Journal of Emergency Nursing

Nurses Caring About Nurses

Diane Gurney — 2010-03-01

In 1998, I worked evenings as a nursing supervisor at St. Francis Hospital Medical Center in Harford, CT, a Level I Trauma Center. Among other things, we booked beds for all patients needing critical care or step down. I loved that job and was usually assigned to cover the emergency department because of my background. I would frequently go down to check on them, and I would always respond to the trauma activations and help out as scribe.

The Tapestry of Emergency Nursing

Reneé Semonin-Holleran — 2010-03-01

It was my turn to pick the Journal's cover this month. My choice may seem a little unusual, but there is a reason. The scarves pictured on the cover were woven by one of my co-workers. She was actually my mentor when I joined the emergency department staff 2 years ago. That was when I learned that weaving was one of her passions. Also, that is why I asked her for some pictures of her work. Weaving is a good metaphor for emergency nursing.

Screening Out Does Little to Address ED Overcrowding

Jenny Key — 2009-12-21

I found the September 2009 article “Guesting Area: An Alternative for Boarding Mental Health Patients Seen in the Emergency Department” to be extremely interesting. I currently work in a rural emergency department in central North Carolina that has 36 regular ED beds, 4 trauma rooms, and a 10-bed holding area for patients waiting on a bed assignment when admitted. We constantly are confronted with cases of psychiatric patients coming to the emergency department, being admitted, and then having no place to go. Often our behavioral unit upstairs is full or the patients who are being admitted do not meet the criteria for admission at our facility, which means the task of finding an accepting facility then begins. We have had patients wait in our emergency department for more than 18 hours at a time because they simply don't have an accepting facility to go to.

Simulators are Under-used

Sarah Clark — 2009-12-25

I thoroughly enjoyed the article “Assessing Competency With the Use of Human Patient Simulation in the Emergency Department” in the September 2009 issue. This article discussed how patient simulators are being used to determine nurse competency in the emergency department. Gomez did an excellent job of explaining how competency can be measured with the simulators and how different scenarios can unfold with the simulator. She also discussed the benefits of patient simulators and how helpful they really are.

Advising Parents with Asthmatic Children

Vanessa Monk — 2009-12-25

The article “Are Pediatric ED Nurses Providing Tobacco Cessation Advice to Parents?” in your September 2009 issue caught my attention. I just finished my pediatric and mother-baby clinical rotations in a hospital located in a moderately sized city where many vulnerable populations seek care. It was astonishing to see how many new mothers were stepping outside for a cigarette soon after giving birth and to experience the overwhelming aroma of cigarette smoke when walking into a closed room where pediatric patients were being treated. Given the many negative implications of smoking, I believe it is all too prevalent, especially in homes where young children are directly in contact with environmental tobacco smoke. As a soon-to-be nurse who is interested in working with the pediatric population, I believe nurses have an important obligation to be an advocate for this vulnerable population. Sometimes that means treating not only the children but also the parents.

Response to Article on Topical Anesthesia

Romlee C. Apolinar — 2010-03-01

I recently read the article entitled “The Use of Topical Anesthesia During Intravenous Catheter Insertion in Adults: A Comparison of Pain Scores Using LMX-4 Versus Placebo” in the July 2009 issue of the Journal.

2008 Behrman Article: Luck of the Draw: Common Adulterants Found in Illicit Drugs

Earth Erowid — 2010-03-01

We have operated the only independent street ecstasy testing program in the United States for the last 8 years. In the course of researching adulterants in street cocaine, I read for the first time this week a paper in the February 2008 issue of the Journal of Emergency Nursing a manuscript by Behrman that mentions the adulterant testing of ecstasy tablets. I would like to point out several errors that were made by the author and apparently missed by the reviewers.

Response

Alysha Behrman — 2010-03-01

I am writing in response to a Letter to the Editor written by Earth Erowid focusing on two concerns in the article “Luck of the Draw: Common Adulterants Found in Illicit Drugs.” I agree with Earth Erowid that illicit use of ketamine occurred before illicit use of ecstacy. To clarify, the popularity and awareness of ketamine increased following the wider spread use of ecstasy. In addition, both ecstacy and ketamine are associated with use at “raves” and are considered common “club drugs.” Subsequently, during this time, adulterations of ecstasy with ketamine brought additional focus on ketamine in the substance abuse arena.

