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Ever struggled with a challenging patient? Join the co-hosts for an honest and practical experience-based conversation on working with challenging patients. From staying calm and communicating effectively to setting compassionate boundaries and de-escalation, this might be the episode you've been waiting for. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In this episode, we're joined by Antrell Rainey for a powerful conversation on leadership, mentorship, and the life experiences that shape how we lead. Antrell Rainey is an MBA prepared executive leader, clinical professional, and patient advocate with more than 14 years of experience working with high acuity pediatric and substance use populations. His understanding of healthcare operations goes far beyond the classroom—shaped most profoundly by navigating the healthcare system as the parent of a medically fragile child with a severe heart defect. Antrell brings together his clinical background and executive leadership training to help healthcare organizations improve reliability, strengthen operations, and create systems that better support both patients and frontline staff. We will explore what high-reliability care looks like, the lessons leaders can learn from history, and how both challenges and relationships influence meaningful change. Antrell shares practical insight and a mindset shift for anyone working to lead within complex systems. This episode is titled “Growing through mentorship in the Rainey seasons.” Antrell can be contacted on LinkedIn @Antrell Rainey and on “Rainey on Leadership” Newsletter on Substack BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
Does the concept of stress relief stress you out? Join the co-hosts for a fresh, practical conversation on alternative stress relief for med-surg nurses. Hear real-life perspectives plus simple, doable strategies you can use on shift and off to reset your nervous system, lower stress fast, and prevent burnout from stacking up. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In Part Two of this TCRN Roundtable, our discussion shifts to the ethical, professional, and personal complexities of trauma nursing. We explore challenging scenarios, pediatric readiness in adult trauma centers, the evolving role of the TCRN, and the experiences that shape leadership, growth, and resilience within trauma systems. Let's dive right back in with Merideth, Ashley and Jamin. Merideth Gradowski is an experienced nursing leader with over 15 years in the field and a strong focus on trauma care. She holds a BSN from Arizona State University and an MSN in nursing administration from Queens University of Charlotte. Currently serving as a Trauma Program Manager, she leads system development and quality initiatives to improve patient outcomes. She is especially passionate about advancing pediatric trauma care within adult trauma centers. Ashley Metcalf began her nursing career in the Emergency Department and has spent more than 20 years dedicated to trauma care. She currently serves as a Trauma Program Performance Improvement Coordinator at a Level I Trauma Center, where she focuses on advancing quality and outcomes. Ashley is also the President of the Trauma Association of South Carolina and co-chairs the Advanced Trauma Care for Nurses Committee through the Society of Trauma Nurses. She brings both deep clinical experience and strong leadership to the trauma nursing community. Jamin Rankin is a dynamic nursing leader with more than a decade of experience spanning emergency, trauma, and air-medical care. He currently serves as Trauma Program Manager and Stroke Program Manager at Ochsner LSU Health, where he leads accreditation, education, and systemwide quality initiatives. His background includes frontline work as a flight nurse and emergency clinician in both rural and Level I trauma settings. Jamin is widely recognized for his leadership and contributions to trauma systems, earning honors such as ENA's 20 Under 40 and BCEN's Distinguished TCRN designation. This episode is titled “TCRN Roundtable: Code Red Activated (Part Two).” Our TCRN Roundtable guests can be contacted on LinkedIn @MeridethGradowski, @AshleyMetcalf, and @JaminRankin BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
As registration for Emergency Nursing 2026 launches, the ENA Podcast sits down with Rhonda Manor Coombes and Roger Cecil, co-chairs of the Conference Education Planning Committee, to get the scoop on building the best session lineup for ENA's annual conference in Phoenix later this year. Learn more about Emergency Nursing 2026 at ena.org/EN26.
What is it? Join the co-hosts for the big reveal as they share personal stories and approaches on how to recognize early warning signs, avoid common bedside blind spots, deliver compassionate care, and act fast with practical, shift-ready strategies that protect patients. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In this episode, we're joined by three exceptional Trauma Certified Nurse Leaders for an in-depth roundtable discussion. Merideth Gradowski is an experienced nursing leader with over 15 years in the field and a strong focus on trauma care. She holds a BSN from Arizona State University and an MSN in nursing administration from Queens University of Charlotte. Currently serving as a Trauma Program Manager, she leads system development and quality initiatives to improve patient outcomes. She is especially passionate about advancing pediatric trauma care within adult trauma centers. Ashley Metcalf began her nursing career in the Emergency Department and has spent more than 20 years dedicated to trauma care. She currently serves as a Trauma Program Performance Improvement Coordinator at a Level I Trauma Center, where she focuses on advancing quality and outcomes. Ashley is also the President of the Trauma Association of South Carolina and co-chairs the Advanced Trauma Care for Nurses Committee through the Society of Trauma Nurses. She brings both deep clinical experience and strong leadership to the trauma nursing community. Jamin Rankin is a dynamic nursing leader with more than a decade of experience spanning emergency, trauma, and air-medical care. He currently serves as Trauma Program Manager and Stroke Program Manager at Ochsner LSU Health, where he leads accreditation, education, and systemwide quality initiatives. His background includes frontline work as a flight nurse and emergency clinician in both rural and Level I trauma settings. Jamin is widely recognized for his leadership and contributions to trauma systems, earning honors such as ENA's 20 Under 40 and BCEN's Distinguished TCRN designation. Trauma nursing lives at the intersection of standards, systems, and bedside decision-making, and in Part One we explore regulatory expectations, performance improvement, trauma program structure, and gaps across the trauma care continuum. This episode is titled “TCRN Roundtable: Code Red Activated (Part One).” Our TCRN Roundtable guests can be contacted on LinkedIn @MeridethGradowski, @AshleyMetcalf, and @JaminRankin BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
