Advanced Practice

To support emergency advanced practice nurses, ENA established the Institute for Emergency Nursing Advanced Practice in 2014.

Emergency Nursing Advanced Practice

ENA is dedicated to supporting all emergency advanced practice nurses including nurse practitioners and clinical nurse specialists. Since 2014, the Advanced Practice Advisory Council has provided ENA with guidance on key topics specific to advanced practice and has developed a variety of resources needed to support its growing APRN members.

ENA Education for APRNs

  • Procedural Sedation and Analgesia for the Advanced Practice Clinician: This course will prepare the Advanced Practice Clinician to safely provide procedural sedation and analgesia in the emergency care environment. It includes didactic content with current definitions, pharmacologic interventions and guidelines. Learn more about this course.
  • Wound Repair Techniques: This virtual course focuses on skin anatomy and wound closure. The course includes a series of suturing technique videos for hands-on practice. Free for ENA members! Learn more about this course.

Practice Resources

2024 Clinical Nurse Specialist Competencies in the Emergency Care Setting

This practice resource illustrates the competencies for the clinical nurse specialist practicing in emergency care. The needs of health care professionals and patients including individuals, families and populations across the lifespan are emphasized. There are three areas of CNS practice in the emergency care setting that are important and frequently performed without the CNS being fully credentialed or practicing to the full scope of their education and licenses due to professional, legislative and environmental limitations. View the competencies here.

2021 Emergency Nurse Practitioner Competencies

The American Academy of Emergency Nurse Practitioners and the Emergency Nurses Association are pleased to announce the 2021 Emergency Nurse Practitioner Competencies are available.

This document represents the integration of previously published competencies from AAENP (2018) and ENA (2019). This integration was led by members of the Emergency Nurse Practitioner Competencies Work Group which included representatives from AAENP and ENA, and some individuals who worked on the most recent sets of competencies from each organization. The workgroup utilized an external validation process for review and revision of these competencies which are aligned with other national initiatives and documents that shape and define nurse practitioner curricular development. In addition to supporting emergency nurse practitioner academic preparation, the resulting unified set of ENP competencies supports current regulatory frameworks, credentialing and insurer challenges.

ENA Practice Resource Library

The ENA Practice Resource Library includes the following advanced practice resources:

  • APRN Position Statement
  • Competencies for nurse practitioners in emergency care
  • Competencies for clinical nurse specialists in emergency care
  • Scope and standards (includes APRNs)

Click here to access the resources.

Featured APAC Member

Kathleen Zielinksi, MSN, APRN, RN, CPNP-PC, has carved a career path that combines her drive for learning and her longtime interest in taking care of children.

A portrait of a woman with straight, shoulder-length blonde hair and fair skin. She is smiling brightly, showing her teeth. She is wearing pearl earrings and a white top or coat, suggesting a professional setting. The background is a clean, light gray, giving the image a polished and formal appearance. Her expression is friendly and welcoming.

Zielinski earned her bachelor’s degree in nursing from Loyola University and her master’s from Rush University, both in Chicago. Most of her career has been working in major metropolitan areas and at university-affiliated hospitals. She has been a staff nurse and clinical educator and has also worked as a pediatric nurse practitioner in a small private practice.

Zielinski always knew she would work in a medical field and work with children. She grew up admiring her mom and her sister, who were both teachers. When Zielinski was a college student, her cousin was born with a congenital heart condition, requiring multiple surgeries, and she recalled going to visit him in the hospital. Pediatric nursing was the right fit for her.

Prior to serving on ENA’s Advanced Practice Advisory Council, Zielinski was involved in the National Association of Pediatric Nurse Practitioners—a colleague there recommended she become involved with ENA. Zielinski presented at Emergency Nursing 2024, teaching a session on pediatric sepsis, as well as a volunteer working the Sharpen Your Skills stations.

“We’re a field that is growing fast,” Zielinski said. “Our health care system has to figure out how to use us.”

The APAC, she said, has helped her see the need for improving pediatric emergency care around the country.

“It’s been eye-opening,” she said. “Pediatric readiness across the U.S. is very much lacking, especially when you get outside major cities.”

In her current role as pediatric nurse practitioner at Lurie Children’s Hospital at Central DuPage in Winfield, Illinois, she works with a grant-funded program called Simulation-based training for High Acuity Pediatric Events, teaching about uncommon situations like drowning and other pediatric emergencies. She also participates in a program that educates EMS out in the community called the Children’s Prehospital Simulation Network of Illinois.

“Responding to pediatric calls is something they’re very nervous about,” said Zielinksi, who also teaches the pediatric mass casualty triage algorithm JumpSTART.

For Zielinski, earning an advanced degree “was a no brainer,” something she always wanted, and as her children get older, she plans to earn her DNP.

Nurses occasionally turn to her for advice on whether to pursue advanced degrees. She tells them first to “make sure you love it.” She also touts the opportunities they could find. There are many ways to combine clinical, education, outreach and research, she said. For her, finding the right balance of intense stretcherside work with her roles in education and research has helped her prevent burnout, she said.

Meet the Committee Members
  • Darleen Williams, DNP, APRN, CNS, EMT-P, CEN, CCNS, 2025 Chairperson
  • Teresa Dodge, DNP, CEN, FNP-C
  • Laura Gallagher, MSN, APRN, CEN, ACNS-BC
  • Luis Gino Guzman, DNP, MHA, APN, FNP-BC, ENP-C, CEN, TCRN
  • Eric McCraney, DNP, MA, NP, ENP-BC, FNP-C, NREMT-P
  • Deborah McCrea, EdD, MSN, RN, EMT-P, CEN, CFRN, FNP-BC
  • Tina Nielsen, MS, RN, CEN, ACNS-BC
  • Mollie Plotkin, DNP, APRN, CPNP-AC, SANE-P
  • Julia Ponder, DNP, APRN, CEN, AGACNP-BC, FNP-C
  • Kathleen Zielinski, MSN, APRN, CPNP-PC
Awards

ENA's Annual Achievement Awards recognize individuals who exemplify exceptional performance in professional practice, innovation, leadership or advocacy.

The Frank L. Cole Nurse Practitioner Award highlights excellence as a nurse practitioner in emergency care. The NP is recognized by peers, nursing and physician colleagues, and patients as a clinical expert who delivers compassionate, competent care in an emergency care setting. The recipient is actively involved in promoting the role of NPs and strengthening their image in emergency care.

The Clinical Nurse Specialist Award recognizes excellence as a clinical nurse specialist in the emergency care setting. The CNS is recognized by the emergency department staff as an expert, in practice or education, who makes significant contributions to practice or to the professional development of others.

Click here to view the awards

Additional Resources

The Advanced Practice CONNECT Community is a space for members to network, ask questions and focus on topics relevant to advanced practice. All ENA members with advanced practice credentials are automatically added to the community. Already a member? Click here to log in and access the community! Not a member? Learn more about membership here.

Advanced Practice Reference Library

APAC is excited to share the development of a reference library, which is available now through the AP Connect Community. To access these APRN-specific guidelines and recommendations in clinical practice, visit here and select the “APRN Practice Resource Library” folder.

A special thank you to the following contributors for their help in the resource library development: Heather Burgett, Meg Carmen, Nancy Denke, Bill Fiebig, David House, Audrey Snyder, and Julie Wescott.

ENA Mentoring Program

Are you looking for a way to share your expertise and support ENA members? Get involved by signing up to be a mentor! Learn more.