Embed Size (px)
Citation preview
Inside...Featured Hospital 2Upcoming Events 3Fall Symposium 2009 3Pediatrics Committee 4Archives Corner 4Announcements 5EBP/Research Committee 5Poster Winners 5Historical Nursing Heroines 6Communications Committee 6Government Affairs 7 EBP Project Contest 7Trauma Committee 8Meeting Highlights 8H1N1 Preparedness 9Delegates 10
Editor’s Note:
Consult the web site for up-to-date information at www.illinoisena.org. Canceled meeting notification is located there.
Zero Tolerance for Emergency Department Workplace ViolenceBy Rebecca Steinmann, RN, APN, CEN, CPEN, CCRN, CCNS
Our national organization (ENA) recently re-leased a report on the incidence of workplace vio-lence, defining workplace violence “as any physical assault, emotional, or verbal abuse or threatening, harassing, or coercive behavior in the work setting that causes physical or emotional harm”.1 Based on this definition, do you encounter workplace vio-lence in your work setting? Were you surprised to learn the majority of emergency nursing colleagues who participated in this survey reported they had personally experienced physical violence on the job (including being spit on, hit, pushed/shoved, scratched, and/or kicked)? Were you shocked that in this study verbal abuse was wide-spread and partici-pants rated their perception of safety in the emer-gency department at five or lower on a ten point scale? One of the more disconcerting statistics cited in the report is one in three emergency nurses in this study reported having considered leaving his or her department, or emergency nursing altogether, because of workplace violence!
So, how do we reduce workplace violence in our individual emergency departments? The report of-fered the following recommendations:1
• Ensuring emergency department staff (that’s us) know senior administration is aware of the is-sues and support efforts to prevent and miti-gate violence. Does senior administration have a copy of the report or ENA fact sheet?
• Encouraging nurse executives to take steps to
make the department safe. Is your institution com-mitted to institution-wide strategies to reduce ED crowding and pro-longed wait times (2 factors increasing the risk of ED violence)?
• Establishing a culture of acceptance for report-ing violent incidents.
• Developing clear and consistent procedures for reporting violent incidents.
• Providing access to medical care and follow up counseling, as needed, for emergency depart-ment staff members who are “survivors” of workplace violence.
• Appointing an interdisciplinary task force to identify vulnerabilities in the emergency de-partment and develop a plan for preventing, mitigating, responding to and reporting vio-lence.
Willingness to accept physical and verbal abuse should not be an unspoken expectation in the emer-gency nurse’s job description. We can and must ad-vocate for safer, healthier work environments.
1. ENA. “Violence Against Nurses Working in U.S. Emer-gency Departments”. http://publish.ena.org/Research/studies/Documents/Violence%20Fact%20Sheet.pdf.
Spring Symposium CommitteeSave the Date! 36th Annual Spring Symposium 2010By Cheryl Vinikoor, RN, BSN, CEN
The Illinois ENA Annual Spring Symposium is scheduled for May 6 and 7, 2010, at the DoubleTree Hotel and Convention Center. Newly remodeled, the rooms are affordable and the conference is planned to be fantastic.
This conference is always planned with the emergency nurse’s educational needs in mind. Continuing education will be provided for up-to-date adult and pediatric topics. Thursday, May 6, the pre-session day, the TNCC instructor course will be presented, as well as the suture lab and advanced clinical topics with every-one invited to attend.
The Networking Dinner is Thursday evening, May 6, at the DoubleTree. Please come as a guest of the Board of the Illinois ENA for dinner on the top floor of the hotel. It has an amazing view. Then stay overnight and be ready for breakfast with the exhibitors and the keynote at 8 AM on Friday.
Watch for more information on the web site soon, www.illinoisena.org. Online registration is more stream-lined this year. We appreciate your patience as we transition to electronic registration and help the Illinois ENA “go green”.
Questions, please contact Cheryl Vinikoor at [email protected].
Featured HospitalAdvocate Good Shepherd HospitalBy Karla Christianson, RN
Advocate Good Shepherd Hospital in Barrington is a medical care facility with approximately 700 physicians representing 45 medical specialties. Highly skilled physicians and clinical professionals provide a comprehensive range of services including advanced surgical proce-dures. For 30 years, Good Shepherd Hospital has done well for its pa-tients and communities by providing quality compassionate healthcare wellness programs and community education. It is also a leader in de-livering the most advanced technologies and techniques available in the northwest suburbs. Good Shepherd is part of Advocate Health Care, one of the top 10 health care systems in the country and the largest, health care delivery system in Illinois.
Overview• 183-bed hospital• Comprehensive cardiac services
through the Wayne and Patricia Kocourek Family Cardiac Cen-ter, including electrophysiology, catheterization and open heart.
• Emergency and trauma services with a 56,000 square feet state-of-the-art department.
• Physicians and Diagnostic Services–Algonquin: offering medical specialists, full-service imaging and cardio-diagnostic services.
• State-of-the-art labor, delivery and birthing center offer the “Pampered Pregnancy”.
• Health and fitness center with occupational therapy, physical therapy, physical fitness pro-grams and personal trainers.
• Extensive outpatient services round out its healthcare programs.
• In 2008, Outpatient Centers opened in Crystal Lake and Lake Zur-ich and an Immediate Care Center opened in Crystal Lake.
Key Accomplishments• Outstanding Achievement Award from the American College of
Surgeons Commission on Cancer. One of six Illinois hospitals rec-ognized with the prestigious award and one of 66 Hospitals nation-ally receiving it.
• American Association of Critical-Care Nurses (AACN) names Ad-vocate Good Shepherd Hospital Critical Care Cardiovascular Unit 2006 Circle of Excellence Award Recipients.
