| President's Message |
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The Emergency Nurses Association (ENA) “Weighs in” on Pediatric Medication Safety: “Weigh Children in Kilograms Only!”
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Gail Lenehan
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205-206
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| Guest Editorial |
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Really, Have We Become that Complacent?
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J. Jeffery Jordan
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207-208
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| Letters to the Editor |
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Do Nurses Eat Their Young?
I read the article "Do Nurses Eat Their Young? Truth and Consequences" with considerable interest. I completely agree that nurses do eat their young. I have observed this over the years, both in a hos...
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Sean P. McDowell
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209
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Stop Eating Our Young!
I would like to commend Penny Sauer for highlighting the problem of lateral violence in her article entitled “Do Nurses Eat Their Young? Truth and Consequences,” published in the January 2012 issue of...
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Brenda Fahlgren
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209-210
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Response
Thank you for taking the time to respond to the article “Do Nurses Eat Their Young? Truth and Consequences.” Nurse-on-nurse hostility has been tolerated for too long in the nursing profession. Althoug...
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Penny Sauer
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210
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| Research |
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Long-Bone Fracture Pain Management in the Emergency Department
24 March 2011
Introduction: The purposes of this study were to investigate the adequacy of pain management for patients with long-bone fractures seen in the emergency department and to determine whether racial disp...
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Ptlene Minick,
Patricia C. Clark,
Jo Ann Dalton,
Eva Horne,
Debbie Greene,
Monica Brown
et al.
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211-217
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Emergency Nurses' Perceived Barriers to Demonstrating Caring When Managing Adult Patients' Pain
24 January 2011
Introduction: Pain is the most common presenting complaint in emergency departments and the primary reason patients seek medical care and take prescription medications. Improving inadequate pain contr...
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Cheryl L. Bergman
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218-225
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Correlation Between ED Symptoms and Clinical Outcomes in the Patient with Aneurysmal Subarachnoid Hemorrhage
24 January 2011
Introduction: Aneurysmal subarachnoid hemorrhage (aSAH) is a devastating neurologic insult often presenting to the emergency department as a headache. Recognition and prompt treatment are important to...
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Kristin Adkins,
Elizabeth Crago,
Chien-Wen J. Kuo,
Michael Horowitz,
Paula Sherwood
et al.
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226-233
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| Clinical |
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Improving Patient Outcomes with Compression-Only CPR: Will Bystander CPR Rates Improve?
25 April 2011
Out-of-hospital cardiac arrest is a significant public health problem that affects all communities. Survival rates among these victims remain low despite resuscitative efforts provided by bystanders a...
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Kristin K. Drager
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234-238
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Let the Data Speak: Decreasing Hemolysis Rates Through Education, Practice, and Disclosure
25 April 2011
High hemolysis rates continue to adversely affect many emergency departments. Hemolysis of blood samples occurs when the red blood cells break down and can preclude accurate laboratory results. When a...
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Jayne K. McGrath,
Pete Rankin,
Melissa Schendel
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239-244
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Elevated Blood Pressure in ED Patients: Best Evidence on the Importance of Assessment, Recognition, and Referral
25 April 2011
Any ED nurse has undoubtedly faced the common occurrence of providing care for a patient who has elevated blood pressure readings. Elevated blood pressure is often an incidental finding in ED patients...
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Sally Robelli,
Lauren Lawson
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245-250
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Ethical Decision Making in the Emergency Department: The Golden Rule
23 February 2011
The Golden Rule, or the ethic of reciprocity, is perhaps the world's most often cited guide to ethical human behavior. Simply stated, the rule asks that we treat others as we wish to be treated. Relig...
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Louanne Friend
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251-253
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Motivational Interviewing for Emergency Nurses
25 April 2011
Identified or not, a large percentage of ED visits in the United States are related to substance abuse and other behavioral health issues. Some patients with these problems are seen so frequently in t...
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Steven L. Baumann
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254-257
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| Case Review |
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A 48-year-old Woman with Amnesia
14 November 2011
A 48-year-old woman was brought to the emergency department by her husband and daughter. The patient was unable to verbalize a complaint, but repeatedly stated, “Something is wrong.” Family members ha...
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Adam Herzog,
Alendia Hartshorn
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258-259
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| CEN Review Questions |
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Knowledge Assessment and Preparation for the Certified Emergency Nurses Examination
26 March 2012
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 knowledg...
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Kathleen Carlson
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260-261
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Knowledge Assessment and Preparation for the Certified Emergency Nurses Examination
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 knowledg...
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S. Kay Sedlak
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e5-e6
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| Clinical Nurses Forum |
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Is it Possible to Gain Pain Relief in the Drug-Seeking Patient?
The emergency nurse faces the dilemma of pain relief in a certain type of patient on a daily basis. This patient is the drug seeker. Emergency departments are required by the Emergency Medical Treatme...
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Pamela A. Dougherty
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262-263
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| CPEN Review Questions |
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Knowledge Assessment and Preparation for the Certified Pediatric Emergency Nurse Examination
07 October 2011
January 2009 marked the start of the Certified Pediatric Emergency Nurse (CPEN) examination. In support of this certification, three times a year JEN features this column supplying questions similar t...
