Austin Emergency Nurses Association

1910 -Meeting called to order.

This meeting was sponsored by Chris Summer from Boehringer Ingelheim.  Mr. Summer has been a long time supporter of the Austin ENA.

 

1915 - Presentation

Matt Roefer, BA, CCLS presented "Effectively Communicating with Children."  This was an outstanding presentation.  Here are a few points from his presentation:

1.      Build rapport and trust with the patient

2.      55% of what you say is Body Language

3.      38% of what you say is tone.

4.      Be the calmest person in the room.

5.      It’s not what you say but how you say it.

6.      Get down to their level, don’t stand over the patient.

7.      Use soft words:  iv = blue button bandaid, straps = seatbelts

8.      Don’t say:  Don’t cry, It’s not going to hurt, or stop moving.

9.      What to say:  It’s ok to be scared, it’s ok to cry, my job is to … and your job is to …

10.  Identify steps and equipment

11.  Praise with purpose – name what they did well

 

2010 – Business Meeting

a.       Curtis Townsend discussed the scholarship fund which is to be used for a conference registration.  The Conference Scholarship Application was presented.  There was no further discussion on this topic.

b.      Hot Topics Discussion

a.      Place – Dell Children’s Medical Center

b.      Date – Friday, August 20^th

c.       Chapter meeting will still occur on Tuesday, August 17^th

d.      Everyone was in agreement with the above.

c.        State 3^rd Quarter Meeting to be held in Austin at Dell Children’s in July

d.      President Rhonda Manor Coombes informed the members of ENA’s 40 by 40 campaign.  2010 is ENA’s 40^th anniversary and would like to have 40,000 members by December.  Memberships will be at a discounted rate of $86.00.  This is for new members and renewing members.  However, individuals wanting to take advantage of this discounted rate must go through AENA.  AENA received an authorization letter stating the discount.  There must be at least 5 new members and any number of renewing members to take advantage of this rate.  An Evite will be sent out to all the members informing them of this opportunity.

 

2035 – Open Discussion

a.       Jessica Taylor spoke about her experience at the 1^st Quarter State Meeting in San Antonio.  Jessica will be receiving assistance from the State in writing a bylaw regarding violence in the ED.

b.      Jessica Taylor is also a recipient of a Texas ENA scholarship – Way to go Jessica!!!

c.       The Winner of a free membership was Cindy St.Andre.

 

2050 – Meeting adjourned.

 

 

June 15^th AENA Chapter Meeting

Place:  Dell Children’s Medical Center

 

I.               Presentation by Dr. Sujit Iyer entitled “Visual diagnosis in the pediatric emergency department. (1905)

 

At first I though that this was going to be a presentation on vision.  Boy was I pleasantly surprised.  Dr. Iyer’s presentation was about making a diagnosis based on what you see.  His presentation consisted of some cool slides and pediatric case studies.  The following are just a few:

 

A.    Porencephalic cyst and growing skull fracture

 

In this case, a 6 month old had fallen 3 months prior.  Patient’s parents stated tha the bump was getting bigger.  The patient was diagnosis with a porencephalic cyst.  No child abuse charges were filed; the patient was neglected by not seeking medical care sooner.

 

B.   Staph scalded skin syndrome

 

§  Excusive disease of children

§  Classically starts in unrecognized sites (nose, throat, umbilicus).

§  Epidermolytic toxins

§  Classic signs:

·         Tender, red rash

·         Progress to bullae then exfoliation

·         Nikolsky sign – fragile skin area

·         Desquamation/perioral crusting

§  Treatment – fluids, fluids, fluids!  Treat like a burn victim

·         Antibiotic of choice is Clindamycin

·         Skin usually heals without scarring.

 

C.   Caustic Ingestion – Ingestion of hydrochloric acid

§  No GI decontamination or dilution

§  Endoscopy:  Symptomatic or significant ingestion

§  Steroids for circumferential 2^nd degree esophageal burns

§  Treat the patient’s pain

 

D.   Airway Foreigh Bodies

·         Preschool/toddler age

·         Sudden episode choking/coughing

·         Complete vs partial

·         If H&P consistent with aspiration, proceed directly to rigid bronchoscopy.

·         FYI – peanuts and popcorn do not show up on xray.

 

E.   Disc Batteries

·         Double density or step off – this is not a coin but a battery.

·         Can cause esophageal burn and perforation within 4-9 hours

·         More prevalent in electronic devices

·         If above GE junction, patient needs to get scoped.

 

F.    Rare earth magnet ingestion

·         Very strong.  If 2 objects are in the bowel, they can find each other and cause a perforation.

·         Use a compass over body to see if the object is magnetic.

 

G.   Hematocolpos

·         Imperforated hymen

·         Abdominal mass

·         Primary amenorrhea

·         Treatment – Surgical

 

H.   Nerve Paralysis – Winged Scapula

·         Differential Diagnosis:

o   Trauma

o   Infection

o   Demyelinating

·         Parsonage-Turner Syndrome

o   Long thoracic nerve palsy

 

II.            Board Meeting (2015)

 

The Board discussed the upcoming Hot Topics Conference and the July Texas ENA meeting.

 

Hot Topics –

      Continue to work on getting presenter paperwork for CE’s.

      President Manor-Coombes to come up with a draft registration form and

sent to Board for perusal.

      Continue to work on sponsors for July State Meeting.

      President Manor-Coombes informed the group that a local lawyer, Mike

Rosenthal would like to help out AENA and TENA as much as possible.  Awaiting contact from Mr. Rosenthal.

Discussion was had over vendors.  Since many of the drug companies

want to have a booth/table, it was decided that there would be a $250 charge for vendors.

 

Katy Pegues of DCMC won a one year free ENA membership.  Congrats!!!

 

III.            Adjourned at 2110