• 2009 Health Grades Awards.• 2009 Distinguished Hospital for Clinical Excellence Award for the
third year in a row. One of only 269 hospitals in the U.S. to receive this award.
• #1 in Illinois for Overall Cardiac Care and Cardiology Program.
Clinical Excellence• Provides advanced cardiac services, including diagnostic and inter-
ventional catheterizations, electrophysiology procedures and open-heart surgery.
• daVinci® robotic surgical system–the only minimally invasive sys-tem of its kind in Lake and McHenry counties.
• Level II “Plus” birthing center with a special care nursery.• 24/7 pediatric hospitalists on-site.• Comprehensive community cancer program recognized by the
American College of Surgeons for excellence.
Advanced Technology• First hospital in Illinois to offer SAVI brachy therapy (pin pointed radiation) for the treat-ment of breast cancer.• One of few sites in the re-gion to provide Image-Guided Radiation Therapy (IGRT).• Electronic intensive care unit (eICU®) monitoring offers patients around-the clock, real-time audio and video monitoring of ICU patients from one central command center.
Our Emergency Department• Our emergency department is 2 years old and has 24 private patient rooms. We are designated a Level II Trauma Center with a pediatric treatment area and Il-linois state EDAP (Emergency Departments Approved for Pedi-atrics) designation. We are part of
Advocate Injury Institute and Illinois Trauma System Region IX. Our census is approximately 34,000 visits annually.
• The emergency department boasts a dedicated team of highly quali-fied and caring ED physicians, nurses and supportive staff. This dedication can be seen through the longevity of staff and the low turn-over and no vacancy rate within the department. We support advancement of knowledge through numerous continuing educa-tion programs/seminars for all ED staff.
• We embrace Shared Governance and therefore have significant par-ticipation in departmental decision making thus lending a more successful transition of change for the overall operations of the department. We are actively involved in Advocate Performance Enhancement for the past 3 years in order to determine ways to improve the quality and efficiency of the care we deliver care to our patient.
COUNTERSHOCK • 2
Upcoming EventsState Council MeetingsContact Rebecca Steinmann [email protected].
November 7, 2009 - Metro South Medical Center, Blue Island, IL. For more information, visit www.illinoise-na.org.
Educational OpportunitiesNovember 13, 2009 - Fall Symposium 2009, Crowne Plaza Hotel, Spring-field, IL. Continental breakfast and lunch included. One day conference for nurses with an interest in emergency care. Online registration is currently closed. Contact Sharon Iben at [email protected].
December 4, 2009 - A Little Pediatric Seminar, Northwest Community Hos-pital, Arlington Heights, IL. Online registration coming soon. Visit www.illinoisena.org for up-to-date informa-tion. Contact Sue Pritscher at [email protected].
Other EventsFebruary 17-21, 2010- ENA Leader-ship Conference 2010, Hyatt Regency Chicago, Chicago, IL.
Cancelled EventsOctober 27-28, 2009- CATN II, Luther-an General Hospital, is cancelled due to low enrollment. Additional course offerings will be posted on the Illinois State Council web site as they become available. Contact Karin Buchanan at [email protected] with questions.
Chicago (Reverification Course) 11//10/09 Harriet S Hawkins [email protected] 708/848-1331DeKalb 11/16/09 Margaret E West [email protected] 815/756-1521 x153626Joliet 11/17/09 Harriet S Hawkins [email protected] 708/848-1331Chicago 12/07/09 Cassandra O’Brien [email protected] 773/795-7760 Arlington Heights (Reverif. Course) 02/19/10 Vicky A Goeddeke [email protected] (Sue Golbeck) 847/618-7403West Peoria 05/11/10 Barbara A Ekstrum [email protected] 309/624-9492West Peoria(Reverification Course) 06/08/10 Barbara A Ekstrum [email protected] 309/624-9492Arlington Heights 06/23/10 Sue Golbeck [email protected] 847/618-7403 West Peoria 08/03/10 Barbara A Ekstrum [email protected] 309/624-9492Arlington Heights (Reverif. Course) 02/19/10 Vicky A Goeddeke [email protected] (Sue Golbeck) 847/618-7403
Upcoming ENPC Courses
Special Note: TNCC class November 19 and 20, 2009, the fee for ENA members is $300.00 and for non-ENA members is $325.00. If anyone is interested, contact Janice Dorey at 708-684-5979 or by email at [email protected].
Bollingbrook 11/03/09 Patricia Mohorn [email protected] 11/04/09 Patricia A Vandeschraaf [email protected] 309/256-1307Chicago 11/05/09 Nicole T Zuanich [email protected] 773/296-5524Arlington Heights 11/09/09 Sue Golbeck [email protected] 847/618-7403 Naperville (Reverification Course) 11/09/09 Susan K Remaly [email protected] 630/527-3357Decatur (Reverification Course) 11/12/09 Karen S Schneller [email protected] 11/17/09 Sharon S Iben [email protected] 217/788/3686Mattoon 11/17/09 Sheri D Barnett [email protected] Ridge 11/18/09 Joan Morris 847/723-7817Oak Lawn 11/19/09 Janice A Dorey [email protected] 708/684-5979West Peoria 12/01/09 Debra W Yandell [email protected] 708/783-0787Berwyn 12/11/09 Jennifer L Flanagan [email protected] 708/783-0787Chicago 12/04/09 Harriet S Hawkins [email protected] Peoria 04/06/10 Barbara A Ekstrum [email protected] 309/624-9492Arlington Heights (Reverif. Course) 04/06/10 Laura S Aagesen [email protected] (Sue Golbeck) 847/618-7403West Peoria 06/01/10 Barbara A Ekstrum [email protected] 309/624-9492West Peoria 09/14/10 Barbara A Ekstrum [email protected] 309/624-9492Arlington Heights (Reverif. Course) 11/02/10 Laura S Aagesen [email protected] (Sue Golbeck) 847/618-7403West Peoria 12/07/10 Barbara A Ekstrum [email protected] 309/624-9492
Upcoming TNCC Courses
Educational OfferingFall Symposium 2009By Nicholas Nelson, MS, RN, EMT-P
New this year to the Illinois ENA’s educational offerings is the Fall Sym-posium 2009, a one day conference for nurses with an interest in emergency care. The Fall Symposium will be held at the Crowne Plaza Hotel in Springfield, Illinois, on Friday, November 13. Presentations by emergency nurses and physi-cians include gallows humor, child abuse, street drugs, sepsis management and ED bounce backs. A limited number of select exhibitors will also be on hand to share with you products and services tailored to emergency nursing. Additionally, meals and snacks will be served and registrants will receive nursing continuing education contact hours.