How do you approach care management for opioid-addicted patients? Join the co-hosts for an honest conversation about opioid addiction stigma, recognizing withdrawal, and navigating treatment. Along the way, they share their own personal stories, struggles, and fresh insights to help you become a better med-surg nurse. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In this episode, we're joined by Niki Shimko, a national leader in neonatal and pediatric transport and disaster preparedness. Niki Shimko is a leader in neonatal and pediatric transport with more than 26 years of nursing experience and over 12 years leading a pediatric and neonatal transport team. She serves as President of the Florida Neonatal Pediatric Transport Network Association and holds leadership roles focused on pediatric disaster preparedness at both the state and national levels. Niki played a key role in the evacuation of Golisano Children's Hospital following Hurricane Ian and continues to advance pediatric disaster response as a Texas A&M Engineering Extension Service (TEEX) instructor and national advocate. We will explore her 26 year nursing journey and the critical leadership decisions behind evacuating a children's hospital during Hurricane Ian. Niki shares hard won lessons from transport medicine and offers practical, high impact steps frontline nurses can take today to strengthen pediatric disaster readiness. This episode is called, " On the Move When It Matters Most: Leadership in Pediatric Transport." Niki can be contacted on LinkedIn @NikiShimko BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
Have you ever endured a difficult moment which resulted in an invaluable lesson? You're not alone. Join the co-hosts and special guest co-host, AMSN President Kristi Reguin-Hartman, as they open up with personal stories, experiences, and nursing lessons they've learned from unexpected places. This episode is brought to you by Medtronic. GUEST CO-HOST AMSN President Kristi Reguin-Hartman, DNP, APRN, ACNS-BC has more than 20 years of experience in acute care nursing, professional development, and advanced practice as a Clinical Nurse Specialist. Her expertise in technology implementation, product management and clinical education drives her focus on streamlining workflows through data-driven approaches. She started her nursing journey with an ADN from Nassau Community College in Long Island, New York and has completed her Doctor of Nursing Practice at the University of North Carolina – Wilmington where she authored the 2022 CTHAT Nursing Workload Tool for Medical-Surgical Nurses. Kristi currently works as a Clinical Transformation Manager for Philips Healthcare in the Hospital Patient Monitoring division and as Clinical Instructor with East Carolina University. She volunteers for the North Carolina Nurses Association and has served as Director for the Academy of Medical-Surgical Nurses since 2018. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In this episode, we're joined by Pam Vanderberg, a nationally respected trauma leader and newly appointed BCEN Board member. Pam Vanderberg serves as Vice President of Trauma and Burn Services at Grady Memorial Hospital, one of the nation's busiest Level I trauma and burn centers. Pam oversees comprehensive trauma and burn operations, aligning clinical excellence with operational and financial sustainability. Nationally, she has advanced trauma nursing as an item writer for the TCRN® and as a contributor to the American College of Surgeons Trauma Quality Improvement Program Best Practice Guidelines and the Advanced Practice Trauma Management course. Pam also serves on the Board of Directors for the Georgia Trauma Foundation, supporting statewide trauma system advocacy. Her career reflects a deep commitment to strengthening certification, advancing trauma systems, and elevating standards of care across the continuum. Pam shares powerful insights drawn from her journey through career disruption, trauma system expansion, violence prevention, and certification—offering a thoughtful perspective on leadership, resilience, and the future of emergency and trauma nursing. This episode is called, "Hope, Grit, and Growth: Blending Science and Soul in Trauma Leadership." Pam can be contacted on LinkedIn @PamelaVanderberg BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
Still working straight through you breaks? You're not alone. Join the co-hosts for some real-talk about nursing wellness as they share their own fresh perspectives and practical strategies to help you protect your mental health, set boundaries, and build sustainable habits on and off the clock. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In this Bell Work Talks, Kalen Knight discusses how the hospital-based forensic nurse examiner program he works for incorporated response to workplace violence events into their services, including a program centered on responding to employees assaulted by patients and/or visitors while performing their duties, as well as initiating an employee assistance program aimed at helping colleagues experiencing IPV/DV in their personal lives with safety planning while at work and safely away from their abuser. Kalen Knight currently works in State Government, assisting with death investigations and Missing and Murdered Indigenous Persons cases within his State. Additionally, he is a practicing SANE-A at Nebraska Medicine in Omaha, Nebraska as well as a Medicolegal Death Investigator in Pottawattamie County, Iowa. Kalen earned his Master of Science in Nursing Leadership and Master of Business Administration from Nebraska Wesleyan University, and his Bachelor of Science in Nursing from Clarkson College. He has his Certification in Emergency Nursing, certification as an Adult/Adolescent Sexual Assault Nurse Examiner, and is a certified Diplomat of the American Board of Medicolegal Death Investigators. Kalen's nursing background includes emergency department, trauma, infectious disease, biocontainment/quarantine, nursing clinical education, and forensic nursing. Prior to Kalen's transition to government work, Kalen coordinated a hospital-based Forensic Nurse Examiner Program and supervised a team of 30 Forensic Nurse Examiners who responded to cases of Adult/Adolescent Sexual Assault, Domestic/Intimate Partner Violence, Human Trafficking, and Elder Abuse. The team provided in-person response to two metropolitan hospitals, as well as telehealth response to two rural hospitals. During Kalen's tenure, he added two new services to the program: 1) Forensic nursing response to employees of the health systems physically or sexually assaulted by patients and/or visitors, and 2) An employee assistance program, called SOAR, that provided workplace safety planning and coordination of person safety planning for employees experiencing DV/IPV in their personal lives and needing a safe place away from their abuser for safety planning. Resources: There is no need to start from scratch! If listeners have interest in starting similar programs, please reach out to Kalen Knight and he is willing to share resources! Kalen can be contacted at kalen.knight@nebraska.gov. Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8
