Advanced Practice


ENA's Institute for Emergency Nursing Advanced Practice

ENA is dedicated to supporting all emergency advanced practice nurses including nurse practitioners and clinical nurse specialists. To show this support, ENA established the Institute for Emergency Nursing Advanced Practice in 2014. Since that time, the ENAP 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.

Featured Council Member

Luis Gino (“Luigi”) Guzman, MSN, MHA, APN, FNP-BC, CEN, TCRN

Luis Gino (“Luigi”) Guzman grew up in the Philippines, where his mother works in a small community hospital, Luis Guzmanthe place where his path to becoming an emergency nurse practitioner began. Guzman said he often went there after school, exploring to pass the time as he waited for his mother to finish work.

“The hospital was my playground. That was my after-school activity. I played with the nurses, the lab techs. I saw how they moved, and I saw how they helped people,” Guzman said.

Guzman earned his bachelor’s degree in nursing from De Los Santos-STI College, his master’s degree in Adult Health at St. Paul University Philippines and he has worked in several emergency and trauma departments. He recalled that in his third year of studies, he helped respond to a pediatric code. That event cemented his interest in emergency nursing, even though the child didn’t survive.

“I knew then that emergency was my passion,” he said. “I felt at that time I didn’t want to feel that pain for the parents. I wanted to help.”

After five years working in the Philippines, he moved to Bermuda to be the charge nurse in the island’s only emergency department. He later served as manager for quality and patient safety and clinical risk management. In that role, his led education about sepsis, both for groups around the island and among hospital staff. He also earned a master’s in health care administration from Walden University.

During his time in Bermuda, Guzman joined ENA and began attending the association’s annual conferences, recruiting his colleagues to join ENA along the way. The education was important, he said, because there weren’t many opportunities to access updated information where they were.

“Island medicine is different. There are less resources,” he said.

Guzman moved to Florida in 2019 where he worked in an emergency department in Tallahassee and completed a post-MSN certificate in Family Nurse Practitioner at University of Alabama. As an advanced practice nurse, he said he still felt at home in ENA.

“We have different kinds of challenges, but we need the voice and the advanced education (that ENA can provide),” he said. He also served a term on the Global Advisory Council and on the Emergency Nursing Conference Education Planning Committee prior to joining the Emergency Nursing Advanced Practice Advisory Council.

Guzman and his wife relocated to New Jersey in 2022 to be near her family. He currently works in the Hoboken University Medical Center ED, where he is a preceptor. He is also an adjunct faculty at William Paterson University of New Jersey.

Outside of work, Guzman volunteers for his county’s Medical Reserve Corps. He and other volunteers were most recently deployed to help with health exams and education for newly arrived migrants staying in New Jersey shelters.

After two master’s degrees, Guzman now has his sights set on earning one more degree next year. He is pursuing his Doctor of Nursing Practice through the University of Alabama, where his work is focused on street medicine. He wants to develop education for nurses that covers caring for and advocating for patients who are homeless, something he said he didn’t receive as a nursing student.

“I have a soft spot for them, because we are the only ones they can go to, the only ones they ask for help,” he said. “A homeless patient has different needs, a lot of history you need to ask so you know how to activate social services.”


Meet the Committee Members

Jacob Miller, DNP, MBA, ACNP, ENP-C, CNS, CFRN, CCRN, NRP, FAEN Chairperson Chelsea Collins, DNP, RN, ACCNS-AG, CEN, SANE-A
Teresa Dodge, DNP, FNP-C, CENLuis Gino Guzman, MHA, MSN, RN, APRN-BC, FNP-BC, CEN, TCRN
Tina Nielsen, MS, RN, ACNS-BC, CEN Mollie Plotkin, DNP, MSN, RN, CPNP-AC
Audrey Snyder, PhD, RN, ACNP-BC, FNP-BC, CCRN, CEN, FAAN, FAANP, FAEN Aimee Westmore, MSN, RN, FNP, CEN, TCRN
Darleen Williams, DNP, APRN, CCNS, CEN, EMT-P
Kathleen Zielinski, MSN, RN, CNP



Procedural Sedation and Analgesia for the Advanced Practice Clinician
This course will prepare the Advanced Practice Clinician (APC) 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

Wound Repair Techniques
This virtual course focuses on skin anatomy and wound closure.  Course includes a series of suturing technique videos for hands-on practice. Free for ENA members!  Learn more.



Practice Resources and White Papers

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.

Practice Resources and White Papers

Click here to access the following practice resources and white papers:

  • APRN position statement
  • Competencies for nurse practitioners in emergency care
  • Competencies for clinical nurse specialists in emergency care
  • Scope and standards (includes APRNS)


Advanced Practice CONNECT Community

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.

ENAP is in the process of developing a library for APRN-specific guidelines and recommendations used in clinical practice. The APRN Library will be located in the Advanced Practice CONNECT community.

Advanced Practice Reference Library

ENAP 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'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 all ENA awards.

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.

ENA University is here to meet emergency nurses' professional development needs from orientation to advanced practice.