Sharon Iben, RN, BSN, TNS, CEN, Director, Illinois ENA, has been leading the Fall Sympo-sium planning group, a subcommittee of the Education Committee. With weeks still to go, the Fall Symposium is already a success with more than 100 registrants. As a result of high demand, additional registration spaces have been added. Online registration and hotel accommodations can be found online at www.illinoisena.org. For more information, contact Sharon Iben at [email protected].
3 • COUNTERSHOCK
COUNTERSHOCK • 4
Archives CornerBy Kathleen Richmond, RN, MS
Updates on the H1N1 influenza are in the news every day. This pandemic is a reminder of other major flu outbreaks in the past century. The most devastating occurred at the end of WWI and was known as the ‘Spanish influenza’. Over 600,000 persons in the US most were young healthy adults, died in the winter of 1918-1919. In fact, more enlisted men died of influenza than died on the battlefields of the war. Estimates are there were 30 to 50 million deaths worldwide. Hard to imagine, isn’t it?
The start of the outbreak was attributed to Spain, therefore, the name Spanish influenza. There were three distinct waves of cases across the world, most likely because the virus mutated. Ini-tial U.S. cases were in a military camp in Kansas, but spread throughout urban and rural areas of the country. Illinois had a major railroad hub in Chi-cago, so it was quickly impacted.
The war effort left a shortage of trained medi-cal personnel in many communities and many doctors and nurses be-came ill themselves. The public health service was hard-pressed to give assistance. As the disease spread, schools and businesses emptied. Tele-graph and telephone services collapsed as operators took to their beds.
Pediatric CommitteeCPEN Exam Review CourseBy Mary Otting, RN, CEN
On May 15th and 16th, 2009, the Illinois ENA Pediatric Commit-tee held the first ever CPEN™ review course for the state. The Course was attended by 50 people and was viewed as a highly successful event for the group.
The CPEN™ (Certified Pediatric Emergency Nurse) review course was organized with the efforts of Sandy Cardone and Carolyn Claus, two of the newest members to the Illinois Pediatric Committee. The course was devel-oped with the efforts of the Peds Committee over a period of almost nine months. As there was no formal review manual written as of the beginning of this project, the group took on the task of deciding exactly what needed to be included within the review course.
The group chose Northwest Community Hospital as it was centrally located, easily accessible and provided free parking as well. May dates were chosen to best fit schedules.
Once the content was decided upon, the group then was tasked with finding qualified speakers to best ensure the participants would be able to pass the test. Speakers were then contacted for availability and willingness to lecture on identified topics.
The two day course covered everything pediatrics from triage and as-sessment, to skills, system issues, psychosocial, maltreatment, legal issues and finally test-taking skills. Handouts were provided on jump drives for all participants as part of the Illinois State Council’s efforts of “going green”.
The Illinois Pediatric Committee would very much like to thank the
following people and groups for their efforts in help-ing us with our first ever CPEN™ review course:Northwest Community Hospital–host siteSpeakers:• Radek Hoffmann • Barb Weintraub• Teri Campbell• Harriet Hawkins• Sharron Chivari• Marlene Bokhlodt• Mary Lynn Rae-Zahradnik• Theresa Gomez• Michele Moran• Bonnie Mobley• Tara Seider• Vicki Bacidore• Beth Nachstsheim Bolick• Mary OttingWater, Coffee and Lunch:• Hinkley and SchmidtRegistration:• Nicholas Nelson• Bonnie Mobley
The Peds committee would also like to recognize those members from the state who through their wonderful efforts participated in the committee at national ENA to assist in test writing, content development, etc. Your ef-forts in making CPEN™ possible are greatly appreciated!
For more information on CPEN™ visit http://admin.ena.org/bcen/.
Garbage went uncollected as garbage men reported sick. The mail piled up as postal carriers failed to come to work. As the bodies accumulated, funeral parlors ran out of caskets and bodies went uncol-
lected in morgues.Public health efforts to contain the disease in-
cluded quarantines and closing of many community buildings such as churches and schools. Little was known about viruses at the time, so home remedies such as rubbing with camphorated oil or drinking medicinal alcohol did nothing to stop the spread.
Today the world is blessed to have scientific knowledge, vaccines, and anti-viral medications to aid in this new pandemic. As nurses we can be an effective force by educating our patients, fam-ily, and friends about the benefits of flu vaccines, proper hand hygiene and cough etiquette. Much can be learned from the past if we take the time to
look at it.You can read more about this historic epidemic at http://1918.pan-
demicflu.gov.