In this episode, Leslie Mollencop shares her unique journey from bedside nursing into legal nursing, offering expert insight into how documentation shapes both patient care and legal outcomes. Leslie Mollencop is a seasoned emergency department registered nurse with more than 20 years of clinical experience, including trauma, charge nurse, and SANE roles. She is an experienced legal nurse and expert litigation witness whose work focuses on documentation education, empowering nurses to chart with confidence, professionalism, and compassion. Through her roles as a preceptor, shared governance leader, and nurse educator, Leslie is dedicated to supporting nurses at every stage of their practice. During this recording, Leslie breaks down what confident, effective charting truly looks like, while exploring how documentation practices can either contribute to—or help alleviate—nurse stress and burnout. This episode is called, "The Chart Tells the Story: Where Compassion Meets the Record." Leslie can be contacted on LinkedIn @LeslieMollencop or by email at lesliemollencop@gmail.com BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
Stabilize first, diagnose later: Airway, breathing, circulation always come before anything elseThe ER is uncertainty-heavy: Work with minimal info and build your differential as you goNurse-initiated actions matter: ER nurses can give fluids, aspirin, even epi when life-threateningMed-surg and ER thinking are different: Known problem vs ruling out the worst firstCTAS is not about sick vs not-sick: Stable vitals ≠ safe; patients can deteriorate fastPace & prioritization: You can't do everything—prioritize immediate threats, then reassessTeam culture saves patients: Ask for help early; no one can manage two crashing patients aloneResource pressure is real: Offload delays + hallway care = constant need to move patients
Protecting nurses and healthcare workers physically and mentally is not just one component of the Safer Together National Action Plan; it may be the one that holds all the others together. In this third episode of our Safer Together series, Patricia McGaffigan, RN, MS, Vice President of Safety at IHI, President of the Certification Board for Professionals in Patient Safety, and co-chair of the National Steering Committee for Patient Safety talks with Christine Pabico, Senior Director of the American Nurses Credentialing Center's Pathway to Excellence and Well-Being Excellence Programs. Patricia and Christine trace the development of ANCC's Well-Being Excellence Credential, the first of its kind to encompass the entire workforce across every type of care setting. We also hear from two of its pilot organizations, Children's National Hospital in Washington, D.C., and BayCare Health System in Tampa Bay, to hear how they became certified through the ANCC Wellbeing Certification and what that means for their organizations. Patricia McGaffigan, MS, RN, CPPS · Senior Advisor for Safety, Institute for Healthcare Improvement (IHI); President, Certification Board for Professionals in Patient Safety; Co-chair, National Steering Committee for Patient Safety Christine Pabico, PhD, RN, NE-BC, FAAN · Senior Director, Pathway to Excellence and Well-Being Excellence, American Nurses Credentialing Center (ANCC) Nikki Daily · Chief Team Resources Officer, BayCare Health System Rocky Hauch, DNP, RN, PCCN · Advanced Professional Development Practitioner and Nurse Well-Being Lead, BayCare Health System Trish Shucoski, DNP, MSN, RN, NEA-BC · Chief Nurse Executive, BayCare Health System Simmy King, DNP, MS, MBA, NI-BC, NE-BC, CHSE, FAAN · Chief Nursing Informatics and Education Officer; Associate Professor of Pediatrics, The George Washington University School of Medicine Safer Together Series In the first episode of our Safer Together Series, Donald Berwick, MD, co-founder and President Emeritus of the Institute for Healthcare Improvement, and Patricia McGaffigan, RN, MS, Vice President of Safety at IHI, President of the Certification Board for Professionals in Patient Safety, and co-chair of the National Steering Committee for Patient Safety, issued a call to action: safety is not a matter of individual effort; it is a total system responsibility, built on four interlocking pillars, one of which is workforce safety and well-being. In the second episode, Kelly Randall, PhD, Vice President for Patient Safety and Regulatory Services at Ascension, where she leads the health system's comprehensive patient safety program, high reliability strategy, and system-wide deployment of the Safer Together National Action Plan, showed us what it looks like to answer that call, shifting culture across nearly 100 hospitals, one huddle, one conversation, one near-miss at a time. Resources 1. The Foundational Workforce-Safety Lucian Leape Institute. (2013). Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. Boston: National Patient Safety Foundation. https://www.ihi.org/library/publications/through-eyes-workforce-creating-joy-meaning-and-safer-health-care Gandhi, T. K., Kaplan, G. S., Leape, L., et al. (2018). Transforming concepts in patient safety: A progress report. BMJ Quality & Safety, 27(12), 1019–1026. https://doi.org/10.1136/bmjqs-2018-008768 https://pmc.ncbi.nlm.nih.gov/articles/PMC6288701/ 2. The Safer Together National Action Plan National Steering Committee for Patient Safety. (2020). Safer Together: A National Action Plan to Advance Patient Safety. Boston, MA: Institute for Healthcare Improvement. https://www.ihi.org/partner/initiatives/national-steering-committee-patient-safety/national-action-plan-advance-patient-safety Integrating the Safer Together National Action Plan to Improve Nurse-Led Models Focused on Patient Safety. PubMed. https://pubmed.ncbi.nlm.nih.gov/40876046/ 3. Nurse Burnout and Patient Safety Li, L. Z., Yang, P., Singer, S. J., Pfeffer, J., Mathur, M. B., & Shanafelt, T. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Network Open, 7(11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059 Getie, A., Ayenew, T., Amlak, B. T., Gedfew, M., Edmealem, A., & Kebede, W. M. (2025). Global prevalence and contributing factors of nurse burnout: An umbrella review of systematic reviews and meta-analyses. BMC Nursing, 24(1), 596. https://doi.org/10.1186/s12912-025-03266-8 Smiley, R. A., Kaminski-Ozturk, N., Reid, M., et al. (2025). The 2024 National Nursing Workforce Survey. Journal of Nursing Regulation, 16(1), S1–S88. https://doi.org/10.1016/S2155-8256(25)00047-X 4. Workplace Violence Against Nurses Pascale, A., George, N., Potter, C., & Warshawsky, N. E. (2025). Alarming rise in nurse assaults: Urgent call for legislation. Nurse Leader, 23(3), 321–327. https://doi.org/10.1016/j.mnl.2024.12.012 Wolf, L. A., Delao, A. M., & Perhats, C. (2014). Nothing changes, nobody cares: Understanding the experience of emergency nurses physically or verbally assaulted while providing care. Journal of Emergency Nursing, 40(4), 305–310. https://doi.org/10.1016/j.jen.2013.11.006 5. ANCC Well-Being Excellence Credential Carson, W., & Bates, M. (2024). Elevating professional well-being in healthcare: A crosswalk of the NIOSH Impact Wellbeing campaign and the ANCC Pathway to Excellence Framework. Nursing Administration Quarterly. https://pmc.ncbi.nlm.nih.gov/articles/PMC11373476/ American Nurses Credentialing Center. (2025). ANCC Well-Being Excellence Credential. NursingWorld.org. https://www.nursingworld.org/organizational-programs/well-being-excellence 6. Nurse Well-Being: Building Peer and Leadership Support Program American Nurses Foundation. (n.d.). Nurse well-being: Building peer and leadership support program. NursingWorld.org. https://www.nursingworld.org/foundation/programs/nurse-wellbeing/ 7. Healthy Nurse, Healthy Nation American Nurses Association. (n.d.). Healthy Nurse, Healthy Nation. https://www.healthynursehealthynation.org/
