Seizure Considerations in Older Adults and Geriatric Patients
Older adults account for 25% of first-time seizures, with many of these seizures caused by accumulated injuries and insults to the brain and comorbidities associated with aging or as a result of a life-threatening comorbidity, yet seizures in older adults are often so subtle that they are not recognized or treated. Once an older adult has 1 seizure, they are at higher risk of more seizures and ultimately a diagnosis of epilepsy. Epilepsy affects quality of life and safety and may jeopardize life itself in the older adult; thus, it is important to be able to recognize seizures in older adults and know what to do. (Source: J...
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Joan Somes Tags: Geriatric Update Source Type: research

Emergency Nursing Review Questions: March  2024
These review questions are based on the Emergency Nursing Core Curriculum and other pertinent resources to emergency nursing practice. They offer emergency nurses an opportunity to test their knowledge about their practice. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Benjamin E. Marett Tags: Emergency Nursing Review Questions Source Type: research

Improving New Graduate Nurse Retention With a Transition to Emergency Nursing Practice Program
Emergency department turnover rates increased at Sentara Northern Virginia Medical Center. Most applicants were new graduate registered nurses. A strength, weakness, opportunity, threat analysis revealed 3 weaknesses regarding new graduate registered nurses in emergency departments. Transition to practice program was necessary, new graduate registered nurse competency needed to progress rapidly, and retention rates needed improvement. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Michele M.D. Lee Tags: Leadership Forum Source Type: research

Plain Language Emergency Alerts
Emergency alert codes (eg, “Code Blue,” “Code Red”) are widely used in hospitals worldwide to quickly and efficiently direct staff to critical situations without alarming patients and visitors. However, the lack of emergency alert standardization across the health care sector has resulted in a remarkably wide range of code words being used to designate a relatively small number of critical situations, even among hospitals in the same area. For example, in Pennsylvania health care facilities between 2004 and 2013, there were 80 different emergency codes designating 37 different functional categories, creating 154 co...
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Brenda Braun Tags: ENA Position Statement Source Type: research

Are Nurses Prepared for What ’s Next?
According to the United Nations High Commissioner for Refugees there are over 110 million forcibly displaced people worldwide.1 The United States currently hosts a substantial number of refugees and asylum seekers, with over 363,000 refugees and nearly 1.8 million asylum seekers, and these numbers have been on the rise, with more than half being children under the age of 18.1,2 (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Tags: Letter to the Editor Source Type: research

Good Leaders Don ’t Just Lead—They Also Connect and Engage Others
When you think of a leader, what comes to mind? (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Chris Dellinger Tags: President's Message Source Type: research

Comment on “Implementation of a Behavioral Emergency Response Team in the Emergency Department” J EmergNurs 2023;49:395-402
I t was with great interest that we read “Implementation of a Behavioral Response Team in the Emergency Department by Angela Bruccoli.1 The author reports on an excellent reduction in workplace violence incidents following the implementation of a behavioral emergency response team (BERT). While many look at the number of incidents of wor kplace violence pre- and post-team implementation, we sought to investigate a frequently overlooked importance of the program, the cost savings. In 2021, we established a hospital-wide multi-disciplinary BERT response. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Tags: Letter to the Editor Source Type: research

Burnout or Exploitation? Resiliency is Not the Solution
The “Future of Nursing 2020-2030: Charting a Path to Health Equity”1 report discussed nurses’ physical, mental, social, and moral well-being as a priority for nursing practice this decade. Of note, the report points out that the physical health of nurses is often worse than that of the public, par ticularly in the areas of sleep, nutrition, and physical activity.1 Nurse well-being can be impacted by several factors including, but not limited to, chronic workplace stress, exposure to infectious agents, needle sticks, workplace violence, musculoskeletal injuries, and the impact of long work hou rs and shift work. (Sour...
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Anna M. Valdez Tags: Editorial Source Type: research

Supporting a Healthy Work Environment and Just Culture in the Emergency Care Setting
Healthy work environments and just culture are associated with improved nursing outcomes, such as increased autonomy and control over practice, increased job satisfaction, and decreased nurse burnout, sick time, and turnover (American Nurses Association [ANA], n.d.; Canady& Allen, 2015; Halm, 2019; McHugh et  al, 2016; Shirey, 2017). Characteristics of unhealthy work environments include high workload; low decision authority; low support; poor communication; abusive behavior; disrespect; resistance to change; lack of vision or leadership; distrust; conflict with values, mission, and vision; and loss of understanding of th...
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Dawn Peta, Joanne E. Navarroli Tags: ENA Position Statement Source Type: research

Table of Contents
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Source Type: research

Editorial Board
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Source Type: research

Board of Directors
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Source Type: research

Information for Readers
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Source Type: research

Thank You to Reviewers
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Source Type: research

Closing the Educational Gap on Human Trafficking: There ’s No Better Time Than Now!
Human trafficking is a heinous crime and violation of human rights affecting between 25 and 27 million adults and children globally each year. Current immigration and refugee policy could exacerbate the human trafficking public health crisis. Health care providers working in emergency department and urgent care settings interact with human trafficking victims and provide life-changing care. Research identifies a significant need for coordinated, consistent, and standardized education on human trafficking. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Shannon S. Olivieri, Monica L. Diamond-Caravella, LuAnn Nowak Etcher Tags: Research Source Type: research