5 • COUNTERSHOCKAnnouncementsENA Leadership Conference in Chicago February 17-21, 2010, Hyatt Regency ChicagoSeeking Volunteers to give of their time, smiles and knowledge of our beautiful city! Come help us greet our fellow ENA members at the Na-tional Leadership Conference. Illinois is the host state for this upcoming event, and we are looking for energetic individuals who would like to volunteer their time. If interested in helping out please contact the Lead-ership Conference Committee Chair, Christine Chaput, at: [email protected] or [email protected] or 708-327-2544.
2009 Illinois ENA State Council Election ResultsNicholas Nelson was elected Treasurer-elect and Bonnie Mobley was elect-ed Director.
Vicki Keough, Acting DeanPresident Fr. Michael Garanzini, SJ, in collaboration with Paul Whelton, MB, MD, MSc, announced the appointment of Vicki Keough, RN, PhD, ACNP, CCRN, as acting dean of the Marcella Niehoff School of Nursing, Loyola University Chicago, effective immediately. Congratulations to Dr. Keough on her new position.
ENAF Donation for Silent Auction Illinois State Council ENA donated a hand-cast sterling silver necklace and earrings, made by Dr. Christopher (an IMERT member). He creates the jewelry from Black alder seed cones. Thank you Dr. Christopher for your help.
Illinois ENA Spring Symposium 2009 Posters1. “Radon & Lung Cancer: A Community Education Program”, Cindy Ladage, Illinois Emergency Management Agency Radon Program2. “ED By-Pass”, Sarah Calvert, Loyola University Health System ED3. “Developing and Implementing an Evidence-Based Protocol on Therapeutic Hypothermia in the Post-Resuscitation Patient”, Zebuline Koran, North-
west Community Hospital4. “A Standardized Pediatric Dosing Tool to Promote Safe and Effective Medication Delivery for Children Requiring Procedural Sedation in the Emer-
gency Department”, Leslie Wilkans, Advocate Good Shepherd Hospital5. “Jumpstart: How a Small Amount of Seed Funding Can Lead to a Big Bushel of Training”, Mary Otting, RN; Elisabeth K Weber, RN, MA, CEN; Sally
L Reynolds, MD, Children’s Memorial Hospital6. “Pediatric Emergency Preparedness Consultation for Community Hospitals”, Elisabeth K Weber, RN, MA, CEN; Sally L Reynolds, MD, Children’s
Memorial Hospital7. “ED Overcrowding”, Michelle Ruther, Loyola University Health System ED8. “Growing Successful Pediatric Emergency Nurses”, Vicky Goedekke, Northwest Community Hospital9. “Illinois ED Asthma Surveillance Project”, Cathy Catrambone/Nicole Thompson, Rush ED10. “Adaptation and Validation of the Pediatric Leadership Assessment Tool”, Bonnie Mobley, Children’s Memorial Hospital
Evidence Based Practice (Research) CommitteeBy Vicki Keough, RN, PhD, ACNP, CCRN
Illinois ENA Evidence-Based Practice Winners for 2008/2009 ContestCalvert, Sarah, RN, BSN. (Loyola University Health System, May-
wood, IL). Introduction to ED Bypass. Due to a decline in inpatient admis-sion during the 1980s and 1990s, hospitals decreased bed availabilities in an effort to decrease costs. The result was currently there are not enough EDs to meet the needs of the communities and 34.4% of hospitals went on bypass during 2004. Several innovative solutions to the ambulance bypass issue were reviewed in the US, Canada and Europe.
Goedekke, Vicky, RN, MS. (Northwest Com-munity Hospital, Arlington Heights, IL). Growing Successful Pediatric Emergency Nurses. An innova-tive educational program focused on preparing nurses to care for pediatric patients was presented. This pro-gram combined and education component along with a modified clinical internship to prepare nurses to obtain the theoretical knowledge and clinical experience they need to care for pediatric patients.
Ruther, Michelle, RN, BSN. (Loyola University Health System, Maywood, IL). ED Overcrowding: The Dilemma of Caring for Patients in an Overcrowded Emergency Department. Hospital over-crowding, including emergency departments (EDs) is reaching epidemic
proportions in the United States. Wait times for both ED service and inpatient beds are increasing exponen-tially. There are many problems encompassed in hos-pital overcrowding and too few solutions. Admitted patients waiting for a hospital bed are bordered in the ED. This can lead to mistakes and patient safety issues based on the fact that emergency room nurses are not trained
to be med-surg, telemetry or ICU nurses. The ED en-vironment is unsuitable for the admitted patient based on noise level, constant activity, level of cleanliness and unfamiliarity with floor orders.
Catrambone, Cathy, RN, PhD & Thompson, Ni-cole, BA. (Rush University Medical Center, Chicago, IL). The Illinois ED Asthma Surveillance Project. The Illinois ED Asthma Surveillance Project is sponsored by the Illinois Department of Public Health (IDPH) to gather information about how asthma is treated in the community and across the state. Asthma treatment
in Illinois is benchmarked against national standards and guidelines. Find-ings are presented and recommendations made regarding the treatment of asthma in EDs across Illinois.
COUNTERSHOCK • 6
Communications CommitteeBy Evelyn Lyons, RN, MPH
The Communications Committee held a quarterly meeting on Septem-ber 3, 2009, and discussed the following areas:
• Adapted language from National ENA has been added to the Fall Sym-posium section on the Illinois ENA homepage noting that any photos taken during this event may be used for promotional purposes, posted on our web site or used in our CounterShock newsletter. This informa-tion will be added to all future Illinois ENA event brochures/registra-tion materials. This is necessary since permission would otherwise be needed to post event photos of individuals on our web site.