Accuracy of Non-contact Infrared Thermometry Versus Rectal Thermometry in Young Children Evaluated in the Emergency Department for Fever

2009-09-04

Objective: We evaluated the accuracy of a non-contact infrared thermometer compared with a rectal thermometer.Methods: Two hundred patients, ages 1 month to 4 years, were included in the study. Each child underwent contemporaneous standard rectal thermometry and mid forehead non-contact infrared thermometry. Clinical features, including chief complaint, recently administered antipyretic agents, and ambient temperature at the time of measurement, were included.Analysis: Linear models were used to compare agreement between the 2 techniques, as well as to determine bias of infrared thermometry at different rectal temperatures. Multivariate linear models were used to evaluate the impact of clinical variables and ambient temperature.Results: A linear relationship between rectal and infrared temperature measurements was observed; however, the coefficient of determination (r2) value between was only 0.48 (P < 0.01). Infrared thermometry tended to overestimate the temperature of afebrile children and underestimate the temperature of febrile patients (P < .01). Ambient temperature and child age did not affect the accuracy of the device.Conclusion: In this study, non-contact infrared thermometry did not sufficiently agree with rectal thermometer to indicate its routine use.

Pharmacist Improves Timely Administration of Medications to Boarded Patients in the Emergency Department

2009-06-05

Purpose: Our purpose was to assess the variations in timely administration of medications based on differences in nursing staff (ED nurses who are responsible for emergency and boarded patients vs inpatient nurses who are responsible for only boarded patients) and to determine whether a pharmacist’s interventions can improve the timely administration of medications to boarded patients in the emergency department.Methods: This was a prospective observational study. Patients were included in the study if they were aged 18 years or older, were physically located in the emergency department but had already been admitted to the medical center, and had medication orders. The pharmacist documented the medication orders and the allotted time for administration. Once the upper limit of the allotted time frame for administration had passed, the pharmacist determined whether the medications were given and interventions were then carried out for those medications that were not administered. Successful interventions were documented when the medication was given within 1 hour from the time of intervention.Results: Seventy-nine patients were included in the study, resulting in 266 medication administration opportunities (emergency department, 146; inpatient, 120). Inpatient nurses administered medications in a timely manner at a significantly greater rate than ED nurses (83.3% vs 63.7%, P < .0001). The greatest difference was observed during the evening hours (95.2% vs 53.8% of medications administered for inpatient vs ED nurses, P = .002). The most common reason for medications not being administered by ED nurses was insufficient time (51.4%), and for inpatient nurses, it was that the medication order was not verified (77.8%). The pharmacist’s interventions were successful with both the ED and inpatient nurses (95.5% and 94.1%, respectively).Conclusion: This study illustrates that assigning nurses with varying workloads as a means to manage overcrowding is likely to result in boarded patients in the emergency department not receiving their medications. ED pharmacists’ interventions may fill the gap, ensuring compliance with the administration of medication orders prescribed for boarded patients and ensuring more timely administration. A multidisciplinary team approach is needed to manage current overcrowding issues.

First-aid Home Treatment of Burns Among Children and Some Implications at Milas, Turkey

Banu Karaoz — 2010-01-18

This descriptive study was conducted among 130 families in Milas, Turkey, who have children ages 0 to 14 years. Among the 130 families, a total of 53 children (40.8%) experienced a burn event. Twenty-seven subjects (51%) had treated the burn with inappropriate remedies including yogurt, toothpaste, tomato paste, ice, raw egg whites, or sliced potato. Of the 28 subjects (52.8%) who had applied cold water to the burn site, 21 patients (39.6%) applied only cold water and 7 patients (13.2%) used another substance along with cold water. In addition, 13 subjects (24.5%) applied ice directly on the skin at the time of the burn. Excluding the subjects who had treated their burns with only cold water or with only ice, raw egg whites were the most commonly used agent, both alone (n = 3) or accompanied by cold water or ice (n = 6) in a total of 11 subjects (21%) who applied eggs. Based on these observations, it is suggested that educational programs emphasizing first-aid application of only cold water to burn injuries would be helpful in reducing morbidity and mortality rates. A nationwide educational program is needed to ensure that young burn victims receive appropriate first aid and to reduce the use of inappropriate home remedies and burn morbidity.

