New Jersey Emergency Nurses Association State Council General Business Meeting. Topic Discussion Action Call to order 4:00 PM FYI

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Location: JFK Conference Center, Edison Date: August 18, 2004 Time: 4:00 PM to 8:00 PM Minutes by: Jim Richmann/Diana Dunlap Present: See attached New Jersey Emergency Nurses Association State Council General Business Meeting Topic Discussion Action Call to order 4:00 PM FYI Agenda/Rules of Timing Motion made and seconded to accept the agenda as submitted. Motion made and seconded to accept the rules of timing, i.e., unlimited unless a motion is made to end the discussion. First: Dave Greenberg Second: Brenda Braun First: Angela Coleman Second: Dave Greenberg Welcome/Introductions M. Kamienski welcomed all attendees and called for round table introductions. Motion carried Unanimously FYI Minutes Motion made and seconded to approve the minutes from November 2003 with the following corrections (as submitted). Victoria Hicken and Joe Kilpatrick Motion made and seconded to approve the minutes from January, 2004 with the following corrections (as submitted). Donna Baker and Brenda Braun Motion made and seconded to approve the minutes from March 15, Motion carried Motion carried.

2004 with the following corrections (as submitted). Victoria Hicken and Angela Coleman Motion made and seconded to approve the minutes from May 15, 2004 with the following corrections (as submitted). Motion carried. Motion carried. Announcements Revisions: Maribeth will add report to the minutes, hard copy tonight. Karen stated ballot by written ballot only. ENPC reimbursement at $200.00 not $250.00 Nadean Wristbridge and Janice Miller Treasurer s report Brenda Braun presented the Treasurer s report as attached. Questions/discussion: Report to be Changed to August 2004. Motion: Angela Coleman Second: Dave Greenberg Approved unanimously Finance Committee report Motion made and seconded to accept the Treasurer s report. Mary had discussion re: responsibility of officers. Many issues with investments, book keeping issues, need further investigation. Mary to create ad hoc committee, consisting of 7 members, President, President Elect Treasurer, Immediate Past President Chairperson and two members at Large. Dave Greenberg has been appointed Chairperson. A recommendation to have this become a permanent committee in

March will be entertained. Members at large Annie Mannino, Jim Richmann and Marla Baker have volunteered their availability. Mary will make decision. Dave Greenberg shared financial information about profit margin lost due to lack of investment. Budget submitted must be adhered to or overage explained to the council. Delegate expenses have increased to $26, 000. ECC expenses/profits have not always been as profitable as we all thought. A lack of appropriate documentation in appropriate categories has caused this change in the previous accounting measure for ECC. A big loss of income is lack of interest bearing accounts. There was much discussion about hotel and ECC cost and breakouts. There are some costs that are state charges, such as the Annual committee meeting dinner, that is charged to the ECC and should be adjusted in the past. A better accounting moving forward will make for a better budget. The goal is not to micro manage each committee, but to make each committee accountable. Please let Dave or the finance committee know if there are any other profits/expenses that are not listed in the report. President s Report See attached. Work plan dates reviewed. Call for 2005 elections process committee. Networking session in San Diego on 9/28/04 7pm- 8pm Marina Ballroom at Marriott for State council and chapter leaders. Call to protect, silent auction, CEN/CFRN, Connections, new member benefit, CECH info all discussed. New executive Director- David Westman. Legislative Network for Nurses circulated. West Central chapter listing remains outstanding. Delegates must wear shirts daily. Meet Wednesday at 800am and Thursday at 730am. State picture Thursday 730am. Reimbursement checks and fund raiser booth discussed.

President-Elect Report a. National Board of Director s Meeting Dave Greenberg represented NJ ENA at the Washington meeting in July. Next meeting on Tuesday in San Diego, please make every effort to attend. Membership is close to 25,000. ENA has a 1.4 million dollar surplus. They are building their endowment funds. The vast improvement has been a result of extreme accountability. National will pay for the president and president elect of each state to fly to Chicago to attend a meeting on December 12th and the 13 th of this year. There was discussion about TNCC cost and profits throughout the country. This is being investigated and more to come. National ENA is working with the association of psychiatric nurses to develop a course on how to handle the psychiatric patient in the emergency department. The Board will be working on many mission statements. Voting results are in, NJ had a poor turnout. Candidate s forum will continue at least for the next year. Only 11 members at large attended the Board Meeting. All meetings are open to all members. Committee Reports b. Other No other report by Joe Kilpatrick a. Education Jim Richmann The ECC program committee has been hard at work over the summer. The program for speakers is almost complete, with some future discussion about closing speaker. Contract for the Tropicana has been signed by Ray. Some discussion started regarding concerns raised by attendee s. Ann Stefanoski has done a tremendous job as well as the rest of the committee.

