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In 1968, Anita M. Door, Rn and Judith C. Kelleher, RN, working at opposite sides of the United States, perceived a need for nurses involved in emergency health care to pool their resources in order to set standards and develop improved methods of effective emergency nursing practice. In addition they wished to provide continuing education programs for emergency nurses as well as a united voice for nurses involved in emergency care...

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Utah State ENA Newsletter



Highlights Quarterly Quote:

Page 1 - President's Message

Page 2 - State Structure Changes for State Members Page 2 - Introduction to State Council

Page 3 - Educational Updates

Page 4 - Activities and Events Listings Page 4 - How Can You Get Involved in Utah State ENA? Page 4 - Contact Information "The character of a nurse is just as important as the knowledge he/she possesses.

" PRESIDENT'S MESSAGE Hello Everyone, I first want to introduce myself to all you readers. I am Lucus Christoffersen and have been serving at the Utah State Emergency Nurses President since last July. My term will end in December of 2018. I have been active with the ENA for several years working at the Northern Utah Chapter president prior to being the State President. I have been working this year to help bring about some changes to the Utah State ENA, including changing the state structure, increasing membership, and including more activities for involvement amongst Utah ENA members and non-members. As we move forward in 2017, we will begin implementing some new changes. Our state structure recently was a three-tier, which involved having chapters within the state structure. However, in recent years, our statewide membership has slowly decreased and our chapter activities have also decreased. We as a state council, along with recommendations from National Council, decided that it would be in the best interest of the state and its members, to change the structure to a two-tier. This would mean we would only have a state council, but no chapters. In April, an open forum was hosted and Utah State ENA members voted for the change in structures, which was approved. So, beginning in the Summer of 2017, all chapters in the State ENA will be dissolved. Because of this change, we as a state council want to start including more focused activities for members across the state. More details will be discussed later in the newsletter. Finally, I want to thank each of you members for your continued dedication throughout the years. I would like to ask each member to start becoming more involved and including non-members to become active. Also, look forward to having these new quarterly newsletters, which will update you on activities, events, and educational updates across the state. Thank you for your support and involvement! by Lucus Christoffersen

2 N D Q U A R T E R 2 0 1 7 ( A P R I L - J U N E )


State Structure Changes: What It Means for Members President: Lucus Christoffersen, MSN/L, RN, CEN, CPEN, CCRN

President-Elect: Shannon Flitton, BSN, RN, CEN Secretary: Cleary Wunder, BSN, RN Secretary-Elect: Open Position Treasurer: Robyn Larkin, MBA, BSN, RN Treasurer-Elect: Mollie Teas, BSN, RN, TCRN

Immediate Past-President: Emmaline Newman, BSN, RN ENA Board Liasion: Maureen Cooper-Curtis, BSN, RN, CEN, CPEN, FAEN

TNCC State Chair: Lisa Taylor, MSN, RN, CEN

ENPC State Chair: Cindy Royall, BSN, RN

Education Chair: Roger Keddington, APRN, MSN, RN

Government Relations Chair: Teresa Brunt, BSN, RN Membership Chair: Sondra Heaston, MS, RN, CEN

IQSIP Chair: Craig Nuttall

Trauma Chair: Kelsie Olsen, MBA, BSN, RN

Research Chair: Ryan Rasmussen

Public Relations: Jason Adams, BSN, RN

Starting July of 2017, the state of Utah will go from a three-tier structured state council to a two-tiered. This change is beneficial for members, as it allows more flexibility for members to participate in the organization, while preventing the loss of activity due to constraints of logistics at a state and national level. A two-tier level structure for a state ENA consists of the members (tier two) and the state council (tier one). In a three-tier, we add chapters at the state level. In years past, we have been a three-tier structure, with 5 chapters throughout the state. However, in the past 6-10 years, the activity of each chapter has dropped significantly, as well as a drop in activity at the state level. Along with this drop in activity, chapter leaders were required to complete newsletters, budget reports, and other paperwork quarterly and annually, per national ENA guidelines. Our chapters were not compliant with paperwork in the past few years, which had brought notice to the national ENA headquarters. This prompted us as state council to look at how we could change our structure to improve the Utah State ENA. In March, the state council decided to move forward with changing the state structure back to a two-tier structure. An open forum was provided for all current members in the Utah State ENA to participate and ask questions about the structure change. After this forum, we had an voting session for all active members of the Utah State ENA. This voting was open for 5 days. At the end, with a 97% vote, the members of the Utah State ENA voted to change the structure. This act of change was huge and we are appreciative to all involved. But what does this mean for you as members going forward? Starting in July of 2017, our state structure will go to a two-tier structure. This means that all 5 of the current chapters will be disbanded. To replace the chapter presidents, the Utah State Council will have new "Area Representatives" that will be available. These representatives will be responsible for working with the state council to keep updated on current events in the state, discuss areas of concern for the Utah State ENA for their assigned area, and be in charge of a quarterly activity per year. As we move forward, we are also trying to increase membership activity throughout the state. As a new idea, we will begin having quarterly educational seminars along with a fun activity afterwards. For example, one quarter we will hold an educational seminar which is a 60 minute lecture on pediatric emergencies from a nurse at Primary's, which will be webcast for members that live further away. After this seminar, we will have an activity, such as bowling or painting, that the Utah ENA will provide. Our hope in doing these quarterly activities is that we can provide education for members across the state and member activities that help strengthen current relationships, while helping bring in new members. Each of these quarterly activities will be included on page 4 of the newsletter, which is sent out quarterly. Finally, as we move forward, we encourage each member to become more involved in the state activities as representatives, lecturers, recruiting new members, etc. Only together can we move forward and work towards becoming a stronger Utah State ENA group. Lucus Christoffersen - Utah State ENA President