Send us your questions and comments!Sepsis isn't new, but how we manage it keeps evolving.In this episode, we take the 2026 Surviving Sepsis Guidelines and run them through the reality of the emergency department. What's different, what's the same, and what's really in a name?Less algorithm. More thinking.Sponsored as always by Allan's mom and ROSC Healthcare
When it comes to pain management, do you know what you don't know? Join the co-hosts as they welcome pain management nursing expert and President of the American Society for Pain Management Nursing (ASPMN), June Oliver, for a candid, eye-opening conversation on pain management blind spots, how assumptions, bias, and knowledge gaps can derail care, plus practical strategies to assess pain better, advocate confidently, and keep patients safe. AMSN Members can earn 0.5 CE hours by listening to this episode. Here's how: * This episode is eligible for 0.5 contact hours for AMSN members who listen to the episode and submit a completed evaluation through the online library. None of the individuals with the ability to control the content of this episode have any relevant financial relationships with ineligible companies to disclose. The Academy of Medical Surgical Nurses is an accredited provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. SPECIAL GUEST June Oliver, MSN, PGMT-BC, CCNS, AP-PMN, APRN/CNS is an Advance Practice Nurse, earning a BSN from University of Illinois and an MSN from Rush University in Chicago and has practiced as an APRN/CNS in Pain management for 26 years. June is certified in Pain Management Nursing through American Nurses Credentialing Center ( ANCC), holds Advance Practice Pain Management Nurse recognition through American Society for Pain Management Nurses (ASPMN) as well as certification as a Clinical Nurse Specialist in Adult and Critical Care Nursing through American Association of Critical Care Nursing (AACN). June has a background in adult critical care nursing for 20 years as both staff nurse and staff educator prior to specializing in pain management. She is currently employed at Swedish Hospital ,part of Endeavor Health System, in Chicago as an APRN for both inpatient and outpatient clients with both acute and chronic pain June has multiple professional organizational affiliations including serving a current term as President for American Society for Pain Management Nursing ( ASPMN), Master Faculty staff for Advanced Pharmacology for ASPMN, as well as membership in the Midwest Pain Society, American Association of Critical Care Nurses and the Chicago Metropolitan Chapter of ASPMN. June has been a frequent speaker locally and nationally on Pain Management topics as well as authoring articles, contributing to past Core Curriculum books, revising the North American Nursing Diagnosis Manual and acute and chronic pain and co-authoring ASPMN position statement & recommendations on Managing Pain with Risks of Substance Use Disorder. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
Welcome back to part two of this episode with Marcina Doze and Shannon Krebs. Marcina Doze is an emergency and forensic nurse with more than four decades of clinical experience, serving as a SANE since 2005 and as a certified legal nurse consultant and expert witness in forensic cases across multiple courts. A national leader in forensic nursing education and advocacy, she has held leadership roles within IAFN and ENA, contributed to legislation reducing SAFE kit backlogs, and continues to shape the field through teaching, policy work, and courtroom expertise. Shannon Krebs is an emergency nurse leader whose career began in the U.S. Navy as a Hospital Corpsman and has been defined by service, clinical excellence, and advocacy. Today, she manages the Malbis Freestanding Emergency Department and played a key role in building Baldwin County's SANE program, expanding access to compassionate, locally available forensic care for survivors of sexual assault. We're jumping right back into this layered, real-world discussion on forensic nursing, the documentation strategies that stand up long after the shift ends and the continuing education that strengthens forensic competency without adding burnout. This episode is called, "Start with Believing: Doing the Right Thing for Forensic Readiness (Part Two)." Marcina can be contacted by email at: marcina.doze@infirmaryhealth.org Shannon can be contacted by email at: shannon.krebs@infirmaryhealth.org BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
To post or not to post, that is the question. Join the co-hosts for a personal and a practical, real-world conversation about of the do's and don'ts of social media for med-surg nurses. Also, find out the one thing that's far more important than "likes". MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In this two-part episode we are joined by Marcina Doze and Shannon Krebs. Marcina Doze is an emergency and forensic nurse with more than four decades of clinical experience, serving as a SANE since 2005 and as a certified legal nurse consultant and expert witness in forensic cases across multiple courts. A national leader in forensic nursing education and advocacy, she has held leadership roles within IAFN and ENA, contributed to legislation reducing SAFE kit backlogs, and continues to shape the field through teaching, policy work, and courtroom expertise. Shannon Krebs is an emergency nurse leader whose career began in the U.S. Navy as a Hospital Corpsman and has been defined by service, clinical excellence, and advocacy. Today, she manages the Malbis Freestanding Emergency Department and played a key role in building Baldwin County's SANE program, expanding access to compassionate, locally available forensic care for survivors of sexual assault. When their community lacked local forensic resources, Marcina and Shannon stepped up to create change. They unpack the clinical, legal, and leadership lessons behind building a successful SANE program—and how nurses everywhere can improve forensic care at the bedside. This two part episode is called, "Start with Believing: Doing the Right Thing for Forensic Readiness (Part One).” Marcina can be contacted by email at: marcina.doze@infirmaryhealth.org Shannon can be contacted by email at: shannon.krebs@infirmaryhealth.org BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
Ready for a candid conversation about float nursing? Join the co-hosts as they share their personal stories, experiences, survival tactics, and onboarding tips for float nursing. From adaptability and staying confident to clear communication and patient safety, you're certain to gain new ideas and fresh perspectives. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
We've all heard, "Pain is whatever the patient says it is." But do we actually practice that way? In this episode, Kevin and Lisa dive into a fascinating mixed-methods study exploring how nurses think about pain and how those beliefs change when real clinical decisions are made in triage. Dr. Wolf unpacks research examining nurses' attitudes, behaviors, and hidden biases surrounding pain assessment and triage decision-making. The results are uncomfortable and important. This conversation isn't about blaming nurses; it's about understanding how systems, cognition, and culture shape practice, and how awareness can help us deliver safer, more compassionate care. Here is a link to the full article. https://www.sciencedirect.com/science/article/pii/S0099176726000048?dgcid=author Want to watch the video on Youtube? https://youtu.be/FkCvwME19eE Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!