Any perspective exhibits please refer to web site, effective Friday the 20 th of August. We will have poster presentations at ECC. b. ECC-Ray Bennett/Jim Richmann 2004: 2005: c. Injury Prevention Pat Nierstadt/Fran Spinda Official report submitted in writing on site. 23,010 attendee s have attended year to date an injury prevention program. There has been reported a significant decrease in fatal car crashes. (362 less in 2003 than in 2002) There is also an issue with high lead levels being reported in jewelry from vending machines. d. Government Affairs -Jackie Wynkoop Jackie submitted a request for a proclamation from the governor for emergency nurses day. The cost of replacing an ED RN is $64,000. Multi-state licensure can be costly and delay employment by many

weeks. Criminal background checks can take up to 8 weeks. A suggestion made to work with the NJ Nurses Association to discuss the delay in employment due to the recent and current nursing shortage. It is not known what impact the governors signature on the compact will have on the criminal background checks. e. Nomination-Karen Donges The 2004 ballot was mailed on 8/17/04 (see attached). f. Pediatrics NaDean Wristbridge Written report submitted by Nadean Wristbridge on site. Nadean raised question about need to hold Instructor class in September. There is only one interested candidate. This will be cancelled. There will be a $50.00 charge for out of state instructors attending the NJ updates. g. Trauma Maribeth Pierce Written report submitted by Maribeth Pierce on site. Combined TNCC/ENPC state meeting scheduled for September 9 th at Robert Wood Johnson in the ED conference room. Courses will be coordinated. Course directors please send copies of evaluations to Maribeth. Contact info for potential instructors to include Maribeth s work phone and email address. Mpierce@humed.com Phone 201-996-4868Ten TNCC courses have been reported to date. Expired

instructors please contact Maribeth if you wish to be reinstated. h. Research & Practice Mary Kamienski (see attached). i. David Greenberg-Web site up and running, doing well. Material will be edited shortly. ECC will be up on site by Friday the 20 th of August. Any ideas for web site, forward to David. Anybody who wishes to help with web site let David know. Question rose as to how to submit documents to be placed on site, submit in document format and David will place on site for individual to download and mail. Chapter Reports Jersey Shore NaDean Wristbridge Written report submitted. Met earlier today to try to get members from more northern areas of chapter involved. Next meeting will be November 9 th at Jersey Shore Med. Center in Neptune as a dinner meeting with a speaker. Courses for this fall: 10/8 & 10/9 ENPC at Burdette Tomlin, 9/18 & 9/19 TNCC and 11/13 & 11/14 at Atlantic City Medical Center. Emergency Nurses Course for nurses new to the ER setting October 20 to November 17(5 Wednesdays). ENA orientation packet developed. Plans being made for Emergency Nurses Day. Summer newsletter sent out to all chapter members.

Northern David Greenberg Education day at Valley hospital with 32 attendee s. Manager s luncheon to be rescheduled. Southern Victoria Hicken Written report continued on site. West Central Diana Dunlap CEN review class well received but poorly attended. May have another one late in the fall. Attempting to increase membership by food, education, etc., still with same few members. Next meeting October 6 at 600pm at Mercer Medical Center. Info will be posted on web page. Ad Hoc/Task Force Reports EMS/EMSC Jesus Cepero EMS attended by Debbie in Jesus and Ray s absence. Committee spent much of meeting talking about EMS response and communication among the state and the hospitals. Also working with various neighboring states to enhance communication. EMSC meeting attended by Mary Kamienski. ACEP has created guidelines for the treatment of the pediatric patient in the emergency department. Protocols are evidence and research based. Discussed at length the report card for the treatment of pneumonia and MI patients. Will be asking the state to evaluate the same process for the pediatric

