on the radio rings with excited distress and you can hear background noises of screams. The paramedic tells you that many people have been shot and its still happening - they can't tell you how many patients to expect but you can expect a lot. What to do? Your mass casualty training kicks in: Notify your supervisor, and initiate the mass casualty plan Incident commander needs to the decided upon Designate all staff as to their roles and responsibilities Have non-clinical staff start calling personnel in from the recall roster Clear out the ED of non-emergent patients, get already admitted patients to the floor Start collecting trauma equipment Assemble beds, cots, monitoring equipment Set up and staff triage area Be ready for the media and set up administrative staff to deal with them Preserve the patients privacy Continue to move patients along a recognized triage protocol We are all aware of the recent Las Vegas tragedy. As of this writing over 60 people are confirmed dead and over 500 required ED care. Could your hospital handle an MCI? Have you trained to be on point if this ever happens? Training and simulations are invaluable. This must be practiced though over and over before it becomes routine. ED personnel are used to controlled chaos - however, no one can prepare for hundreds of patients inundating your ED within minutes - many with penetrating trauma. In Las Vegas because the shooter was using an automatic weapon, the destruction of human tissue was unheard of except in wartime. This resulted in many patients requiring urgent surgical intervention. Triage was of the utmost importance. Those patients who had injuries incompatible with life or unsurvivable injuries were not taken to the OR. Resources had to be used for those patients who had the highest odds of survival. There are many resources to assist in training for an MCI: FEMA offers a comprehensive toolkit. Staff from AN recently attended the Emergency Nurses Conference in St Louis. One of the interesting presentations was from Dan Nadworny, MSN who was the point person for the 2013 Boston Marathon Bombing in the level one ED where many of the victims were taken. We also had an earlier interview with Dan. Also very important is the aftercare of the staff. This can't be stressed enough. To experience an MCI is to go thru a trauma similar to your patients. Some thoughts from the US Department of Health and Human Services comes these suggestions: It may take some time to return to normal operating procedures Supplies will be low or perhaps nonexistent Staff will need to be rotated in and out to allow for rest, eating, hygiene needs Equipment will need to be cleaned Personal belongings of patients will need to be sorted and returned Debriefing of staff will be necessary This video gives a realistic simulation of a mass casualty incident. This scenario involved a tornado. However, the protocols are the same for any mass casualty incident. Your response to a MCI will only be as successful as your MCI training is.... allnurses staff join in our nation mourning this senseless loss of human life. We offer positive thoughts and gentle hugs to our Las Vegas EMS, police, fire and ED personnel.
  7. Pixie.RN

    Emergency Nursing

    What is Emergency Nursing? Emergency nurses specialize in caring for patients in potentially emergent or critical condition, be it from illness or injury. Because this specialty is unique in that patients do not necessarily arrive with a diagnosis, emergency nurses must be able to rapidly recognize impending threats. Patients will range in age from neonates to centenarians, and will arrive in all conditions. Care of these patients is typically intended to be short-term in duration; however, with hospital crowding, lack of beds for admission, and lack of access, some patients become very familiar to staff. And no, it's nothing like on TV! Education Requirements An Emergency Department (ED) may employ a variety of types of nurses, including LPNs, ADN-prepared RNs, BSN-prepared RNs, MSN-prepared RNs (often in department management or education), and even Nurse Practitioners in a mid-level provider role. Not all types of nurses will be present in all EDs as hiring preferences vary by location. Additional certifications that an emergency nurse may be required to obtain or might want to pursue include: Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), Trauma Nursing Core Course (TNCC), Emergency Nursing Pediatric Course (ENPC), and Advanced Burn Life Support (ABLS). Additional courses may be required by or available at other locations; this list is not all-inclusive. Emergency Nursing as a Specialty As the "Emergency Room" (ER) has morphed into the full-fledged "Emergency Department" (ED), so has the emergency nursing specialty grown in prominence. Though there have been emergency nurses for decades (after all, the Emergency Nurses Association [ENA]) was founded in 1970), it was only officially recognized by the American Nurses Association (ANA) as a specialty in 2011. Board Certification Two primary emergency-related board certifications for RNs are the Certified Emergency Nurse (CEN) credential and the Certified Pediatric Emergency Nurse (CPEN) credential. To qualify for the CEN, one must be an RN with an unrestricted license in the US or its territories, and there is no minimum practice requirement, though two years is recommended. To qualify for the CPEN, a candidate must hold a current unrestricted RN license in the United States or Canada and have practiced at least 1,000 hours in pediatric emergency nursing practice as an RN in the preceding 24 months. Links to the Board of Certification for Emergency Nursing (BCEN) are available in the "Resources" section below. A new trauma-specific board certification is the BCEN's Trauma Certified Registered Nurse (TCRN) credential. To sit for the exam, one must hold a current unrestricted RN license in the United States or its Territories, and a nursing certificate that is equivalent to a US RN is also acceptable. Two years of trauma experience is recommended with 1,000 hours per year across the trauma continuum, and 20-30 hours of trauma-specific coursework. A link to more information about the TCRN is below. Work Environment Emergency nurses most commonly work in the hospital-based ED setting, though they are also employed at freestanding EDs, urgent care centers, and in prehospital environments in some areas. Typically an emergency nurse can expect to have unlicensed assistive personnel resident in the department, such as unit secretaries, registration associates, and Patient Care Technicians (PCTs). The broader interdisciplinary team also includes radiology techs, lab techs, respiratory therapists, and other specialists who participate in caring for patients. The entire team, including providers, works closely to care for patients and arrive at a diagnosis and disposition. Skills/Qualities of Emergency Nurses Emergency nurses should possess excellent assessment skills to ensure that their patients are not experiencing an immediate or potential life threat. Often emergency nurses are the first to see patients, before the providers; as such, rapid recognition and identification of health issues is essential. Communication is also key to elucidating a patient's reason for visiting the ED, which may provide clues to a current or potential health issue. The environment is fast-paced and constantly changing. Duties of the Emergency Nurse The emergency nurse may fill many roles in the ED: triage, charge (directing patient flow), direct patient care, trauma nurse, and so forth. The emergency nurse constantly communicates with patients, often acting as the patient's advocate. He or she must be attuned to any changes in patient condition that require a change in treatment or intervention, and must keep the rest of the team apprised of any such changes. Emergency nurses often make arrangements for admission or transfer of patients, which can be a complex and time-consuming task requiring close communication with the accepting facility staff, the patient, any family, and the transport team. Job Outlook and Salary Though the downturn in hiring has certainly affected nursing across the board, this is a specialty that has been relatively stable for experienced nurses. New graduate nurses may have more difficulty with direct entry into emergency nursing practice, but emergency nursing opportunities remain available and desirable. Salary will vary by education and location. Emergency nurses typically work in shifts, which results in shift differential and other benefits. Resources Emergency Nurses Association Board of Certification for Emergency Nursing - Certified Emergency Nurse (CEN) Board of Certification for Emergency Nursing - Certified Pediatric Emergency Nurse (CPEN) Board of Certification for Emergency Nursing - Trauma Certified Registered Nurse (TCRN)
  8. traumaRUs