In this episode we're joined by Michelle Novominski. Michelle Novominski is a registered nurse at Lenox Hill Hospital, where she cares for patients on the cardiovascular telemetry unit and serves in a leadership role on her unit's Night Collaborative Care Council. She is a summa cum laude graduate of Pace University and a recipient of the American Nurses Association's Future Nurse Leader Award. Michelle brings a broad clinical background from her student nursing experience in emergency and intensive care, and the pre-hospital setting as an EMT. Beyond the bedside, she has maintained a continued involvement in leadership, research, and mentorship, having served in executive roles with the National Student Nurses Association and currently as Vice President of Sigma Theta Tau's Omega Delta Chapter. Known for her compassion, grit, and curiosity, Michelle is passionate about advancing nursing practice and lifting others up and paying forward the support that made her own growth possible. It's a known truth that becoming a nurse doesn't happen all at once. Michelle offers an honest look at how leadership as a student, real-world learning, and early career challenges have influenced not just how she practices, but how she sees herself as a nurse. This episode is called, "The Quiet Moments that Shape a Nursing Career." Michelle can be contacted on LinkedIn @MichelleNovominski or on Instagram @MichelleNovo_ BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
Ready to meet Hayley and Trish? Also, the co-hosts dive into an honest conversation about the real-world lessons nursing school missed and how they were able to overcome the these challenges. Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
In this episode, we're joined by Nyssa Hattaway, an emergency, transport nurse, educator, and former art major who brings creativity to the profession of nursing. Nyssa began her nursing career in a Level 1 Trauma Center, growing into roles as a preceptor, charge nurse, and department educator before transitioning to flight nursing, where she's served the south Atlanta area for over a decade. She's a preceptor, a principal investigator on research focused on family presence, and a co-host of both her company's educational podcast, AMPED, and the emergency nursing podcast The Q Word. Nyssa is also a frequent national speaker and serves on the Exam Construction Review Committee for the CFRN and CTRN exams. Nyssa joins us to talk about compassion in high-stakes care and what it means to show up fully—whether that's at the bedside, in research, or in finding your voice as a nurse. This episode is called "Be Colorful in a World of Beige: Compassion & Creativity in Nursing." Nyssa can be contacted by email at theqwordpodcast@gmail.com and TheQwordpodcast.com BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
In this episode, we're joined by Brady Bielewicz, an advanced practice clinician serving in a blended Acute Care NP and CNS role. Dr. Brady Bielewicz is a trauma ICU advanced practice nurse and Assistant Professor at the University of Pittsburgh School of Nursing. With nearly 15 years of hands-on critical care experience as both an Acute Care Nurse Practitioner and Clinical Nurse Specialist, he brings a real-world perspective that resonates with bedside nurses and APRNs alike. His work centers on trauma education, developing confident advanced practice nurses, and shaping certification exams that truly reflect clinical practice Brady brings a unique perspective on trauma care, interdisciplinary collaboration, and the critical nursing assessments and interventions that truly impact patient outcomes. This episode is called "Be the Change When Seconds Matter: The Power of Nursing in Trauma Care." Brady can be contacted on LinkedIn @BradyBielewicz BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
In this episode, you'll meet Jana Price, a nurse whose path through healthcare ultimately led her to a greater calling. Jana Price is a dual board-certified trauma and emergency nurse with over a decade of experience across emergency and inpatient critical care. She brings a unique blend of clinical expertise, communication, and business leadership to her work, holding degrees in nursing, communications, and healthcare business. Jana currently serves as the Senior Clinical Director for a medical device company, where she continues to advocate for nurses beyond the bedside. Jana is deeply passionate about nursing justice, ending workplace violence, and advancing pay reform, and she's also the host of a podcast with Nurse.org, the largest online nursing platform, where she helps create space for nurses to share their stories and elevate the issues that matter most to our profession. Through deeply personal and professional experiences, Jana built a platform to advocate for nurses and confront the realities of today's healthcare system. She speaks with honesty, courage, and clarity in this episode titled “A Life Chosen for Advocacy and Empowerment.” Jana can be contacted on LinkedIn @JanaPrice or by email at janaprice@upturnnursing.com BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. Scan the QR Code to sign up for Learn Updates: We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
Fluid and electrolyte emergencies are the silent killers you might not notice until your patient crashes. In this episode, Kevin and Dr. Lisa Wolf break down the classic (and not-so-classic) presentations of hypo/hypernatremia, hypokalemia, hyperkalemia, and calcium derangements—and how they impact perfusion, mental status, and cardiac rhythm. Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!
Vaccines are one of public health's greatest success stories—but what happens when people start saying no? In this episode, Kevin and Dr. Lisa Wolf dig into the rising tide of vaccine refusal, what's fueling it, and how it's already impacting what we see in the emergency department. If you've ever struggled to explain vaccine science to a skeptical patient, this episode is essential listening. Resources mentioned: · American Academy of Pediatrics vaccination recommendations · American College of Obstetricians and Gynecologists vaccine guidelines · Studies on shingles vaccine and dementia reduction · HPV vaccine and cervical cancer elimination in Scotland · Vaccination in the emergency department study Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!