• National ENA has recently rolled out their newly redesigned web site. Illinois ENA members are invited to view their web site. With their redesign, some of their links from our Illinois ENA web site no longer worked. All links to pages on the National ENA web site have since undergone review and are now functional.
• Bonnie Mobley and Nicholas Nelson drafted a template electronic CVENT/Print Material Project Request form needing to be completed and submitted prior to any work project, i.e. educational brochure, on-line course/symposium registration, etc. This is a multi-purpose form capturing essential information for a work project, i.e. the contact per-son, type of event, needed media materials, etc. Further additions are pending and then the form will be available for use.
• To date both Bonnie and Nick have been fielding CVENT and other technical support requests. In the future, they will each have a specific schedule. An assignment calendar will be developed in the near future.
• Plans are proposed to obtain more information related to social net-working. CVENT now has links to Facebook. The committee will
be looking into the possibility of setting up a group on Facebook and also looking into Twitter, Linked-In and internet marketing.
• Only a small number of the Illinois ENA mem-bership submitted online ballots during the 2009 Board of Directors election. Ideas and recommendations are requested to increase voting. One recommendation is to set up an election booth at the 2010 Spring Symposium.
• Julie Bracken requests articles for the CounterShock Newsletter. Please submit articles to Julie at [email protected].
• All Illinois ENA members are requested to view the past Board of Di-rectors list posted on our web site at www.illinoisena.org/oldboards.aspx. Although the list begins with our first president (June Brown) in 1973, the following years of information are missing: 1978; 1980-1985; 1987; 1989; 1993; 1995-1999. Any knowledge anyone has regarding names of board members for these years, please contact Evelyn Lyons.
• New information and links continue to be added to the web site to ensure that information on the web site stays current.
The Communications Committee has quarterly meetings via telecon-ference. Anyone interested in joining the committee or for further informa-tion regarding the committee can contact Evelyn Lyons.
The Communications Committee encourages all Illinois ENA mem-bers to visit the Illinois State Council web site at www.illinoisena.org. If you have any recommendations for the web site or if there is any additional information or resources you would like to see added to the web site, please contact Evelyn Lyons at 708-327-2556 or [email protected].
Florence Nightingale is credited by historians with being the founder of ‘modern trained nursing’. She was a contemporary of eminent scientists such as Pasteur, Koch, Lister and Semmelweis, all of whom did so much to improve medicine and surgery in the nineteenth century.
Florence was born in 1820 to aris-tocratic British parents. At an early age she expressed the desire to care for the sick, and looked for a way to be useful to humanity. Florence was deeply reli-gious and saw her work as following in the Savior’s footsteps. She never married, devoting herself to nursing. She is most famous for her work during the Crimean War. Disciplined and determined, she let nothing stop her from reforming hos-pital conditions despite initial opposi-tion from the military doctors. Within six months she had reduced the hospital death rate from 42 percent to 2 percent.
After the war she founded the Night-ingale School of Nursing at St. Thomas’ Hospital in London. In addition, she
Historical Nursing Heroines: Florence NightingaleBy Kathleen Richmond, RN, MS
continued her work to improve health, efficiency and hospital administration of the British Army. Flor-ence used her political influence to improve sanitation
problems in In-dia, and became an advisor-in-general on hospitals and nursing in the United Kingdom. She was a prolific writer, and her ‘Notes on Hospitals’ and ‘Notes on Nursing’ are classics. In 1907 King Edward awarded Miss Nightingale the Or-der of Merit. It is the highest honor bestowed by the British Crown, and Florence was the first woman to ever receive it.
Florence Nightingale died at the age of 90. Her greatness was due to a remarkable combination of qualities. In an address to nurses in 1876, Flor-ence said, “Dare to stand alone.” She did – a true nursing heroine.
7 • COUNTERSHOCKGovernment Affairs CommitteeThe UPPL LawBy Thelma Kuska, RN, BSN, CEN, FAEN
In 1947, the National Association of Insurance commissioners adopt-ed the UPPL as a model law. The Alcohol Exclusion Law, embedded in the Uniform Accident and Sickness Policy Provision Law (UPPL) of many States, allows insurance companies to deny reimbursement to hospitals for treatment to those who are injured while impaired by alcohol or any drug not prescribed by a physician at the time of injury. By denying insurance coverage for injuries suffered while under the influence, the Alcohol Ex-clusion law was intended to discourage drinking and save insurance companies money. However, such laws may have unintended consequences of limiting the ability of physicians to recognize people with alcohol or drug problems and refer them to treatment. In addition, the laws may reduce the incentives for physicians to test BACs of injured people who may have been driving at the time of their in-jury and may also deter injured drivers from seeking medical treatment.
In 2001, in recognition of advances in alcohol treatment and with strong support from medical authorities, the National Association of Insurance Com-missioners (NAIC) unanimously rec-ommended states to repeal the Alcohol Exclusion Law and prohibit denial of cov-erage for individuals while under the influence of alcohol or narcotics. Since 2001, 15 states have repealed or amended their Alcohol Exclusion laws. In 2007, the Illinois Legislature passed SB0021, a bill to repeal the UPPL law in Illinois. It was signed into law on August 16 and became effective January 1, 2008 (Public Act 095-0230). As of January 2009, 27 States have alcohol
Health Insurance Mandates for Alcohol-Related Treatment as of January 1, 2009
Alcohol Policy Information System, 2009
exclusion laws, namely, Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Kansas, Kentucky, Louisiana, Maine, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Jersey, New York, North Dakota, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia and Wyoming.
Seven States implicitly allow the use of alcohol exclusions (Alaska, Mas-sachusetts, Michigan, New Mexico, New Hampshire, Oklahoma, Utah, Vermont and Wisconsin). Because these States do not have laws explicitly prohibiting insurance companies from excluding coverage for injuries suffered under the influence of alcohol and drugs, courts have ruled insurance companies can sue such exclusions.
