KENA Meeting Minutes

Friday, February 8, 2008

Wesley Medical Center, Wichita, KS

In Attendance: Carol Kappelman, Stephen Tifaller, Marcia Bulleigh, Mitch Jewett, Jane Ross, Charla Holman, Darlene Whitlock, Deb Veatch, Jennifer Werner, Denise S paeth, Stella Riney, Stefanie Fair, Lynette Kornelson, Joyce Radke, Robiin Nikkel, Bev White, Michelle Schrag, Jeremy Pauly, Jenny McCracken, Kelly Hewins.

Topic	Key Discussion	Decisions/Action
Call to Order	Stefanie Fair, President called the meeting to order at 10:40.
Approval of Agenda	Changes made to the meeting agenda: Stefanie reported the Integrilin rep. will not be presenting today. Additions to new business: Carol Kappelman - EKENA Chapter pins Mitch - strategic planning	Motion to approve the agenda with these additions. M/SE: Carol Kappelman / Deb Veatch. Agenda approved w/ additions.
Review of minutes from last meeting.	Stefanie reported the minutes from the February meeting are not available today.	Stefanie will attempt to obtain minutes from February meeting and bring to April meeting.
Chapter Reports	*EKENA - Carol Kappelman reported Bylaws were passed in Dec. *ENACK - Denise Spaeth, reported the last meeting was held in Wichita in January. Plans for the year made. Chapter meeting dates were set for 7:00 p.m. on 4^th Monday of odd months; except May meeting which is 3^rd Monday; and no meeting in November instead will have Christmas party on Dec. 1^st. 2008. Meetings are in opposite months of state council meetings. Potential meeting locations are Eldorado, Pratt, Hutchinson – these will be announced in the chapter newsletter. The chapter discussed organizing an all day program/education meeting similar to Meth. Lab program that was done in the past.	No action taken.
President report	Stef reported that Susan McDaniels passed CEN exam. Reviewed House Bills #2706-distracted driving laws.; proposed presidential budget cuts to work-force development programs. Stef will be participating in a State Leadership Conference call and strategic planning process; Patricia Beemes will be holding a CEN review course.	No action taken.
President elect report	Jack Pifer contacted Carol to be a part of KS Board of EMS and KDHE taskforce Mission of Life/STEMI initiative. Responsibilities of the Council rep. include attending a mtg. in April f/b several teleconferences. Does KENA want to participate and if so, who? Meeting in Salina in April/day long. Darlene agreed to rep. KENA on this taskforce. The survey for strategic planning deadline is Monday. Carol encouraged member participation.	Darlene will attend as KENA rep. Carol will notify the appropriate individual of KENA’s participation.
Secretary report	none	No action taken.
Treasurer’s	*Lynnette presented the budget. *At State Leaders orientation Gale Lanahan, National Board Liasion offered to present at Trauma Summit on death & dying. Any time frame available. *Q:Money to be returned to state chapters? A: _____ *Q: What is no chapter assigned by president? A: President assigns members to a chapter and money then goes to the assigned chapter. *Lynette requested council income, expenses, list of officers, w/ contact information to give to KENA tax person before the next mtg. *Line item #52 – TNCC has budgeted $9,000 for the year.	Carol & Charla will email to Lynette.
Board of Directors	none	No action taken.
Committee Reports
By-Laws	Susan – no report	No action taken.
Communications	*Joyce Radke requested 2008 mtg. date, location, and mtg. minutes to put on website.	KENA 2008 mtg. dates and locations: April – Salina Regional Health Center, Salina June – Hutchinson Medical Center, Hutchinson August - Stormont Vail, Pozez Education Center, Topeka October - Coffeyville December – Kansas City
Membership/Fundraising	Charla Holman reported that Council lapel pins are now available. Initial order was 100 pins. Actual cost of large pin is $2.68. Discussion occurred regarding price to sell the pins. Carol can order additional pins. Small pins are no longer available.	Motion made to sell the pins for $5.00 per pin. M/SE - Jane/Joyce. Approved. None opposed.