In this Bell Work Talk, Dr. Ashleigh Bowman will introduce the key components of a business case, including calculating a return on investment (ROI). Forensic nurses should be able to articulate business components of the program and justify program costs for long-term sustainability. This podcast will help listeners begin thinking about the business model for their program to use in discussions with middle and upper administration and leaders. Ashleigh F. Bowman, DNP, CRNP, CPNP-AC, SANE-A, SANE-P, is an Associate Professor at the University of South Alabama, College of Nursing, and also maintains a faculty practice at USA Health's Children's & Women's Hospital Pediatric Emergency Department in Mobile, AL. She has been a certified acute care pediatric nurse practitioner since 2016 and became a pediatric SANE in 2020. She obtained her DNP in 2018 from the University of South Alabama. While Dr. Bowman has focused her clinical career on the care of acute and critically ill pediatric patients since 2012, her research and educational interests are focused on health policy and the intersection of policy impacts on clinical practice. Dr. Bowman is currently the project director for federally-funded grant project centered around pediatric sexual assault. Resources: Agency for Healthcare Research and Quality (2017, March). Toolkit for using AHRQ quality indicators. Retrieved from https://www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html Bartlett Ellis, R. J., Embree, J. L., & Ellis, K. G. (2015). A business case framework for planning clinical nurse specialist-led interventions. Clinical Nurse Specialist, 29(6), 338-347. https://doi.org/10.1097/NUR.0000000000000162 Birken, E. G. (2022). Return on Investment (ROI). Retrieved from https://www.forbes.com/advisor/investing/roi-return-on-investment/ Drenkard, K. N. (2022). The business case for Magnet® designation. The Journal of Nursing Administration, 52(9), 452-461. https://doi.org/10.1097/NNA.0000000000001182 Egan, C. (2024). Break-even point formula and analysis: How to calculate BEP for your business. Retrieved from https://squareup.com/us/en/the-bottom-line/managing-your-finances/how-to-calculate-break-even-point-analysis#:~:text=Revenue%20is%20the%20price%20for,%E2%80%93%20Variable%20Cost%20per%20Unit). Fernandez, V., Gausereide-Corral, M., Valiente, C., & Sanchez-Iglesias. (2023). Effectiveness of trauma-informed care interventions at the organizational level: A systematic review. Psychological Services, 20(4), 849-862. https://doi.org/10.1037/ser0000737 Gallagher, M. A., & Chraplyvy, N. (2022). Building a business case for hiring wound, ostomy, and continence nurses. Advanced Skin Wound Care, 35, 493-498. http://doi.org/10.1097/01.ASW.0000855028.36575.dc Green, J. S., Brummer, A., Mogg, D., & Purcell, J. (2021). Sexual assault nurse examiner/forensic nurse hospital-based staffing solution: A business plan development and evaluation. Journal of Emergency Nursing, 47, 643-653. https://doi.org/10.1016/j.jen.2021.03.011 Hollender, M., Almirol, E., Meyer, M., Bearden, H., & Stanford, K. A. (2023). Sexual assault nurse examiners lead to improved uptake of services: A cross-sectional study. Social Emergency Medicine and Populational Health, 24(5), 974-982. https://doi.org/10.5811/westjem.59514 Office for Justice Programs, Office for Victims of Crime. (n.d.). SANE program development and operation guide. Retrieved from https://www.ovcttac.gov/saneguide/introduction/ Vogt, E. L., Jiang, C., Jenkins, Q., Millette, M. J., Caldwell, M. T., Mehari, K. S., & Marsh, E. E. (2022). Trends in US emergency department use after sexual assault, 2006-2019. JAMA Network Open, 5(10), e22236273. https://doi.org/10.1001/jamanetworkopen.2022.36273 Welch, T. D., & Smith, T. B. (2021). Anatomy of a business case. Nursing Administration Quarterly, 46(1), 88-95. https://doi.org/10.1097/NAQ.0000000000000498
Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria. Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w
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In this podcast episode we want to introduce you to our BCEN friend, Kristi Bonny. Kristi Bonny brings over 25 years of experience in healthcare, beginning her career as a firefighter/paramedic before transitioning into nursing. Her diverse background spans roles in the ICU, Emergency Department, Quality Management, and Trauma Services. Currently serving as a Trauma Clinician at an ACS-verified Level II Trauma Center, Kristi specializes in Performance Improvement—blending her love of data and process refinement with hands-on clinical care. Known for her balance of analytical insight and frontline expertise, Kristi embodies the best of both the “nerdy nurse” and the dedicated clinician. What began with a spark to follow in her mother's nursing footsteps has evolved into a remarkable career dedicated to improving trauma care. Recently honored as the 2025 Distinguished TCRN Award winner, it's easy to see why her passion and expertise stand out. This episode is called “Beyond the harbor: courage, compassion, and continuous improvement in trauma care.” Kristi can be contacted on LinkedIn @KristiBonny or by email at KristiBonny@texashealth.org BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
In this podcast episode we want to introduce you to our BCEN friend, Carly Johnson. Carly Johnson fell in love with the complexity of emergency medicine while still in nursing school, working as a tech. After graduation, she found her calling in a pediatric emergency room residency—and never looked back. Today, she's a night shift bedside nurse at one of the busiest pediatric level one trauma centers in the country, where she continues to learn, grow, and take on new challenges every day. With seven years in her current role, Carly now also shares her expertise by teaching other nurses about trauma and critical care within her department. What started as curiosity during nursing school became a lifelong calling for Carly. Now a seasoned pediatric emergency nurse, she's helping the next generation of nurses navigate trauma and critical care with confidence. This episode is called, "Becoming a safe place in a world woefully in need." Carly can be contacted on LinkedIn @CarlyJohnson BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
In this podcast episode we want to introduce you to our BCEN friend, Carol Tulley. Dr. Carol Tulley has been an emergency nurse for over 30 years, starting out at the Cook County Trauma Unit in Chicago and now serving as the Trauma Coordinator at a Level II trauma center in the western suburbs. Throughout her career she's worn many hats—staff nurse, educator, and leader—but trauma has always been her true passion. She teaches and directs the Trauma Nurse Core Course, holds several specialty certifications-including the TCRN, and has shared her expertise through presentations and posters at conferences across the country. From the halls of Cook County hospital to her role as a trauma coordinator and educator, Carol's nursing career is all about leading, teaching, and creating a lasting impact. She will share advice on how to create momentum and build open roads of communication. This episode is called, "Creating a legacy of greenlights in trauma care." Carol can be contacted at Facebook @CarolJaffeTulley and Instagram @C_tulley and LinkedIn @CarolTulley BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
