Editor-in-Chief: K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN
Jean A. Proehl, RN, MN, CEN, CPEN, FAEN
ISSN: 1931-4485
Online ISSN: 1931-4493
Frequency: 4 issues / year
Nurses Week 2016


In honor of Nurses Week, enjoy the current issue of Advanced Emergency Nursing Journal for free!

Plus, we will continue celebrating nurses all month long, because a week is just not enough.

To say thanks for all that you do, we are offering additional free content, special discount offers and more, in conjunction with our partners at Wolters Kluwer and NursingCenter.com.

Be sure to join the conversation on Social Media by using the hashtags below:




Editors' Remarks

  Editor Karen Sue Hoyt


 Editor Jean A. Proehl

 Editor Karen Sue Hoyt


Editor Jean A. Proehl 

Editors' Remarks


Dear Colleague,

Welcome to the American Academy of Emergency Nurse Practitioners!


The newly formed American Academy of Nurse Practitioners (AAENP) has adopted the AENJ as their official journal. Both AENJ and the AAENP seek to promote high quality, evidence-based care so this relationship is a natural fit. There are many opportunities for collaboration and mutual gain which will translate into improved resources for ENPs and improved care for patients.

Members will have free on-line access to AENJ as a benefit of membership and may also subscribe the print journal at a deeply discounted rate.  AAENP Founder, Elda Ramirez, is a long-time AENJ board member and AENJ Editor, K. Sue Hoyt, is now an AAENP board member so our collegial relationship is well established.

If you're an ENP who doesn't already belong to AAENP, you can see what you're missing at www.aaenp-natl.org.

Sue and Jean

Online Editor's Suggestions

Tranexamic Acid 




                    Tom Trimble, RN
                    All opinions are solely those of the respective authors.
                    Readers must verify validity to their own practice.


Advanced Emergency Nursing Journal is always looking for authors, articles, and suggestions for topics that inform the work of our specialty and excite the readers. If you have an article or concept to propose, or suggestions and opinions that would help us meet your needs, please use our "Feedback" form to contact the Editors. It's a direct line of communication, and the free registration of your email allows us to respond to your suggestions, and makes the entire website and all other LWW Journals more useable and functional for you.

Current Issue Highlights



Official Journal of the American Academy of Nurse Practitioners


Advanced Emergency Nursing Blog


Clinical Tips from AENJ

# 157 {Encore performance of Episode # 69, enhanced} 

---#69 Nearly a Sleep Lab , V2.0

Emergency clinicians would dearly like to avoid the burden of "primary care" problems that come to them. There are unavoidable areas of overlap for which we are ideally placed to recognize and act upon matters not found in the usual office visit. What we do can be key to managing disease and preventing future health catastrophes. Alertness for potential Obstructive Sleep Apnea should always be part of our assessments.  

Extended LOS is common. Our patients are exhausted and medicated in an environment of airway-trained staff and physiological monitoring. Visitors may be sleep witnesses. Spoken clues may be dropped as to difficulty of regulating blood pressure, poor sleep quality, "wake up still tired," sleeping in a chair, mood changes, inappropriate sleepiness, or near accidents.  

There is probably no better place for detection and discussion of Obstructive Sleep Apnea, previously undiagnosed, than the E.D.  It should be considered a major mission of the ED to report for follow-up, all patients observed to have apnea-hypopneas during sleep; all patients with difficulty in airway management suggestive of sleep apnea; and those in whom "microsleeps" or sleep apnea induced sleep deficits affecting their cause of accident,  safety, ADLs, or medical management; all staff should be expected to contribute their clinical observations before discharge. 

  • Do you have a "possible sleep apnea" discharge instruction and referral template?
  • Do you generate a "Dear Doctor" report for the primary care provider?
  • Our hospital's Sleep Center; were agreed to an arrangement for direct referral to them for screening. We kept their pamphlets on hand. We had computer desktop shortcuts to print out the information for the patient and family.


"Hi, it's good to see you again. I got that sleep study that you mentioned. I'm now on CPAP, and my life and health have turned around! Thank you."


STOP-BANG Questionaire

Chung, F., Subramanyam, R., Liao, P., Sasaki, E., Shapiro, C., & Sun, Y. (2012). High STOP-Bang score indicates a high probability of obstructive sleep apnoea. British journal of anaesthesia, 108(5), 768-775.  

Vasu, T. S., Doghramji, K., Cavallazzi, R., Grewal, R., Hirani, A., Leiby, B., ... & Witkowski, T. (2010). Obstructive sleep apnea syndrome and postoperative complications: clinical use of the STOP-BANG questionnaire. Archives of Otolaryngology–Head & Neck Surgery, 136(10), 1020-1024.  

Chung, F., Yang, Y., & Liao, P. (2013). Predictive performance of the STOP-Bang score for identifying obstructive sleep apnea in obese patients. Obesity surgery, 23(12), 2050-2057.  

Berlin Questionaire  

American Thoracic Society on Berlin Questionaire

Vearrier, D., Phillips, B., & Greenberg, M. I. (2011). Addressing obstructive sleep apnea in the emergency department. The Journal of emergency medicine, 41(6), 728-740.

 All Tips: 2013  2014  2015  2016  

Upcoming Conferences

AANP - 2016
National Conference

American Association of

Nurse Practitioners 
San Antonio, TX
June 21st – 26th, 2016 

EM Day of Service

Your Community
TBA September 2016

ENA Emergency Nursing 2016
Los Angeles, CA
September 14th - 17th, 2016

ACEP 16 Scientific Assembly
Las Vegas, NV
October 19 th - 21st, 2016

Contact us with information upon conferences of interest to the readership.

Author Alert!

Advanced Emergency Nursing Journal is seeking authors, articles, and topics. If you are interested in writing for publication, please check our current (2015)  "Topics of Interest" for your project. Please contact our Editors if you have an additional proposal or suggestion.