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President's Message


General and Scientific Assembly in New Orleans 2002

November 2002

My wish is that all emergency departments could close and send their nurses to the Annual ENA meeting each year. If you have attended in the past, you know the "rush" of academia, skills practice and networking that takes place. For those of you who have never attended, you must treat yourself to the experience at least once in your career.

   It is thrilling to know that our Emergency Nursing leaders are working continually on projects that improve our practice. Work groups and committees tackle issues that we have on a daily basis. They research and propose solutions and we benefit from their work. The examples are too numerous to mention but

- five level triage categories (see JEN October 2002 pg. 395 for detailed information) and

- staffing formulas for Emergency Departments based on acuity and length of stay plugged into an Excel program that produces total number of FTEs needed are a few of the best. (This is available for sale with CD Rom at $100- member price- by October 2002 through ENA.)

are a few of the most noteworthy.

   The lectures, videos, computer programs, articles, research poster summaries, product reviews are outstanding in content and adaptability to our practice. There is no way that you can leave without a bolus of new information that improves your individual knowledge base and career practice. The subjects are too numerous to discuss but a few that I found exciting were:

- High Risk Populations in Trauma- Obstetrics, Pediatrics, Geriatrics

- Capnography- non-invasive critical care monitoring reflects cardiac output and ventilation/perfusion ratios.

- Head Injury- specific brain injury locations and the symptoms produced

- Staffing Guidelines- nurse/patient ratios that are accurate for emergency departments taking into account patient volume, patient acuity, patient length of stay, direct and indirect patient care nursing time, non-productive nursing time

- New Tetanus Immunization Guidelines

- Treatment of Type II Diabetes- testing is more appropriate for this category using 2 hour postprandial rather than fasting blood sugar.

 

   The products were also too numerous to mention but a few highlights were:

- Bose (yes the acoustics experts) has created a stethoscope that is sensitive to the most minute sound. The diaphragm is a thin rubber-like material and is MSRA resistant for 2 weeks of use after which it is replaced. The cost was $180 with a six month supply of diaphragms. A "must see and hear" device.

- Activated charcoal in crystals that once water is added to reconstitute, it has the viscosity of WATER. No more clumping or mess- almost too good to be true.

   And as if this was not enough, the parties at night were not to be believed. Clearly, New Orleans is a party town that exudes a friendly and fun attitude. The food and music created an invigorating atmosphere of frenzy and excitement. Truly the entire experience was just what an emergency nurse needs to professionally and personally rejuvenate himself/herself for the year!

 

Pamela S. Fox, RN, BSN, CEN

President Maryland State Emergency Nurses Association