Family Presence During Trauma Activations and Medical Resuscitations in a Pediatric Emergency Department: An Evidence-based Practice Project

2010-02-01

Introduction: The existing family presence literature indicates that implementation of a family presence policy can result in positive outcomes. The purpose of our evidence-based practice project was to evaluate a family presence intervention using the 6 A's of the evidence cycle (ask, acquire, appraise, apply, analyze, and adopt/adapt). For step 1 (ask), we propose the following question: Is it feasible to implement a family presence intervention during trauma team activations and medical resuscitations in a pediatric emergency department using national guidelines to ensure appropriate family member behavior and uninterrupted patient care?Methods: Regarding steps 2 through 4 (acquire, appraise, and apply), our demonstration project was conducted in a pediatric emergency department during the implementation of a new family presence policy. Our family presence intervention incorporated current appraisal of literature and national guidelines including family screening, family preparation, and use of family presence facilitators. We evaluated whether it was feasible to implement the steps of our intervention and whether the intervention was safe in ensuring uninterrupted patient care.Results: With regard to step 5 (analyze), family presence was evaluated in 106 events, in which 96 families were deemed appropriate and chose to be present. Nearly all families (96%) were screened before entering the room, and all were deemed appropriate candidates. Facilitators guided the family during all events. One family presence event was terminated. In all cases patient care was not interrupted.Discussion: Regarding step 6 (adopt/adapt), our findings document the feasibility of implementing a family presence intervention in a pediatric emergency department while ensuring uninterrupted patient care. We have adopted family presence as a standard practice. This project can serve as the prototype for others.

Disease Prevention Update: Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis—Who, What, When, Why, and How?

Heather D. Eppert — 2009-06-26

The emergency department serves as a common source for vaccination against tetanus and diphtheria. Patients often present to the emergency department with a traumatic wound that poses a risk for development of tetanus, along with a corresponding lack of documentation or unknown history of tetanus immunity. Historically, the recommendation for vaccination against tetanus in adult patients was to provide a tetanus and diphtheria (commonly referred to as Td) immunization every 10 years. Recently, the Advisory Committee on Immunization Practices, the division of the Centers for Disease Control and Prevention (CDC) responsible for providing updated revisions to the immunization schedule, has revised these guidelines to include an additional vaccine component. In addition to the vaccine components tetanus and diphtheria toxoids, the new vaccine also contains acellular pertussis. So, why has this recommendation changed, and who will be affected by this update?

H1N1 2009: One Pediatric Emergency Department's Experience

Nayda Boehm, Maricar Cabral, Marie Hankinson, Cathy Sakers — 2009-09-14

On a Monday morning in April 2009 at Joe DiMaggio Children's Hospital's Pediatric Emergency Department in Hollywood, Florida, a teenage girl quietly signed in at the triage area with flu-like symptoms. During the triage interview, she revealed that she had recently returned from Mexico City after attending her uncle's funeral. With that revelation, everyone present realized the possibility of exposure to the then-labeled “swine flu.” An N95 mask was immediately placed on her and she was escorted to a private room as far away from the general ED population as possible.

Iron Deficiency Anemia in the Pediatric Emergency Department

Stephanie A. Becherer, Ann White — 2009-04-15

A 2-year-old, 17.2-kg boy presented to the emergency department with a 1.5-month history of anemia and an acute drop in hemoglobin level. He was seen earlier by his pediatrician, who found that his hemoglobin level had dropped from 6 g/dL to 4.5 g/dL. The patient’s mother brought him to the emergency department because she noted a decrease in activity level, oral intake, and urine output.

Shock: Early Recognition and Management

Leigh Anne Wilmot — 2009-06-26

Shock is a syndrome characterized by inadequate tissue perfusion. This physiological state arises from multiple causes: hypovolemia, neurogenic trauma, anaphylaxis, sepsis, and cardiac pump dysfunction.

Quality Control Work Group Focusing on Practical Guidelines for Improving Safety of Critically Ill Patient Transportation in the Emergency Department

2009-12-23

Adverse events have been estimated in up to 70% of intrahospital transports of critically ill patients. Situations sometimes arise that necessitate transporting a critically ill patient from the emergency department to the radiology department, operating room, ICU, or other departments within the hospital; however, critically ill patients are at risk of adverse events during intrahospital transport, including tachycardia, change in blood pressure (BP), anxiety, diaphoresis, and pain. Transport of critically ill patients may create increased risks for mishaps and adverse events because of the need to disconnect such individuals from the equipment in the emergency department and connecting them to some type of transport gear, shifting them to another stretcher, and reducing the availability of personnel and the equipment around them. Risk can be minimized and outcomes improved with careful planning, the use of appropriately qualified personnel, and selection and availability of appropriate equipment. Several articles related to practical guidelines or equipment for intrahospital transport are available. However, the effectiveness and quality control for practical guidelines in intrahospital transport have not been well evaluated. Intrahospital transport of critically ill patients is an important practical issue in the emergency department, but no articles relating to guidelines about intrahospital transport of critically ill patients from the emergency department are available.