El índice de perfusión periférica (PPI) es una medida no invasiva que refleja la relación entre el flujo sanguíneo pulsátil y el flujo sanguíneo no pulsátil en los tejidos periféricos. En términos simples, permite valorar la calidad de la perfusión sanguínea en áreas distales, como los dedos de las manos. Su medición es rápida y sencilla, ya que se obtiene a través de sensores de oxímetro de pulso avanzados que calculan esta relación y ofrecen un valor numérico. En el contexto del shock séptico, donde la perfusión tisular se ve comprometida a pesar de que los parámetros macro-hemodinámicos (como la presión sanguínea) puedan estar dentro de rangos aceptables, el PPI se convierte en una herramienta innovadora. Permite evaluar directamente el estado microcirculatorio, clave en la supervivencia del paciente crítico. El artículo publicado en The American Journal of Emergency Medicine (Yılmaz et al., 2025) ofrece evidencia de que usar el índice de perfusión periférica para guiar la resucitación del paciente en shock séptico mejora la supervivencia y acelera la depuración del lactato, en comparación con las estrategias tradicionales basadas únicamente en la presión arterial media (MAP). Tabla de Contenido Resumen del Estudio: PPI vs. Manejo Estándar Resultados clave: Implicaciones Clínicas: Cambiando el Paradigma en Sepsis Relación con la Formación Profesional: Cursos Clave en ECCtrainings a) Critical Care Transport b) Emergency Nursing c) Critical Care Nursing Casos Clínicos: Aplicación del PPI en la Práctica Beneficios de Integrar el PPI en Protocolos El Riesgo de No Adoptar el PPI Transformación Profesional: Del Conocimiento a la Acción Conclusión Referencia (APA) Resumen del Estudio: PPI vs. Manejo Estándar El estudio, diseñado como un ensayo clínico prospectivo y controlado, incluyó 200 pacientes divididos en dos grupos: manejo estándar vs. manejo guiado por PPI. Grupo control: manejo basado en guías tradicionales (SSC), con objetivo de mantener la MAP ≥ 65 mmHg. Grupo experimental: manejo basado en el índice de perfusión periférica para guiar la resucitación del paciente en shock séptico. Los pacientes con PPI
On episode 528 of The Nurse Keith Show nursing and healthcare career podcast, in recognition of World Mental Health Day, Keith interviews Kristen Gilmore, the Program Manager for Nurse Well-Being at Thomas Jefferson University Hospital in Philadelphia. In the course of their conversation, Keith discusses with Kristen her experience as a leader whose sole responsibility is to foster an environment and culture where the mental health of nurses is truly a top priority. The program that Kristen oversees is funded by a generous endowment supported by a $7 million grant made possible through the stewardship of Jefferson's Board of Trustees. This program could serve as a blueprint for healthcare institutions looking for an example of how to move beyond platitudes and lip service towards meaningful interventions with nurses' best interests in mind. Kristen is a registered nurse at Thomas Jefferson University Hospital and serves as the inaugural Program Manager for Nurse Well-Being, supporting the Jefferson Bucks, Frankford, Einstein Montgomery, and Torresdale campuses. Prior to this role, she held multiple nursing leadership positions and provided direct care in emergency medicine, where she developed a deep commitment to clinician well-being. A graduate of Holy Family University and Walden University, Kristen has consistently championed the well-being of both her colleagues and the nursing profession as a whole. She currently serves as President of the Philadelphia Chapter of the Emergency Nurses Association (ENA) and chairs the ENA's National Wellness Committee. A Certified SMART (Stress Management and Resiliency Training) Practitioner, Kristen delivers evidence-based well-being education across the Jefferson Health System. Her speaking engagements include presentations for the Board of Certification for Emergency Nursing, the Emergency Nurses Association, the Southeastern Pennsylvania Chapter of AACN, the Pennsylvania State Nurses Association and the Maine Department of Health and Human Services. Kristen also co-authored a recent article in the Journal of Emergency Nursing examining the impact of gratitude in the workplace. Kristen has also featured her well-being work in healthcare on multiple podcasts. Connect with Kristen Gilmore and Thomas Jefferson University Hospital: Kristen.Gilmore@Jefferson.edu LinkedIn Thomas Jefferson University Hospital Contact Nurse Keith about holistic career coaching to elevate your nursing and healthcare career at NurseKeith.com. Keith also offers services as a motivational and keynote speaker and freelance nurse writer. You can always find Keith on LinkedIn. Are you looking for a novel way to empower your career and move forward in life? Keith's wife, Shada McKenzie, is a gifted astrologer, reader of the tarot, and teacher and mentor who combines ancient and modern techniques to provide valuable insights into your motivations, aspirations, and life trajectory, and she offers listeners of The Nurse Keith Show a 10% discount on their first consultation. Contact Shada at TheCircelandtheDot.com or shada@thecircleandthedot.com.
The latest ENA Podcast Blast recaps just a few of the great stories and moments from Emergency Nursing 2025. Hear about nurses who traveled thousands of miles to soak in the experience, the couple making ENA's annual conference a family affair and how one 20 Under 40 honoree opened the door for others to be part of the biggest event of the year for emergency nurses.
In this podcast episode we want to introduce you to our BCEN friend, Adam Vilander. Adam Vilander is a master's-prepared nurse educator with over a decade of frontline experience in emergency and critical care settings. He currently serves as the Emergency and Trauma Nursing Specialist for Samaritan Health Services, a five-hospital system in Oregon, where he leads clinical education, trauma initiatives, and quality improvement efforts. In addition to his leadership role, Adam works as a flight nurse, delivering advanced prehospital care and transport for critically ill and injured patients. His expertise spans trauma resuscitation, rural and remote emergency care, and high-acuity operations. Passionate about evidence-based practice and nurse development, Adam is dedicated to advancing care delivery and improving outcomes in complex, high-pressure environments. Adam's career spans prehospital care, the ER, critical care, and flight nursing—and through it all, he's chased his goals with determination while navigating some of the hardest experiences nursing can bring. His story is packed with lessons, perspective, and inspiration, so buckle up. This episode is called, “Don't let your dreams just be dreams.” Adam can be contacted through email at avilander@samhealth.org or on LinkedIn @AdamVilander BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
In this podcast episode we want to introduce you to our BCEN friend, Ashely Haugen. Ashley Haugen is a nationally recognized writer, speaker, and advocate for consumer product safety. As the founder of That Water Bead Lady, she leads efforts to support families impacted by product injuries, improve injury reporting systems, and increase public awareness of high-risk products like water beads. Following her daughter Kipley's injury, Ashley became the first parent advocate to coauthor a case study in Pediatrics (American Academy of Pediatrics Journal), contributing a vital parent perspective to medical literature. Her leadership bridges personal experience with public health advocacy, driving meaningful change to safeguard children nationwide. Ashley is a nationally recognized writer, speaker, and advocate for consumer product safety. As the founder of That Water Bead Lady, Ashley has transformed her family's experience into a powerful force for change, raising awareness and driving advocacy to protect children nationwide. This episode is called, "History has its eye on you." Ashley can be contacted at ThatWaterBeadLady.org and on IG WaterBeadLady, also TickTock BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
What happens when you're not the one about to make the mistake, but you're see someone about to make an error? In this episode, Kevin and Dr. Lisa Wolf tackle one of the toughest ethical and professional dilemmas in healthcare: how to intervene when a colleague is on the verge of harming a patient. From quiet cues to full-on halts, theydive into the art of the interruption. You'll also hear why modeling behavior matters, how burnout can blind providers, and why letting a mistake slide is more than just dangerous, it's bullying. If you've ever asked yourself, “How do I say something without causing a scene?” this one's for you. Key Takeaways: Your first loyalty is to the patient There's an art to interrupting mistakes Focus fatigue and burnout cause errors If you don't stop it, you're complicit Modeling matters Letting someone fail is a form of bullying Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!