TNCC/ENPC	Darlene’s report: *Requested lists of all instructors who have attended TNCC – I update in attempt to determine how many are left to update. Total of 113 out of 150 have been updated. * Completed questionnaire about how the update went. She feels they have gone well. Total cost has been $14,545 w/ primary expense being books. *Darlene has additional instructor supplements for instructors in Lawrence. Would also like to determine the number of materials remaining for accounting purposes. *Received a call from a TNCC-I bridging to ENPC – I via mentoring process rather than attending a full class. Darlene then reviewed the appropriate process for achieving instructor status and requested for quality assurance purposes the guidelines established by ENA are followed explicitly. *TNCC new instructor class in Topeka on March 11^th at Stormont Vail. *3 new ENPC instructor potentials from Dodge City course. *Refer people to national website for upcoming classes. *A specific instructor was given bad evaluations based on outside situations that occurred prior to course. Darlene described documentation of actual course circumstances i.e., course director & Darlene both wrote letters of support for the instructor to National ENA. Nat’l will then not include those evaluation numbers their overall instructor status. Kelly Hewins discussed the steps to take to “rebuild” the instructor confidence to sustain their interest in being an instructor. *CATN course – needs help teaching CATN courses. *Participated in State Chapter president conference call. A lot other states gave either the supplement or new provider manual, but hardly anyone gave both. Half TNCC – I are not ENA members; this may change. *All ENPC course directors should have received CD from National regarding how to do the ENPC reverification course. One day course; new exam called Test C. Triage is large group discussion.	No action taken.
General/Assembly/Nominating	Gwen - no report. Mitch is on the Resolutions Committee for National. Mitch discussed confusion between parliamentarian and president during 2007 General Assembly; therefore, there may be education for delegates on microphone procedures and parliamentarian process. Call for resolutions & by-laws amendments due by April 11^th. Jane announced Mitch is on the slate to run for National President this year. Candidate forum in Hawaii at State Leadership Council.	No action taken.
Injury Prevention	*Deb Veatch no report. Darlene discussed that research suggests the best method for long-term behavior change is enforcement i.e. graduated licensing, seat belt laws, etc. as opposed to the day-long educational seminars.	No action taken.
Scholarship	Carol Kappelman – no applications received. Discussed marketing of the scholarships.	No action taken.
Education	Mike Hastings – not present. Kelly Hewin inquired about previous education venues. Previous efforts have been to provide CEUs for nurses across the state i.e., Trauma Summit, Meth. Conference organized by Jane. *Anyone interested in hosting a 1-day CEN review course?	No action taken.
Nursing Practice	Bev White brought the following questions: Q: What & how are others including ABSI into assessment in ER? A: *Jennie McCracken w/ Wesley Trauma Center reported documented well; + req. care coordinator consult & referral; dedicated Trauma Care coordinator see all inpatients & reports are available to them; *Darlene – trauma + ETOH, lab report goes directly to trauma social worker & ________; brief intervention via CAGE questionnaire completed; research shows the brief intervention on dismissed pts. can change behavior for at least 3 month time period; she discussed the nemesis of Trauma Surgeon – alcohol; cardiologist – HTN; pulmonologist – smoking. Q: How do other provided continue monitoring of patients during transport? What type of patients do you send with monitor and RN when transported? A: Consensus – based on patient situation i.e., stability of pt. Does telemetry remote monitor meet these criteria? Darlene mentioned this could be viewed as an EMTALA violation if the patient is on the monitor, then taken off for transport even w/ dr. written order.	No action taken.
Government Affairs	Kelly Hewin – shared a PowerPoint she presented on Capital Hill on the topic of overcrowding & diversion of ambulances in Kansas City. This was presented to McKaskell, Roberts, Brownback, Moran at Government Affairs Day in January. Kelly is willing to share the CD with others, if desired. She showed the CD followed by discussion regarding need for additional educators and educators for the educators. *Darlene states recent research suggested that minorities, women, & children are those who wait the longest in ED.	No action taken.