P A G E 2 Utah State ENA Council


Pediatric Pearls - Cindy Royall Recent Research "PERT"inent EducationalUpdates Obtaining Blood Pressures on Pediatric Patients: When trying to get a blood pressure on a pediatric patient, most of the time we try to get it right as the patient comes into the ED. However, pediatric patients are usually upset or frightened in the midst of the hub bub around and usually what happens? Your blood pressures are super low OR super high. At Primary Children's in the Emergency Department, nurses put the blood pressure cuff on patients but do not take the pressure for about 15-20 minutes, until the child has adjusted to the environment and calmed down. Pulse, O2 saturation, and Respiratory Rate are obtained initially, along with temperature, but it is ok to defer blood pressure for 15-20 minutes, to obtain a more accurate BP. Trauma Tidbits - Lucus Christoffersen P A G E 3 Emerging Education Mental Health Patients in the Emergency Department Mental Health has been an emerging trend in the National Emergency Nurses Association for the past year. Mental health patients are slowly increasing in percentages across the nation, while safety concerns are becoming more prevalent and placement areas are becoming more scarce. According to a recently published article, for 29% of those surveyed, the longest “board time” they are experiencing with mental health patients is 12 hours or less. However, 41% of those surveyed are seeing board times of up to two days or greater, while 10% are seeing board times of up to one week or more (Emergency Department Trends and Challenges, 2010). This is a significant finding as it effects our entire nursing process in the emergency department.Long boarding times can lead to ED crowding, extended wait times, and hospital admission times for all patients, not just those with mental health concerns. We need to be on the lookout for new ways to help increase the facilitation of our mental health patients in the ED. ED Nurse Burnout (From Journal of Emergency Nursing, January 2017 Issue, Active Intervention Can Decrease Burnout In Ed Nurses): ED nurses are under great pressure from patients and their caretakers, a heavy workload, and not enough rest after the night shift. Long-term heavy pressure can cause physical and mental disorders such as irritability, sleep disorders, and loss of passion in their work. A study showed that an increase in pressure in ED nurses is significantly affected by overtime work and medical disputes. All the ED nurses in this study had job burnout. The investigators helped ED nurses in communication skills, approaches to conflicts, efficacy elevation, emotion control, and work skills. The results showed that active intervention can significantly decrease Emotional Exhaustion and Depersonalization (Wei, Ji, Li, & Zhang, 2017). AIR Acronym to help with Trauma Process: In Trauma Nursing Core Curriculum (TNCC), we teach the importance of assessment and intervention within the primary trauma survey (ABCDE), but we also emphasize the importance of reassessment. Reassessment in the primary trauma survey is vitally important, to ensure that any intervention completed is successful, prior to moving on to the next step. An important way I remember these steps during a trauma resuscitation is the acronym AIR. AIR stands for Assess, Intervene, Reassess. Air is important in all patients and the AIR acronym is important for trauma surveys. If we remember to assess appropriately, intervene rapidly and reassess effectively, we can ensure that we are preventing the bypass of potential life-threatening complications, as well as ensure our patients are treated rapidly and effectively. UTAH STATE ENA NEWSLETTER U T A H S T A T E C O U N C I L Important Events 2nd Quarter Activities The 2nd quarter activity for members of the Utah State ENA (and non-members) is a Certified Emergency Nurse (CEN) Certification Review Course. This course will be held on June 5/6 at University of Utah Hospital. This is a live-session which is NOT broadcast and must be attended for both days. If you are interested in attending, please contact Cleary Wunder at for more information. The cost for each attendee is 150$. This is a two-day course and we invite you to have members and non-members sign up for this review. Watch for the 3rd Quarter activity which will occur in August. We will have a guest lecturer and bowling provided by the Utah ENA. more information to come in newsletter and emails. Thanks Contact Us: P A G E 4 How Can I GetInvolved inUtah State ENA? At the Utah State ENA, we are always on the lookout for members and non-members to become involved! Currently, the state council has 6 open positions, that members of the Utah ENA can join. We are looking for the following to start in July, 2017: Secretary Elect (1 year term; will learn about roles of the secretary and after their term, will take over being the new secretary for the Utah State ENA Council for an additional year, while orienting the new secretary-elect). Area Representatives (Must be from county listed) - Serve annual terms; can be ongoing Northern Utah Area Representative (Box Elder, Cache, Morgan, Weber, Rich and Davis Counties) Greater Salt Lake Area Representative (Salt Lake, Tooele, and Summit Counties) Central Utah Area Representative (Utah, Wasatch, and Juan Counties) Eastern/Rural Utah Area Representative (Daggett, Duschene, Uintah, Millard, Sanpete, Sevier, Kane, Carbon, Emery, Grand, Wayne, and San Juan Counties) Southern Utah Area Representative (Washington, Beaver, Iron, Garfield, and Piute Counties) If you would like to become involved, please contact Lucus Christoffersen at for more information. Also, we are looking for more members. If you help any new members sign up and become involved with the state of Utah ENA, we will award you with a 20% off discount to our state celebratory dinner October (usual cost is 50 dollars for activity and dinner). Utah State Council Meeting - May 25th at 6:30 pm in SLC. Email for login info. National ENA Conference - St. Louis, MO from September 13th-16th 2nd Quarterly Event for Utah ENA: June 5/6th CEN Review at U of U (Check Facebook for details) Utah State ENA Banquet: October 13th - Save the Date! Email: Website: Check us out on Facebook!