AuthorApplicationForm - Emergency Nurses Association

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CATN
Course in Advanced Trauma Nursing
This form is to be completed by all individuals who are interested in becoming a contributing faculty
member by writing an educational module for the ENA online Course in Advanced Trauma Nursing
(CATN). This form, indicating your interest and identifying your subject matter expertise, must be
submitted electronically to MBokholdt@ena.org by October 22, 2012. You will receive an
acknowledgement of your application when it is received.
ALL CONTENT SUBMITTED FOR CATN IS SUBJECT TO EDITING TO ASSURE THAT FORMAT, CONTENT,
AND DETAILS ARE CONSISTENT. ALL AUTHORS MUST MEET REQUIRED DEADLINES.
Section 1: Demographic Data
First Name:
Middle Name:
Credentials:
RN Nursing Degree: (circle)
Last Name:
License (state):
Masters
Mailing Address:
City, state, zip:
Work Title:
Home phone:
Doctorate
Facility:
Cell phone:
Work phone:
Preferred e-mail address:
IMPORTANT: Information about the course and communication from ENA will be sent to the e-mail
address that has been provided.
Section 2: Subject Matter Expertise
Why are you interested in becoming an author for the CATN?
CATN
Course in Advanced Trauma Nursing
Briefly describe your professional expertise related to the following topics – advanced
pathophysiology, advanced diagnostics, and/or critical thinking related to emergency/ critical care.
Describe any formal teaching experiences you have had with advanced pathophysiology, advanced
diagnostics, and/or critical thinking related to emergency/ critical care.
Identify the first and second choice of module or modules that you would like to author from the list
provided. Make first and second selection below. Also, please indicate if you have pediatric expertise
for each of these topics as a separate module will be written from a pediatric perspective.
Ch.
1
2
3
4
5
6
7
8
9
10
11
Title
Theory and Decision Making
Biomechanics of Injury
Scientific Foundations
Ventilation and Gas Transport
Gas transport and Perfusion
Inflammation and Stress Response
Pain and Sedation
Consciousness
Mobility and Sensation
Professional Practice Issues
Neurovascular, Brain, and Spinal Cord
Ch.
Title
12
Cardiovascular
13
Pulmonary and Adv. Respiratory Mgt.
14
Abdominal and Gastrointestinal
15
Renal and Genitourinary
16
Endocrine and Metabolic
17
Burn and Surface
18
Multiple Organ Dysfunction
19
Sepsis
20
Pediatric Illness and Injury
21 Comorbidities: Effect on Illness and Injury
Attach your focused resume to this application and include a list of professional publications on
advanced pathophysiology, advanced diagnostics, and/or critical thinking related to emergency/
critical care (if any).
A sample of your writing is requested. Please provide a 300 word narrative comment on the
statement below. A minimum of 4 current citations should be included.
CATN
Course in Advanced Trauma Nursing
Emergency nurses are caring for critically ill or injured patients on an ever increasing basis.
Knowing the outcomes of interventions performed and care given in the emergency department
is crucial to the emergency nurse…
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