Since 2001, a total of 15 States and the District of Columbia have prohib-ited the use of alcohol exclusions – Cali-fornia, Colorado, Connecticut, District of Columbia, Illinois, Indiana, Iowa, Maryland, Nevada, North Carolina, Ohio, Oregon, Rhode Island, South Dakota and Washington. Vermont has repealed explicit laws but did not pro-
hibit exclusions. Six States –Massachu-setts, Michigan, New Mexico, New Hampshire, Utah and Wisconsin, never adopted the Alcohol Exclusion Laws. However, because these states do not explicitly prohibit insurance companies from excluding coverage for injuries suffered under the influence of alcohol or drugs, courts have ruled that in-surance companies can use such exclusions.
COUNTERSHOCK • 8
Meeting Summary – May 16, 2009Celebrating Successes:• NorthShore Medical Center passed their EDAP certification process• Leslie Wilkens, ED nurse from Advocate Good Shepherd, won the Ron
L. Lee EMS Education Award• Vicki Keough, was promoted to full professor at Loyola’s Niehoff
School of Nursing
Updates:• National ENA is looking at a new delegate selection process for 2010• Thelma Kuska discussed the new “STOP Injuries” prevention program• Cheryl Vinikoor reported on a very successful Spring Symposium that
included 55 exhibitors and over 200 attendees. The keynote speaker, Terry Foster was well received, and the APN track, ENPC/TNCC courses were also successful
• The 2010 National ENA Leadership Challenge Conference will be hosted in Chicago. Cheryl Vinikoor is looking for volunteer state am-bassadors to assist with various functions as well as co-chairs of the plan-ning committee
• Illinois ENA was recognized by National ENA for their contributions to ENAF
• Steve Stapleton’s motion carried supporting the Massachusetts ENA State Council’s proposed bylaw amendment to allocate 700 ENA Gen-eral Assembly members where every state sends at least two delegates plus additional delegates based on proportion of membership
• The Education committee announced a Trauma Seminar June 19th at Northwest Community Hospital
• Pediatrics committee hosted 51 attendees for the CPEN™ review course held at Northwest Community Hospital
• The Evidence-Based Practice Committee’s annual contest submissions are due and committee and SIG reports were reviewed
Meeting Summary – September 19, 2009Celebrating Successes• Elizabeth Weber has a new position as Projects Administrator for the
City of Chicago Office of Public Health Preparedness and Emergency Response
• Vicki Keough was named acting dean of Loyola University Chicago’s Neihoff School of Nursing
• Vicki Bacidore, Christine Chaput, and Vicki Keough authored an article published in the November 2009 edition of JOGGN titled, “ A Collaborative Framework for Managing Pregnancy Loss in the Emer-
Illinois State Council Meeting HighlightsBy Vicki Bacidore, RN, MSN, ACNP, CEN
gency Department”• Rebecca Steinmann co-edited the newly
published, Sheehy’s Emergency Nursing, 6th Edition. Illinois ENA members who authored chapters included: Vicki Bacidore, Darcy Egg-ing, Sharon Graunke, Vicki Keough, Rebecca Steinmann and Paula Tanabe
• Loyola University Medical Center achieved Magnet Status• Kathleen Richmond will be speaking at the Joint Commission 2010
Annual Ambulatory Care Conference• Edward Hospital opened a free-standing ED in Plainfield
Updates• Illinois State Council is hosting National ENA’s Leadership Challenge
Conference to be held in Chicago on February 17-21, 2010. Contact Christine Chaput at [email protected] if interested in volunteering at the conference
• The General Assembly proposed bylaw amendments and resolutions were discussed
• IL ENA State Election Results for 2010 officers: Nicholas Nelson will be Treasurer-Elect and Bonnie Mobley will be Director
• ENAF Illinois Scholarship: IL donated more than $5000, so we can name a scholarship to submit to national; “2010 Land of Lincoln Scholarship”
• The 2010 Evidence-Based Practice Contest Submissions are due by November 1, 2009. Four nurses will each win $400, along with a free registration to the 2010 Spring Symposium, and will present a poster at the conference. Contact Vicki Bacidore at [email protected] for more information or submissions
Upcoming Events• October 29, Budget meeting at Northwest Community Hospital• November 13, Fall Symposium in Springfield• December 4, Pediatric Symposium at Northwest Community Hospital
Educational Presentation• “Mission Lifeline: Building STEMI Systems of Care” presented by
Anne Gavic-Ott and Kathleen O’Neill, American Heart Association
Next Meeting• November 7, at Metro South Medical Center in Blue Island, IL. Edu-
cational Presentation: “Post Traumatic Stress Disorder” presented by Mikki Grit, BA, RN, TNS
Trauma CommitteeBy Karin Buchanan, RN, MSN, APN-CNS, CCRN, CEN
The Trauma Committee was busy this past year. We sponsored two Con-cepts of Advanced Trauma Nursing-Injury and Illness (CATN II) courses: one at St. Alexius in Hoffman Estates and the other at OSF St. Francis in Peoria.
We also sponsored one TNCC instructor course this year at Spring Sym-posium. Our hope is to sponsor two courses per year starting in 2010 in conjunction with the Spring and Fall Symposiums. The Trauma Committee would like TNCC course instructors to mail (snail mail or email) their in-structor potential candidate information to us (on the course summary from ENA it says optional—ignore that part). It will greatly assist in the planning of any future TNCC instructor courses if we know how many and where
instructor candidates are located. Course Directors can send email information about potential instructor candidates to [email protected].
