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At the first conference of the Maltese Emergency Nurses Association (MENA) in October 2008 Maltese emergency nurse Paul Calleja, Italian emergency nurse Luciano Clarizia and UK emergency nurse James Bethel talked about forming a European group to represent emergency nurses across the continent. This remained just an idea for much of 2009. During early 2010 James, Luciano and Paul began to circulate any contacts in Europe that they knew of and the international council of nurses (ICN) was also able to provide contacts for other emergency care organizations in Europe.

In March of 2010 James Bethel met with David Williams, past president of the European Society of Emergency Medicine (EuSEM), in London for advice and support about forming a European emergency care group. During summer of 2010 fifteen European countries expressed an interest in being part of an emergency nursing group.

Initial discussions held at meetings in Pordenone, Italy, in October 2010 and London, England in April 2011 gave raise to the need of sharing experience. In some countries in Europe emergency nursing is not yet recognized as an area of specialization in nursing. As such there is often little formal education and training provided for emergency nurses and it is not always clear what particular skills and knowledge an emergency nurse needs.

On 6th & 7th September 2010 the inaugural meeting of EuSEN has been held in Pordenone, Italy. Since then much work has been done.

EuSEN decided that the main goal was and is to represent as many emergency nurses as possible and to have emergency nursing recognized as a specialty across Europe.

In April 2011(in London) the members discussed and agreed about finances and membership fees. The temporarily built board of EuSEN was realigned and formally elected on the third meeting in October 2011 in Ghent, Belgium. Official statements and recommendations were made. They allow the organization and each member in their countries to use them as standards for emergency care. These statements and recommendations can be supportive in discussions with managers, universities, and other nurses to improve patient care.

In Brussels, in Mai 2012 the board continued to work on the statutes, a requirement for its own establishment. The statutes state how EuSEN has to function as an organization and how it elects its board etc... The statutes have been finalized in French and translated into English for formal acceptance and execution. Organizing the next general assembly and discussions about the website and a logo were furthermore on the agenda.

The official logo for EuSEN, which has been created by a designer from Norway, was selected in July 2012. The EuSEN website was created the same year ( .

The main purpose of EuSEN is to promote the art and science of emergency nursing across Europe and provide a platform for knowledge and information sharing amongst its members in the interest of our patients.

EUSEN would therefore like to set some agreed standards for emergency care. We would also like to investigate the opportunity of sharing some of the clinical guidelines that are already used in some countries and that may be used in others.

The EuSEN statements can support nurse organisations and individual nurses to create their own national statements in emergency nursing.

Agreed position statements:

The EuSEN agreed on the following position statements with reference to the provision of emergency services across Europe. It is recognised that in some countries these are already achieved whilst in

others they would be worthwhile. These standards set a minimum threshold for care in emergency care settings.

  1. Patient interest

    1. All patients attending for emergency care should be triaged within 10 minutes of registration and allocated a priority rating

    2. All patients or legal representatives are given adequate information from arrival to discharge from emergency care.

    3. All patients should have their pain assessed and treated within 30 minutes of registration

    4. All patients should be provided with quality and knowledge based nursing emergency care.

    5. All patients are entitled to timely and appropriate access to safe and effective emergency care


  2. Competence

    1. A specialized qualification in emergency nursing should be on an advanced level and needs to be seen as a distinct nursing specialty.

    2. Triage* should be performed by a nurse with a minimum of at least 12 months of experience in emergency nursing.

    3. A Nurse Practitioner in ED should have an acknowledged specialized education.


  3. Organization


  1. Every ED should use a standardised triage-system

  2. Organization should be focused on interdisciplinary cooperation on patient’s centralised care.

  3. Because of the complex work in the ED, occupational reflection and professional support should be provided at any times.


* Triage: face-to-face triage and telephone triage


Every country which wants to be a member of the EuSEN will have to pay a join in fee as an organization. The nurse organization will thereafter gain a lifelong membership. The amount of the join in fee depends on the number of members which each national nurse association brings along.

The EuSEN Board: President: Door Lauwaert (B)

Vice-President: Petra Valk-Zwickl (CH) Secretary: Ole-Petter Vinjevoll (N) Treasurer: Yves Maule (B)

Website: Yves Maule (B) Newsletter editors:

Petra Valk-Zwickl (CH) - Door Lauwaert (B) Other executive committee members: Luciano Clarizia (I)

Frans de Voeght (NL) Gudbjörg Palsdottir (ISL)