    ENA Mass Casualty Incident

    AN staffers TNButterfly and TraumaRUS are at ENA 2017 in St Louis. The opening address was enthusiastic and got the crowd dancing in the aisles. Then, Dan Nadworny presented a mass casualty incident that has real world repercussions. MCIs come in many shapes and sizes from hurricanes, to tornadoes to fires in multi-dwelling structures. We must always be at the ready to handle MCIs and training in real time is invaluable. Dan Nadworny was the point person for the 2013 Boston Bombing. Stay tuned for more coverage of ENA 2017. AN is at ENA 22017 in St. Louis
  9. AllNurses staff recently interviewed Dan Nadworny, MSN, RN, Clinical Director for Operations at Beth Israel Deaconess Medical Center in Boston, MA. He was the point person during the Boston Marathon Bombing in April 2013. He will also be one of the featured speakers at the Emergency Nursing 2017 conference to be held September 13-16 in St Louis, MO where he will conduct a mock disaster drill, emphasizing hands-on teaching. In the interview we discussed training for Mass Casualty Incidents (MCI) as a means to prepare for the unknown. Dan stated, "disasters are local." When an MCI occurs the resources that you have immediately on hand are the ones you will immediately use. As time goes on, more resources might be available but it is important to be able to rely on immediate staff to make the most impact on survivability. As the basics get dealt with, you continue to move forward to the more complex tasks. A cohesive staff is a must for any emergency department and it is of paramount importance during an MCI. "Disasters will occur," Dan said and relying on your training will enable you and your team to come through with the best patient outcomes. He went on to discuss what training involves. Although slide presentations have their place in training situations for routine matters, nothing beats hands-on and "real life" training. We discussed off-site training for ED staff incorporating local fire departments. Dan emphasized that it's important to spend time working with other agencies because in an MCI, other agencies will be involved and having a working relationship allows all stakeholders to conquer a disaster. Some of the important details to discuss with other agencies include: Communication - operating on same radio frequency, what to do if no cell service or no landlines Organization and leadership structure - who is going to be the "Captain of the Ship?" Does it make sense for the ED Attending MD who is not "on the streets" or should the police take the lead or the fire department? Where is equipment stored? Does everyone know how and when to don it? This was brought home vividly during the Ebola crisis. Dan had several suggestions: Hands on demonstrations of equipment, personal protective equipment (PPE) Working for a prolonged period of time in a hazmat suit - how do you start an IV, obtain an EKG, even talk to the patient Training with other agencies on their turf. Getting out of your comfort zone. With all the training modalities available, it is hoped that you won't experience an MCI. However, if you find yourself in the middle of a disaster, your training will be what saves you and your patient. During a disaster, many people report time stands still. As the adrenaline kicks in, you respond as your training dictates. Once the MCI resolves though, an even longer period of time occurs - recovery. Peer discussions are often a focal point for emergency workers who have been thru a traumatic event. Sharing details and retelling them allows for shared grief and shared healing. Dan stated that there is no one "right" way to recover. While some workers internalize their emotions, others seek relief from a support group, either formal or informal, a professional counselor or a member of the clergy. Anniversaries of MCI's are a cause for strong emotions also. From sadness, grief, fear to anxiety and dread people involved in an MCI run the gamut. Dan also commented on this aspect of the MCI during an interview in 2014 with WGBH in Boston, "I think I have a greater respect for how a hospital works together than I ever did," he said. "And I think that did change me - for the better. And I think it will always be a little bit different, but in my mind, the differences need to be looked at as a positive. We now know what we can accomplish together and this hospital knows what it can accomplish together." Dan authored an article in the Emergency Nurses Association Journal of Emergency Nursing in 2014 and commented, "The importance of community and individual hospital preparedness for mass casualty events has become increasingly apparent as the magnitude and frequency of natural and humanmade disasters has escalated in recent years. Beyond the formal after-action reports, sharing experiences and lessons learned with others after an event allows for learning through a whole new perspective." Come to Emergency Nursing 2017 for hands-on training from an expert in mass casualty incidents! Early Bird Registration ends July 13th. Non-ENA members who register by July 13 can use the promo code: STLOUIS for $100 off conference registration. And for more details.....here you go.... References: Beth Israel, One Year Ago Boston Strong - One Hospital's Response to the 2013 Boston Marathon Bombing Emergency Nursing 2017
  10. traumaRUs