All our meetings are conducted by telephone con-ferencing. While it doesn’t replace the valuable face to face meetings, it is a reality in today’s budget tight, no free time life we lead. Meeting dates and times are the second Tuesday at 6 PM in March, June, September, and December. Meetings generally last about an hour depending on agenda items. Please contact myself, Karin Buchanan, at [email protected] or the co-chair of the Trauma Committee, Karen Bosnyak, at [email protected].
9 • COUNTERSHOCKH1N1: A Preparedness Perspective By Elisabeth K. Weber, RN, MA, CEN
As I write this article, President Obama just declared a public health emergency under section 319 of the Public Health Service Act, 42 U.S.C.247d, in response to the 2009 H1N1 influenza virus. By the time you read this, there will be a lot of information disseminated via the media and organizations such as the CDC, HHS, IDPH and my own new em-ployer, the City of Chicago Department of Public Health. If I wrote about H1N1 today it might be old news tomorrow, so I wanted to highlight the role that you, an Emergency Nurse, should play in the current epidemic.
#1 Remember you are no good to anyone sick! Get your seasonal and H1N1 vaccinations as soon as possible. You
know all about hand washing and sanitizing, but really do it! Be strict with yourself when using PPE, especially in light of the current controversy related to CDC guidelines for N-95’s (airborne) versus the usual protec-tion for influenza which is surgical masks (droplet). If you are sick, do stay home and get better…..please.
#2 Try to keep up with rapidly changing information! Sign up on the CDC web site to receive updates, follow CDC on
Twitter, get yourself onto the IDPH or CDPH Health Alert Networks, and read your employer’s updates on the intranet before you start work each shift. Look for reliable sources of information because your family, friends and patients will look to you for advice and information. My favorite informational site for H1N1 as of October, 2009, is www.flu.gov.
# 3 Be aware that if you provide front line care in an ED you might be the first to recognize changes!
Don’t keep your observations and ‘gut instinct’ to yourself. The exam-ple I use is last April 25th when two of the senior staff nurses at Children’s Memorial Hospital called the Nursing Supervisor on duty (me!) and asked, ‘where are the PAPR’s and how many do we have?’. They saw a sudden in-crease in the number of patients presenting with respiratory symptoms and they were thinking ahead. This was the beginning of the surge of patients with ILI—influenza like illness—that started out to be Swine flu, then H1N1, then novel H1N1, and now called 2009 Pandemic H1N1.
# 4 Consider signing up to be a healthcare volunteer!The federal government developed a program called ESAR-VHP
(Emergency System for Advance Registration of Volunteer Health Profes-
sionals) which, in our state, is called Illinoishelps. By going to the web site, www.illinoishelps.net, you can sign up to volunteer for anything from local flu clinics to a ‘just in case’ scenario if there is a major disaster. The IMERT (Illinois Medical Emergency Response Team) is listed in the database as a team, as is INVENT (Illinois Nurse Volunteer Emergency Needs Team). The ESAR-VHP Coordinator, based at the Metropolitan Chicago Healthcare Council, is Kevin Sullivan, [email protected] Office: 312-906-6068. Kevin would love to come and speak to any organizations /meetings /hospitals about Illinoishelps, so go ahead and call him.
#5 Be aware of the HAvBED (National Hospital Available Beds for Emergencies and Disasters) process!
In Illinois we have the Bed Tracking System at IDPH. The 200-plus hospitals in our state are currently required to report data on bed availabil-ity by 1000 each day. This information is then sent forward to the federal government through the HAvBED process. Everyone should be aware that HAvBED is on the verge of requiring additional information on stressors to hospital surge, such as ventilator usage and supply availability. Addi-tional questions are being developed and they will soon be added to the IL system.
#6 Take advantage of all of the no cost training available online for emergency preparedness!
There are many contact hours available online through the FEMA.gov web site http://training.fema.gov/EMIWeb. If you work in a hospital, in order to comply with the National Incident Management System (NIMS) at the organizational level, you may have already completed NIMS 100HC and NIMS 200HC. Again, free for you, and the certificate is suitable for framing. If you work in a leadership position that may function in the hos-pital’s Incident Command System/HICS, you may be required to complete NIMS 700. It is only a matter of time if you haven’t taken these courses already.
#7 Finally complete your family disaster plan!Either the American Red Cross or Ready.gov has great planning tools.
Why don’t you finally do it today?
Silent Auction Nets $2,570.67 For ENAF At 2009 Spring SymposiumBy Kathleen Richmond, RN, MS
Thanks to the generosity of members, families and friends of ENA, $2,570.67 was raised for the Emergency Nurses Association Foundation (ENAF) during this year’s Silent Auction on April 2nd. This annual event is held at our Networking Dinner prior to Spring Symposium and includes a 50/50 Raffle. Thanks to all of you who contributed items and/or bid at the auction.
Donations to the ENAF directly benefit emergency nurses, emergency patients, and the public through the support of emergency nursing research, the promotion of public education regarding prevention of illness and injury, and the awarding of undergraduate, advanced practice and doctoral scholarships. As coordinator of the auction, I want to recognize those generous individuals who donated auction items, and are directly responsible for the huge success of this fundraising event.
Thank you to Illinois State Council members Thelma Kuska, Julie Bracken, Regina Bracken, Darcy Egging, Deeann Faragoi, Joanne Mitchell, Kathleen Richmond, Diane Rogel, Marilyn Rice, Rebecca Steinman, and Vicky Goeddeke. Donated items included White Sox tickets, jewelry pieces, prints, picture frames, hand knit gift items, gift baskets of all sorts, wine, nursing collectibles, Aussie, and vintage items.