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Scott DeBoer,
Michael Seaver
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264-266
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| Danger Zone |
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Patient-supplied Medication Infusion Devices in the Emergency Department: Are You Ready?
19 March 2012
An unconscious 67-year-old male patient is brought into the emergency department after being found face down on the sidewalk outside of the local mall. During the initial assessment, an unknown medica...
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Stacy L. Carson
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267-269
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| Emergency Nursing Advocacy |
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Development of Consensus Statement on Definitions for Consistent Emergency Department Metrics
18 July 2011
One of the Emergency Nurses Association's (ENA) top three clinical priorities is crowding in the emergency department (ED). Crowding, which is defined as an excessive number of patients, was brought t...
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Sonia Astle,
Susan K. Banschbach,
William T. Briggs,
William T. Durkin,
Linda K. Groah,
Charlotte Guglielmi,
Diane Gurney,
Nancy L. Hughes,
Nicholas Jouriles,
Michael G. Millin,
Randy Pilgrim,
Jesse M. Pines,
Heather E. Russell,
Sandra M. Schneider,
Suzanne K. Stone-Griffith,
Suzette Thorby,
Nicholas Tsarouhas
et al.
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270-272
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| Evidence-Based Practice |
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How Do Emergency Department Patients Store and Dispose of Opioids After Discharge? A Pilot Study
28 December 2011
Introduction: Opioid abuse and overdose have increased drastically in recent years. Diversion of opioids used to treat pain, either through theft or sharing, is increasing and may contribute to this m...
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Paula Tanabe,
Judith A. Paice,
Jennifer Stancati,
Michael Fleming
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273-279
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| Experience Talks |
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Experience Talks
11 April 2012
As emergency nurses, we are responsible for a myriad of patient populations. Some of the most vulnerable are those with behavioral health issues, substance misuse, and cognitive changes. This month, w...
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Jeff Solheim,
AnnMarie Papa,
Cindy Lefton
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280-282
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| Geriatric Update |
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Do Not Intubate/Do Not Resuscitate: Treating the Severely Ill or Injured Geriatric Patient in the Emergency Department
Eighty-five-year-old Hannah is brought to your emergency department by EMS after she tripped over her cat and fell onto a wooden chair. She complains of pain in the left rib area, and “trouble breathi...
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Joan Somes,
Nancy Stephens Donatelli
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283-286
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| Injury Prevention |
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Hyperthermia and Children Left in Cars
26 March 2012
Hyperthermia is the leading cause of non–crash-related vehicle deaths for children younger than 14 years. Since 1998, a total of 524 children ranging in ages from 5 days to 14 years have died from veh...
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Thelma Kuska
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287-288
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| International Nursing |
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The Pearl of the Antilles Becomes a Pearl of Shared Wisdom
16 April 2012
In October 2011, I had the honor and pleasure of leading a delegation of emergency nurses to Cuba, “The Pearl of the Antilles” (). The purpose of our trip was to advance professional research and gain...
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AnnMarie Papa
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289-292
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| Nurse Educator |
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Patient and Family Education in the Emergency Department: How Nurses Can Help
30 March 2012
Abstract: Non-emergent use of the emergency department has grown over the past decade. Lack of resources, access to care, medical insurance, and knowledge can all contribute to the inappropriate use o...
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Alisha Gozdzialski,
Melanie Schlutow,
Laura Pittiglio
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293-295
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| Pediatric Update |
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“Did You Just Say . . . the Baby's Coming!!??”: A Nurse's Guide to Prepare for a Safe Precipitous Delivery in the Emergency Department
09 September 2011
Editors’ note: At first glance, one might think that this particular article is better suited for another section of JEN. However, in the 2009 Joint Policy Statement – Guidelines for Care of Children ...
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Connie Blake
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296-300
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| Pharm/Tox Corner |
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Wound Botulism Resulting from Heroin Abuse: Can You Recognize It?
25 April 2011
A46-year-old woman presents to triage because she has had trouble speaking and swallowing since she awoke that morning. She is alert and oriented, but her speech is a slightly garbled. Her vital signs...
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Laura Abavare,
Charles Abavare
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301-303
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| Trauma Notebook |
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Shotgun Blast to the Face with Unexpected Consequences
16 April 2012
California Shock Trauma Air Rescue (CALSTAR) was dispatched to the scene of a “shotgun blast to the face” at 12:15 pm. At 12:22 pm, the CALSTAR helicopter lifted off from quarters en route to the scen...
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Rich Ikerd,
Matthew B. Murphy,
Aaron E. Bair
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304-305
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| Triage Decisions |
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Triage Nurse Prediction of Hospital Admission
30 March 2012
Introduction: Numerous factors affect patient flow in the emergency department. One important factor that has a negative impact on flow is ED patients waiting for an inpatient bed. It currently takes ...
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Blythe Stover-Baker,
Barbara Stahlman,
Marc Pollack
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306-310
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| CE Tests |
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Author(s) |
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Earn Up to 9 Contact Hours by Reading the Designated Articles and Taking These Post Tests
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311
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Clinical Test Questions
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312-314
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Research Test Questions
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315
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CE Enrollment Form
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316
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| Frontmatter |
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Table of Contents
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A2
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Editorial Board
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A9-A10
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Information for Readers
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A12
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