A Healthy 22-year-old Woman With New Onset Dyspnea

Lisa M. Robinson — 2009-03-13

An otherwise healthy 22-year-old woman sought treatment for acute dyspnea at the Johns Hopkins Hospital emergency department near the end of November 2006. The woman denied any history of asthma, allergies, smoking, or other pulmonary or cardiac disease. She had experienced a healthy childhood and was up to date with all standard immunizations. The young woman first noted dyspnea on exertion in late spring of the same year. By June, she reported, “I felt like I was going to die when I was swimming.” By July, the patient was experiencing dyspnea with mild exertion, and by August the symptoms occurred at rest. At that time, the patient went to her family physician, who diagnosed asthma and prescribed albuterol (Proventil, Ventolin). However, the inhaler provided no relief. That same month the woman was informed by her gynecologist that she had a positive human papilloma virus (HPV) test. She underwent a simple colposcopy the following week, and the condition required no further treatment.

Knowledge Assessment and Preparation for the Certified Emergency Nurses Examination

Carrie A. McCoy — 2010-01-07

With the current emphasis on credentialing in nursing, many nurses have committed to taking the CEN examination. The following questions have been developed to assist in the emergency nursing knowledge assessment and in preparation for the CEN examination. Questions, rationale for the correct answers, and references are provided here for your self-evaluation. ENA has developed educational materials that can be used as further resources for CEN preparation: Emergency Nursing Core Curriculum and CEN Review Manual. For further information on educational review materials, please contact the ENA Association Services Team at (800) 243-8362.

On the Origin of Nursing and the Social Conflicts of Emergency Health Care

Keith Stephens-Borg — 2009-06-26

The divide between doctors and nurses has always raised the question as to the proficiency of who should perform emergency surgical procedures, especially during extreme circumstances. By examining our past, we can explore and understand how, when, and why medicinal practices were ruled and restricted. I am constantly reminded by natural acts of bravery in these troubled times by unskilled bystanders together with EMS providers who put their lives foremost in the face of a new world of terrorist violence. These acts are indeed reminiscent of an ancient noble society of pilgrim saviors, where courage stemmed from the heart and the only reward was spiritual achievement by the sole act of compassion. These social conflicts between healing groups still evident today began with the Medieval Knights Templar and Hospitallers, soldiers who experienced the atrocities and disease of war; in addition, they created the foundations for all health care workers dating back to the 1100s. Together with the early practices of nursing by Benedictine monks, members of the Christian church evolved these compassionate acts into an occupation with which we are most familiar with today as professional nursing.

The Use of Early Warning Scores in the Emergency Department

Alison Day, Carol Oldroyd — 2009-12-04

ED nurses play a vital role in rapid patient assessment and monitoring to enable appropriate treatment to be instigated. Because of the unpredictable conditions of the emergency department, it can be difficult to identify patients who are seriously ill or at risk of clinical deterioration.

Identified Safety Risks With Splitting and Crushing Oral Medications

Susan Paparella — 2009-12-28

Emergency nurses are occasionally in a position to administer oral medications to patients who, because of age or a variety of reasons, may not be able to swallow a tablet or capsule. Although some medications can be safely chewed, crushed, or cut (tablet splitting) to assist with administration, there is a growing list of products that, because of their formulations or pharmacokinetic properties, are deemed unsafe to manipulate in this manner. These drug classes are varied and include, but are not limited to, analgesics, cardiovascular medications, nonsteroidal anti-inflammatory agents, antiepileptics, and antibiotics. Drugs that should not be chewed or crushed include commonly used medications such as phenytoin, isosorbide, nifedipine, verapamil, Losec, MS Contin, oxycodone, and erythromycin.