ACT, KMS, Safe Kids, etc.	Darlene – Drivers Ed. placed back in bill, has been removed several times, restricted license at 15, permit at 16, and full license at 17; farm permit – leave alone to prevent discontent with the rural legislators. KDOT completed interviews with parents. The overall results suggested that parents wanted the changes; whereas legislators feel that parents do not want the changes. Kids are not overwhelming opposed to it either. *Kansas Med. Society Com. Committee at state level to review problems with emergency care in Kansas – Darlene will be representative for KENA. Looking at state report card which showed KS as C- overall with Fs in certain areas. ACEP responding to the C- with primary concern to set-up an emergency medicine program in Kansas. Thought is if this program was available the state would have more emergency medicine physicians available in the state. Also, EMS (bad grade) and not having a good immunization record, seat belt laws. Plan – review IOM report --- 3 primary ingredients are EMS for Children, EMS at breaking point, and emergency department overcrowding. 3^rd of med. errors occur in children. IOM report infers that JACO will take the standpoint of no boarding in EDs. * Kansas SafeKids – Darlene represents KENA & Stormont Vail on the Alliance for Health Advocates – those involved with healthcare issues, grass roots effort supporting changes in accessibility to cigarettes, smoke-free areas. This group plans to send a letter of support for certain legislation. Currently supporting the graduated licensing bill. Stronger voice in support from an alliance that represents MANY organizations. Meet every Friday during session at AHA building in Topeka to review legislator. Day at the Legislature on March 6^th from 0900 – 1400 to talk with legislatures about particular interests of the alliance. Darlene will rep. Stormont, SafeKids, and Alliance. Requested volunteers for KENA booth. *Injury prevention – graduated licensing, ACT all institutions have had the surveys; grants are being written by Hutchinson Medical Center for the upstart of their trauma designation. *State-wide level – hospitals in each region had the opportunity to apply for lead hospital designation. No applications for NE, NC, SW. *EMSC – Darlene wrote letter to add pediatric specific supplies on ambulances. Would take a great deal of legislation therefore, this was not an issue that they chose at this time to *ENPC classes – McPherson on April 2-3^rd,; Garden City on May 7-8^th; fees - $50.00. *Bad reviews on many surveys for Board of EMS. Darlene was inaccurately quoted in a local newspaper article which stimulated much debate regard the EMS system in Kansas. Suggested KENA develop a “white paper” to share with area newspapers regarding emergency department overcrowding and boarding. *Darlene has received many notifications for jobs if anyone is looking for a position. *School nurses program on topic of emergency care for children in the schools on July 17-18^th. Seeking volunteers who could help teach on topics such as seizures, asthma, first aide, etc. Lectures and rotating stations. *Trauma Summit scheduled for August 15^th at Rolling Hills Zoo in Salina, KS.	Unanimous support of Darlene and her representation of emergency nurses in Kansas was verbalized by KENA members today.
Old Business	*Need to complete the revisions on Council delegate form. *Laptop – Discussion occurred regarding the purchase of a laptop for Council use. *KENA web-site – Discussion occurred regarding options for new web-master. Several ideas were presented. *Strategic Planning – Mitch discussed long-term education that needs to be done for emergency nurses regarding political advocacy for our profession and professional organization. National needs to know about any new items that we think might be important. Mitch expressed his desire to be available for KENA members who have questions or would like to bring concerns to him locally.	*Referred to committee. *Laptop – Motion made to hold the purchase of buying a laptop at this time. M/SE: Lynette/Mitch. * Web-site: Motion made that the president and treasurer be allowed to explore options for a web developer. M/SE: Mitch/Kelly. Voted - all no. Motion died. Motion made that Mitch visit with another service to set-up the KENA web page. M/SE: Lynette/Kelly. All approved.
New Business	*Darlene presented that Chris Tildon from KDHE was appointed to the National EMS Advisory Committee. *Mitch attended a NHTSA meeting in December – Washington on EMS issues.	No action taken.
Adjournment	Meeting adjourned by Stefanie Fair at 1:50 p.m.
Next meeting:	April 11, 2008 in Salina at SRHC.

Respectfully submitted,

Marcia Bulleigh-Earley, RN

KENA Secretary