    ENA Announces New President

    Jeff Solheim, MSN, RN, CEN, TCRN, CFRN, FAEN, FAAN, Takes Office as Emergency Nurses Association PresidentWith a new year, comes new 2018 Board of Directors DES PLAINES, Ill. (January 2, 2018) - The Emergency Nurses Association (ENA) today announced Jeff Solheim, MSN, RN, CEN, TCRN, CFRN, FAEN, FAAN, as president of the premier emergency nursing organization representing more than 42,000 members worldwide. During his one-year term as ENA president, Solheim will oversee the Board of Directors and serve as ENA's official representative and spokesperson. Solheim's career in emergency nursing includes experience as a staff nurse, charge nurse, manager, director, educator, trauma coordinator, flight nurse and state surveyor. He founded Solheim Enterprises which provides nursing education, educational resources and consulting services. Solheim is the Founder and Emeritus Executive Director of a humanitarian medical organization which deploys medical teams around the world to provide care to tens of thousands of people every year. Since joining ENA in March 1997, Solheim has served at the local, state, national and international level as a chapter founder and president, state president and pediatric/trauma chairperson at the state level for many years. He also served as an instructor and faculty for ENA's two signature courses - Trauma Nursing Core Course (TNCC) and Emergency Nursing Pediatric Course (ENPC). As president, Solheim's goal is to bring the world of emergency nursing together to share ideas and commonalities through cultural exchange trips meant to develop closer ties with international counterparts. He believes ENA can learn as much from its overseas peers as they would from ENA. Solheim will lead a new "Follow the Flame" initiative in 2018 to show ENA's expansive reach and the excellent work ENA members do every day. Members will pass a lantern, a nod to Florence Nightingale, around local and regional events throughout the year. Each ENA state council will receive a lantern and are encouraged to take pictures and share stories about their lantern's travels on social media. Follow the lanterns on social media using #FollowTheFlame. ENA's new Board of Directors also took office today. The Board is the official governing body of ENA responsible for managing the Association's affairs. They maintain and update ENA's mission, vision and goals through strategic planning, guide the Association, and serve as board liaisons to states as assigned. Members of the 2018 ENA Board of Directors are: President: Jeff Solheim, MSN, RN, CEN, TCRN, CFRN, FAEN, FAAN President-elect: Patricia Kunz Howard, PhD, RN, CEN, CPEN, TCRN, NE-BC, FAEN, FAAN Secretary/Treasurer: Mike Hastings, MSN, RN, CEN Directors: Chris Dellinger, MBA, BSN, RN, FAEN Ellen "Ellie" H. Encapera, RN, CEN Gordon Lee Gillespie, PhD, DNP, RN, CEN, CNE, CPEN, PHCNS-BC, FAEN, FAAN Jennifer Schmitz, MSN, EMT-P, CEN, CPEN, CNML, FNP-C Karla Nygren, BSN, RN, CEN, CFRN, CPEN, TCRN, CCRN, CPN Ron Kraus, MSN, RN, CEN, ACNS-BC Maureen Curtis Cooper, BSN, RN, CEN, CPEN, FAEN Immediate Past President: Karen K. Wiley, MSN, RN, CEN Executive Director: Nancy MacRae, MS About the Emergency Nurses Association Founded in 1970, ENA has proven to be an indispensable resource to the global emergency nursing community. With more than 42,000 members worldwide, ENA advocates for patient safety, develops industry-leading practice standards and guidelines, and guides emergency healthcare public policy. ENA members have expertise in triage, patient care, disaster preparedness, and all aspects of emergency care. Additional information is available at www.ena.org.

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