International Nurses: Pending Policy for Reform and Ethical Recruitment

Kristin A. Hellquist — 2009-12-28

Nursing and health care–related organizations have taken many diverse positions on the issues of immigration and recruitment reform for nurses who wish to work in the United States but were educated abroad. Some stakeholder groups favor the recruitment of nurses internationally when nurses are needed to fill vacancies. Other groups are immigration neutral and respect the right of individual nurses to migrate to the country of their choice and work as nurses if they are similarly qualified to nurses educated in the United States and all applicable laws and regulations are met. Still other organizations do not support the immigration of nurses to work in the United States because they believe health care employers should work on the retention and recruitment of US nurses before soliciting the import of foreign nurses.

Rounding for Outcomes: An Evidence-based Tool to Improve Nurse Retention, Patient Safety, and Quality of Care

Stephanie J. Baker — 2010-01-28

Today in the emergency department, most of what we do in caring for our patients involves evidence-based clinical practices. Yet, the consistent use of evidence-based leadership practices is far less common. This series considers 3 foundational evidence-based leadership tactics that have been time-tested and proven to deliver strong service, clinical, and operational results in hundreds of emergency departments when used consistently. They are rounding for outcomes, discharge phone calls, and bedside shift report. This month, rounding for outcomes will be addressed.

Expanding the Focus: Preventing Our Own Injuries

Anna Maria Valdez — 2010-03-01

Emergency nurses are committed to the prevention of injuries and promotion of wellness. Over the past several decades, our professional colleagues have developed and implemented numerous injury prevention programs that focus on specific populations and injury patterns that frequently are encountered in emergency settings. Although this unwavering promise to minimize injuries and the associated morbidity and death is commendable, we have not done nearly as well with addressing our own preventable injuries. As I write this article, I am filled with hope for the future of emergency nursing and confidence that together, we can create emergency care environments that are safe for both health care providers and our patients. I am also filled with a sense of urgency that we must take immediate action to reduce the risks associated with our practice.

Open to Being Different…

Chenit Ong-Flaherty — 2010-01-04

In 1989 I was a second-year nursing student doing my rotation in a trauma center in southeastern England. I was assigned the night shift. On my second night, the Accident and Emergency Department was busy. Staffed by a combination of staff nurses and second-year student nurses, we were given specific areas to cover in the department. It was my turn in the observation area. A staff nurse gave me a brief report on a middle-aged man, Mr Owens (patient's name has been changed for privacy purposes), who was brought in for paranoia. The patient was a known schizophrenic. The parting words of the staff nurse were simple: “Just watch him. He should be no problem.”

Cutting-edge Discussions of Management, Policy, and Program Issues in Emergency Care

Jeff Solheim, AnnMarie Papa — 2010-01-14

We realize that length of stay is our biggest challenge. Treatment protocols were developed to decrease length of stay and improve patient satisfaction. The protocols are initiated by the nurse in both the triage area and treatment area. These protocols include but are not limited to:

Bayfront ED Novice Nurse Internship Program

Jennifer Sweeney — 2010-03-01

As more emergency departments seek to fill critical nursing shortages with inexperienced or novice registered nurses (RNs), a need has developed to better support this transition. Many emergency departments rely on preceptorship programs to train novice RNs into the ranks of critical care. This practice places additional demand on already exhausted resources. Bayfront Medical Center's Emergency Department (St Petersburg, FL) is feeling the full weight of this demand and is committed to providing a well-structured, evidence-based solution. Our solution is the creation of the Novice Registered Nurse Internship Program.

Pediatric Obesity: Implications for Fall Injuries

Rockan Sayegh, Darlene Bradley, Federico Vaca — 2010-01-04

Emergency nurses are in a key position to influence the health and well-being of children who are obese. Often the only opportunity for preventative care of obese children is when parents bring their ill or injured child to the emergency department for episodic care. This article focuses on the significance of pediatric obesity and its impact on injuries resulting from falls.

Unique Foreign Body Ingestions in the Pediatric Population

Sheila Isabelle Goertemoeller, Rachel M. Sweeney — 2009-12-25

Children have a natural tendency to place objects in their mouth. The most commonly ingested objects are coins, toy parts, button batteries, glass, jewelry, crayons, buttons, marbles, and pen caps. The majority of these exposures occur in children aged between 6 months and 3 years. Although most objects that can successfully traverse the esophagus into the stomach will pass through the gastrointestinal (GI) tract without difficulty, there are some that pose unique risks beyond the possibility of obstruction. Foreign body ingestions cause serious morbidity in less than 1% of children in the United States. Emergency departments continue to triage the degree of urgency for foreign bodies ingested by children to determine the best management course.

