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

Julie Rossie, MS, RN, CNS, CCNS, CCRN, TCRN

Julie Rossie, MS, RN, CNS, CCNS, CCRN, TCRN, is the assistant director of nursing clinical practice at Kaiser Julie RossiePermanente in California’s greater San Jose area with oversight in the emergency department, and ambulatory clinics on the main San Jose campus and four satellite clinics in the surrounding area. She is a graduate from the Critical Care/Trauma Clinical Nurse Specialist program at University of California San Francisco. Her clinical background includes critical care, emergency, and trauma nursing with over seventeen years as a clinical nurse specialist.

As the assistant director, she is responsible for performance improvement, quality assurance, maintenance of practice standards and identifying and interpreting clinician scope of practice in the outpatient environment. Additionally, she is the clinical consultant for the COVID-19 vaccine and testing programs in her service area.

She has been actively involved in ENA at the local, state and national levels. She is currently California ENA’s leadership and practice chair and is actively involved in General Assembly as a California delegate. She is passionate about the advanced practice role and involved in development of the emergency CNS competencies through ENA. She was involved in the beta testing of the BCEN trauma certification exam. Her interests include triage accuracy, emergency nursing quality measures, trauma and geriatric emergency care.



Meet the Committee Members

Jacob Miller, DNP, MBA, ACNP, ENP-C, CNS, CFRN, CCRN, NRP, Chair Tresa Zielinski, DNP, RN, APRN, CPNP-PC Member
Aimee Westmore, MSN, RN, CEN MemberAudrey Snyder, PhD, RN, CEN, FAEN Member
Craig Nuttall, DNP, ENP-C, FNP-C MemberChelsea Collins, DNP, RN, CEN Member
Julie Rossie, MS, RN, CNS, CCNS, CCRN, TCRN MemberDarleen Williams, DNP, APRN, CEN Member
Vicki Bacidore, DNP, RN, CEN Alternate  
Jennifer Bevacqua, RN, ACNPC-AG Alternate



APRN Social Hours

These virtual social hour events provide a fun and casual way for APRNs to discuss topics relevant to their practice and engage with their colleagues who share the same clinical practice experiences.

March social hour: March 16 at 7 p.m. CST

Dye your hair green, grab your favorite beverage, and pregame for St. Patrick's Day during the next Advanced Practice Social Hour! Meet some of ENA's Advanced Practice Advisory Council members and collaborate with other emergency APRNs on issues you're seeing in your practice. This informal social hour is a great place to kick back and discuss various topics with other APRNs from across the country.

Register today


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

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.


Emergency Nursing Advanced Practice

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