care of asthma and pain management in the child. The need will be for funding. Injury prevention discussed with focus on drowning in back yard pools, shaken baby syndrome, bike helmet safety. There was discussion about regulations in place during pool construction. Educational conference in the spring with heavy attendance by EMT s and school nurses. They would like to have a greater attendance by ED RN s. Any special topics please speak to Mary for submission. There are no nurse presenters. There is some grant money available, injury prevention is major focus. During the republican national convention from August 30, the state will remain in a Code Orange state. See written report submitted by Mary Kamienski. Action on mailing costs deferred to New Business ACEP Annie Mannino/Debbie Cioffi Annual education day September 28 th and the 29 th at the Bogotá. Awards Debbie Cioffi Lifetime Achievement award was not won by Jeanette Ash. Jeanette very grateful for the nomination. There were no winners for this award this year. Newsletter Mary Kamienski The Spring Newsletter was mailed in July, 2004. Recommend future newsletters be mailed 3 rd class postage. Next newsletter will be mailed in late November with 2005 meeting dates and locations. Please begin to submit information/articles, etc. for the Winter newsletter.

In our bylaws, we, as a state, are only required to send one per year. Homeland Security Peter Torres No report submitted. No communication. Workshop Alcohol Screening and Brief Intervention Victoria Hicken No report Orientation Committee Donna Murray/ Orientation packet developed and distributed by Nadean for review. To be reviewed and submit suggestions to Nadean. Scholarships Jim Richmann No report. Old Business San Diego Delegates list distributed: Please list hotel and date of arrival on delegate list. Booth Dave Greenberg Each chapter can use space as a fund raiser if they wish. Shirts Jim Richmann Send shirts to Jim Richmann. I will send

back to you. Alternates should order shirt. Pants should be Navy Blue. Silent Action: Motion to participate in silent action made by Diana Dunlap and seconded by Karen Donges. Kathleen Findlay and Jackie Wykoop to handle. Approved unanimously. Resolutions/BRC II Joe Kilpatrick No resolutions. Two issues that may be controversial are the two tiered/three tiered states and the international membership and the ability to vote. The BRC II is looking for additional funding to continue to investigate the formation of two tiered states. Reimbursement $500.00 now and then $500.00 on Thursday evening after completion of delegate commitment. Arrival and lodging List distributed State picture Thursday state picture at 7:30am on delegate floor. b. Emergency Nurses Week 10/10-10/16 Day 10/13 Proclamation to be arranged by the governor, via Jackie. Motion to

send card or flyer to all hospitals during emergency nurses week. Motion by Mary K and second by Brenda Braun. Motion passed unanimously. New membership chair may be point person for this activity. New Business Membership Chair Victoria Hicken from Southern Chapter appointed by Mary K. Revised Delegate Application Form (see attached) Motion made and seconded to accept this revision as submitted. Motion carried. Newsletter mailing. Motion made and seconded to mail future newsletters with 3 rd class postage. Motion carried. Discussion concerning closing speaker for ECC, especially cost of $5000. Motion on floor to not have Fortino as closing speaker, Motion made by Dave Greenberg seconded by Maribeth Pierce. Favor 7, opposed 11, one abstention. Motion failed. Program Committee will evaluate other options of speakers in light of the financial impact. Dates for 2005 meeting: January 17 th, 2005

March 16 th, 2005 Tropicana Atlantic City May 18 th, 2005 August 17 th, 2005 November 21, 2005 All at 4 pm. Location to be determined. Announcements: Congratulation to Brenda Braun and the future birth of child. We will have a new member. From Peggy McMahon a new federal law that will allow reimbursement for the treatment of illegal aliens, but not by Nurse Practitioner. IOM supports a commission addressing the issue of care in the emergency department. Mary Jagim is on the committee. FDA has approved two drugs eliminating radiation from the body. The medications are DTTA and have multiple side effects. Will only be used for nuclear weapon attack. Move to prevent direct admits to the hospital and admit them through the emergency department. Not sure where the initiation of this, but may be related to the reimbursement issue. Transportation issues through out the life span. Date: August 30 th, Robert Wood Johnson. Survey by Kathy Findlay. Please complete and return to Kathy ASAP.

Next Meeting Motion requested to be made by Mary Kamienski to support the EMSC verbiage in trauma revision legislation and not to eliminate the EMSC and incorporate into the trauma service and registry. Specific Bill (HR 3999) No motion made. Motion made and 2 nd to institute for nursing request for $1000 for scholarship money denied at this time. Passed unanimously. The next meeting will be held on Monday, November 15, 2004 at the JFK Conference Center. Committees and Chapters are encouraged to schedule meeting to precede the business meeting at 4PM. Please notify Debbie Cioffi ASAP if you wish to schedule a meeting. Adjournment Motion made and seconded to adjourn at 810pm Motion carried.