Trauma Patients at Non-trauma Centers: Tips for Detection and Improved Outcomes

Tobin Miller, Angela Shannon — 2009-12-25

It's 3:02 am and you hear the telltale tire screeching at the ED doors. You go outside to find a 25-year-old man with multiple gunshot wounds to the chest, abdomen, and left leg. Unfortunately, this scene may be familiar for nurses working in both trauma centers and in non-trauma centers. Treating trauma patients at designated trauma centers, and treating the severely injured at a level I center, designated by the American College of Surgeons, is associated with improved survivial. However, some areas are still without organized trauma systems or field trauma triage criteria. Some hospitals may choose not to pursue American College of Surgeons designation because of the cost and resources required. Even in areas with organized trauma systems, trauma patients can walk into or be dropped off at a non-trauma hospital by private car.

Initial Presentation to Triage: Does it Matter?

Sally Sulfaro — 2009-12-25

Patients present through our doors every hour of every day, entering beneath a sign that says “EMERGENCY” in big red letters. Some patients can clearly tell us why they came. Others try to tell us or think that they have told us why they came. Because of processes that are built into the front end of ED visits, patients and their caregivers are often expected to clearly and accurately articulate their chief complaints to someone or something lacks the knowledge and experience to ask the right questions or the ability to discern potentially high-risk presentations.

Earn up to 8.5 Contact Hours by Reading the Designated Articles and Taking these Post Tests

2010-03-01

JEN March 2010 Clinical Test Production

2010-03-01

JEN March 2010R Research test production

2010-03-01

JEN March 2010P Prof-Admin Test Production

2010-03-01

CE Enrollment Form

2010-03-01

What's New

2010-03-01

Coming Meetings

2010-03-01

Editorial Board

2010-03-01

Information for readers

2010-03-01

Journal of Emergency Nursing

Nurses Caring About Nurses

The Tapestry of Emergency Nursing

Screening Out Does Little to Address ED Overcrowding

Simulators are Under-used

Advising Parents with Asthmatic Children

Response to Article on Topical Anesthesia

2008 Behrman Article: Luck of the Draw: Common Adulterants Found in Illicit Drugs

Response

Accuracy of Non-contact Infrared Thermometry Versus Rectal Thermometry in Young Children Evaluated in the Emergency Department for Fever

Pharmacist Improves Timely Administration of Medications to Boarded Patients in the Emergency Department

First-aid Home Treatment of Burns Among Children and Some Implications at Milas, Turkey

Family Presence During Trauma Activations and Medical Resuscitations in a Pediatric Emergency Department: An Evidence-based Practice Project

Disease Prevention Update: Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis—Who, What, When, Why, and How?

H1N1 2009: One Pediatric Emergency Department's Experience

Iron Deficiency Anemia in the Pediatric Emergency Department

Shock: Early Recognition and Management

Quality Control Work Group Focusing on Practical Guidelines for Improving Safety of Critically Ill Patient Transportation in the Emergency Department

A Healthy 22-year-old Woman With New Onset Dyspnea

Knowledge Assessment and Preparation for the Certified Emergency Nurses Examination

On the Origin of Nursing and the Social Conflicts of Emergency Health Care

The Use of Early Warning Scores in the Emergency Department

Identified Safety Risks With Splitting and Crushing Oral Medications

International Nurses: Pending Policy for Reform and Ethical Recruitment

Rounding for Outcomes: An Evidence-based Tool to Improve Nurse Retention, Patient Safety, and Quality of Care

Expanding the Focus: Preventing Our Own Injuries

Open to Being Different…

Cutting-edge Discussions of Management, Policy, and Program Issues in Emergency Care

Bayfront ED Novice Nurse Internship Program

Pediatric Obesity: Implications for Fall Injuries

Unique Foreign Body Ingestions in the Pediatric Population

Trauma Patients at Non-trauma Centers: Tips for Detection and Improved Outcomes

Initial Presentation to Triage: Does it Matter?

Earn up to 8.5 Contact Hours by Reading the Designated Articles and Taking these Post Tests

JEN March 2010 Clinical Test Production

JEN March 2010R Research test production

JEN March 2010P Prof-Admin Test Production

CE Enrollment Form

What's New

Coming Meetings

Contents

Editorial Board

Information for readers