In this podcast episode we want to introduce you to our BCEN friend, Michael Gooch. Dr. Michael Gooch is an emergency and flight nurse practitioner, critical care paramedic, and seasoned clinician with over 30 years of experience in emergency and transport medicine. Based at Vanderbilt University Medical Center, he has completed more than 1,700 patient transports with the LifeFlight team. He is also an Assistant Professor of Nursing at Vanderbilt University School of Nursing and a nationally recognized speaker, author, and educator. Dr. Gooch holds leadership roles with the American Academy of Emergency Nurse Practitioners and the Air and Surface Transport Nurses Association. He is a Fellow of multiple professional organizations and was recently honored with the Distinguished Certified Flight Registered Nurse Award by BCEN in 2025. From prehospital care to the ER, critical care, and transport, Michael's career has spanned nearly every corner of emergency nursing. His passion for doing things right and inspiring others is unmistakable, and we're excited to feature him in this episode called, “Keeping the curiosity door unlocked: Spotlight on the 2025 Distinguished CFRN Winner.” Michael can be contacted through LinkedIn @MichaelGoochDNP. BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
In this podcast episode we want to introduce you to our BCEN friend, Rebecca Geyer. Rebecca Geyer brings over two decades of diverse nursing experience, with the majority of her career rooted in Trauma ICU care. Her clinical background spans neurosurgical ICU, pediatric pre-op and PACU, the emergency department, and roles in trauma performance improvement and injury prevention. She currently serves as the Director of Trauma Performance Improvement for the Pennsylvania Trauma Systems Foundation (PTSF), the accrediting body for all trauma centers across the state. In her current role, Rebecca leads statewide initiatives to advance trauma care quality and outcomes. From ICU to ED, Pre-op to PACU, pediatrics to process improvement, Rebecca has kept a fresh view of nursing as she's reimagined her career over 20 years. We have plenty of conversational ground to cover in this episode called, Seeing the world of trauma anew, each day. Rebecca can be contacted through LinkedIn @Rebecca Geyer or by email at: beccageyer@gmail.com BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
In this episode, Kevin and Dr. Lisa Wolf tackle the critical issue of intimate partner violence (IPV) and its implications for emergency nursing. They break down why IPV is often missed, how it can present in ED, and the subtle red flags that signal deeper concerns. From the limitations of triage screening to the importance of private conversations, they share strategies to identify and respond to intimate partner violence Links to articles Warning Signs of Partner Abuse in Intimate Relationships Intimate Partner Violence and Human Trafficking Investigating the prevalence of intimate partner violence victimisation in women presenting to the emergency department in suicidal crisis Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!
In part two of this podcast session we want to continue the conversation with our BCEN friends: Jonathan Baxter, Caroline Levin, and Jacob Miller. Jonathan Baxter is the Chief Flight Nurse for a critical care transport program in Arkansas, where he oversees clinical operations and actively flies missions. He holds board certifications in trauma, emergency, flight, and critical care nursing. He collaborates with EMS crews, communities, and state regulators, serving as Vice Chair of the Air Medical Subcommittee and Secretary of the EMS Data Committee for the Arkansas Department of Health. A Doctoral Candidate at UAMS, his research focuses on how EMS provider qualifications impact patient outcomes. He's also active in several professional organizations and serves as the ENA Trauma Chair for Arkansas. Caroline Levin is a flight nurse and for STAT MedEvac, in Pittsburgh PA. Coming from a diverse background in trauma, emergency, and critical care, she brings a unique expertise to the bedside and aims to share her love of nursing and continuing education to the future of transport nursing. Caroline holds certifications in emergency, flight, critical care, and as a pre-hospital specialized RN. Jacob Miller is a Nurse Practitioner, Clinical Nurse Specialist, and Nationally Registered Paramedic with over two decades of EMS and emergency nursing experience, now specializing in critical care transport medicine. Jacob works as a paramedic, a flight nurse, and a critical care nurse practitioner in the Cincinnati area, in addition to state and national involvement in various professional organizations. These seasoned flight clinicians are here to share their real-world insights, expert tips, and unique perspectives on the fast-paced world of air transport nursing. From critical clinical scenarios to ethical dilemmas, no topic is off limits—and yes, we're spilling the tea on all things flight. This episode is called, “CFRN Roundtable: Get to the Chopper” Part Two The CFRN Roundtable can be contacted directly: Caroline- Instagram @Carolevin119 Jacob- LinkedIn @JacobMillerACNP Jonathan- Email @baxtersword@gmail.com BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
From the emergency department to the top of some of the world's tallest peaks, Jeff Evans has learned about leadership, teamwork and trust - and he's excited to share his stories and lessons learned in New Orleans when he keynotes Emergency Nursing 2025. Jeff joins the ENA Podcast to offer a taste of his experiences and why emergency nurses are "his people."
In this episode, Kevin and Dr. Lisa Wolf dive into the ethical principles that shape nursing practice. Nursing ethics are not just in crisis situations, but in the everyday decisions nurses make every single shift. From returning the bladder scanner to honoring patient autonomy, we explore how small actions reflect deep ethical commitments. Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!
In this episode, Kevin and Dr. Wolf dive deep into the under-discussed but critically important world of renal and urologic emergencies. From the agony of kidney stones to the subtleties of urinary retention. They discuss the dangers of delayed diagnosis, unpack key presentations, triage considerations, and red flags that emergency nurses must recognize. Urine color chart Click here https://www.medicalnewstoday.com/articles/urine-color-chart Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!