Thank you to Superior Ambulance for the generous donation of a Summer Fun Set.Thank you to our Illinois State Council Trauma, Education, and Evidence Based Practice Committees and the Advanced Practice Nursing SIG for their
special gift baskets.Thank you to “friends of ENA”, Sarah and Joe D’Amico, for a variety of items donated.Lastly, it’s not too early to be thinking of next year’s Silent Auction event. Please contact me if you can help by donating an item, or if you know of a
business or organization willing to contribute. My e-mail is [email protected] or you can phone me at 708-687-6044.
COUNTERSHOCK • 10DelegatesENA GeneralAssemblyBy Julie D’Agostino, RN, MS, APRN-CS, CEN
The ENA General Assembly was October 7-8, 2009 in Baltimore, Maryland. The Illinois delegation participated in the business of the national association, including many bylaw revisions and three resolutions. Pic-tured at left are (not in order): Pat Altman, Vicki Bacidore, Tibor Bajor, Julie Bracken, Regina Bracken, Mary Ellen Burfield, Christine Chaput, Karla Christianson, Julie D’Agostino, Joy Davis, Diane Dischinger, Darcy Egging, DeAnn Fara-goi, Vicky Goeddeke, Marites Gonzaga, Harriet Hawkins, Carleen Kaucky, Vicki Keough, Thelma Kuska, Barb Langraf, Pat Madden, Karen Mor-row, Nicholas Nelson, Joy Ogden, Carole Reif, Elaine Sniegowski, Steve Stapleton, Rebecca Steinmann and Cheryl Vinikoor.
`
2009 BOARD OF DIRECTORS
Rebecca Steinmann, RN, APN, CEN, CPEN, CCRN, CCNSH: 630-516-0608 W: 773-975-8764EM home: [email protected]
Cheryl Vinikoor, RN, BSN, CENH: 847-870-0793 W: 847-480-3751EM home: [email protected]
Stephen Stapleton, RN, PhD(c), MS, MSN, CENH: 773-293-0126 C: 773-350-7959EM: [email protected]
Vicki Bacidore, RN, MSN, ACNP, CEN, TNSH: 630-279-4061 W: 708-217-5600EM work: [email protected]
Susan Harrison, RN, MBA, TNSH: 815-788-1567 W: 847-360-4133EM home: [email protected]
DeAnn Faragoi, RN, MSN, CEN, EMT-PH: 708-423-5440 C: 708-359-1487EM home: [email protected]
Sharon Iben, RN, BSN, TNS, CENC: 217-306-2197EM work: [email protected]
2009 COMMITTEE CHAIRS
Kathleen Richmond, RN, MSH: 708-687-6044 W: 773-582-7620EM home: [email protected]
Evelyn Lyons, RN, MPHH: 708-499-0661 W: 708-327-2556EM work: [email protected]
2009 COMMITTEE CHAIRS (Continued)
Bonnie Mobley, RN, BSN, TNSW: 773-880-3146EM work: [email protected]
Sue Pritscher, RN, BSN, CENW: 847-618-4063EM work: [email protected]
Vicky Goeddeke, RN, MS, CEN, CPENH: 815-484-9788 C: 815-289-7987EM work: [email protected]
Vicki Bacidore (See Secretary)
Thelma Kuska, RN, BSN, CEN, FAENH: 708-361-8677 W: 708-503-8892 #20EM home: [email protected]
Kathy Koch, RNH: 708-429-2753 W: 708-684-5937EM home: [email protected]
Ann Adlington, RNH: 815-485-4883 W: 708-824-4649EM home: [email protected] Toscano, RNH: 708-361-2904 W: 708-824-4518EM home: [email protected]
Mary Otting, RN, CENH: 773-539-7281 #1 W: 773-880-4437EM work: [email protected]
Cheryl Vinikoor (see Past President)
Karin Buchanan, RN, MSN, APN-CNS, CEN, CCRNH: 847-608-8873 W: 847-490-2529EM work: [email protected]
2009 SIGS/CONSULTANTS
Darcy Egging, RN, MS, CNP, CENH: 630-554-3432 W: 630-208-4000EM home: [email protected]
Julie D’Agostino, RN, MS, APRN-CS, CENH: 847-259-0732 C: 847-682-5824EM home: [email protected]
Annie Moy, RN, MS, TNS, CEN, ECRNW: 312-926-5211 F: 312-926-6288EM work: [email protected]
Evelyn Lyons (see Communications)
Darcy Egging (see APN)
Debbie Smith, RNH: 309-821-9241EM home: [email protected]
Amy Krupa, RN, MSNH: 630-325-2536 W: 708-684-5360EM home: [email protected]
Barbara Weintraub, RN, MSN, MPH, APNH: 847-699-2980 W: 847-618-5432EM work: [email protected]
Julie Bracken, RN, MS, CENH: 708-636-3156 W: 708-633-4108EM home: [email protected]
Paula Tanabe, RN, PhDH: 312-922-8414 W: 312-926-6483EM work: [email protected]
COMMUNICATIONS(Continued)
EDUCATION Co-Chairs
EBP/RESEARCH
GOVERNMENTAFFAIRS
INJURY PREVENTION
MEMBERSHIP Co-Chairs
PEDIATRIC/ENPC
SPRING SYMPOSIUM
TRAUMA/TNCC
APN
DELEGATES
EMS
EMSC
ENFCo-Chairs
IMERT
INVENT
NEWSLETTER
TRIAGE
PRESIDENT
IMMEDIATE PAST PRESIDENT
PRESIDENT-ELECT
SECRETARY
TREASURER
DIRECTOR
DIRECTOR
ARCHIVES
COMMUNICATIONSCo-Chairs
Illinois State Council Emergency Nurses Association
