About Us

The East Texas Emergency Nurses Association (ETENA) is a sanctioned Chapter of the Emergency Nurses Association (Chapter 296).  It is comprised of emergency nurses and emergency nursing advocates located in a 26 county region covering the top eastern corner of the state including Texarkana, Mt. Pleasant, Paris, Tyler, Longview, Lufkin, and Nacogdoches.
Our membership includes men and women with amazing experience, education, and expertise including

    • 55 – CEN
    • 2 –LVN
    • 11– MSN
    • 1 – Certified Flight Registered Nurse
    • 2 –Sexual Assault Nurse Examiner
    • 1 –Advanced Trauma Care for Nurses
    • 1 –Masters of Public Health
    • 1 –Fellow of Academy of Emergency Nursing
    • 1– Masters in Education
    • 1 –Certified Transport Registered Nurse
    • 1 –Certified Pediatric Nurse
    • 1 –Certification in critical care nursing
    • 2 –National Registry Emergency Medical Technician – Paramedic
    • 1 –Certified Legal Nurse Consultant

2023 Board of Directors and Leadership Team

Keith Martin


Keith grew up in Lindale, Texas and currently lives in Henderson, Texas. Employed full time with Christus Mother Frances Hospital in Jacksonville Texas since 2009, where he’s currently in the role of RN Program Manager, Education Coordinator, and Emergency Management. He is also the current course director of the TNCC program for Christus Mother Frances Hospital. Prior to nursing,  Keith was a EMT Paramedic for Henderson Memorial Hospital, Gold Star EMS and then with Champion EMS, before obtaining his ADN from Kilgore College.  He is currently pursuing my BSN.  Out side of nursing he enjoys golfing, spending time with his wife and three kids and model trains.

Tim Hernandez, RN BSN

Past President

Tim is from Nederland, Texas and currently resides in Nacogdoches, Texas. He is employed full time as a Clinical Nurse II in the Emergency Department at CHI St. Luke’s Health Memorial in Lufkin, Texas. He has worked at CHI St. Luke’s Health since 2012 first as an ER Tech and Unit Clerk while attending Nursing School at Stephen F. Austin State University. Tim began his nursing career after graduating in December of 2017 from SFASU and has been full-time in the Emergency Department since then. Prior to nursing he worked in several hospitals and EMS services in various positions. He also served in the U.S. Army on active duty and has deployments to Iraq as a Combat Medic with Armored and Infantry units. He enjoys travelling, live music, and spending time with his family and Pearl, his lab puppy. He looks forward to representing the southern region, furthering STOP THE BLEED training locally, and would love to meet and collaborate with fellow members.

Bonnie Avonrude, RN


Bonnie works at Christus Trinity Mother Francis in Tyler. She has been an emergency nurse for many years and has been active in ETENA and Texas ENA including serving a secretary and currently as treasurer. She is in Pittsburgh PA at the National ENA Conference right now serving as a voting delegate. ENA has important issues impacting emergency nurses and she plans to bring home new and creative ideas to bring more education and activities for our chapter members.

Katheryn Courville Johnston, RN PhD CEN


Katheryn is a retired Assistant Professor at the University of Texas at Tyler.  She taught undergraduate and graduate nursing courses including an Intro to Emergency Nursing elective.  She worked as an emergency nurse and ICU nurse at Good Shepherd Medical Center (2003 – 2019).  She has been in ETENA leadership for many years including treasurer (2004-2006), president-elect (2017), president (2018), and secretary (2019 and on). Her passion has been teaching Stop the Bleed to laypersons and encouraging nurses to become Stop the Bleed instructors.  She would like to continue on the mission to get East Texas trained in this life-saving skill.

Lee Walker, RN BSN CEN


Lee is from Lindale, TX and is an Emergency Nurse at Christus Trinity Mother Francis in Tyler. After 16 years of working in the IT field, he graduated from UT Tyler in 2013 with his BSN. He started his nursing career 5 years ago at Baylor University Medical Center Dallas ED. He likes to travel and go camping with his wife and 2 pre-teen boys. His vision for our ENA chapter is for us to gather together for fellowship, learning and to share knowledge to take back to our respective emergency departments to create a safer environment for all patients and nurses across the region. 

Debbra Graves, RN BSN


Debbra is originally from Amarillo, Texas, and now resides in Alba, Texas. While attending Amarillo Community College, she began her nursing career as a unit tech on a busy trauma ICU unit. She graduated with her ADN in 2005. Her experience includes ten years of ICU training, 3 of which were spent working as a clinical donation specialist with the largest Organ Procurement Organization in Texas. Debbra also has several years of ER experience. Following her move to East Texas, she played an integral part in re-opening two small rural hospitals while also assisting them in obtaining CMS through DNV accreditation. Debbra received her BSN from the University of Texas at Arlington in 2022. She has been employed with CHRISTUS Mother Frances since 2020 as an ER staff nurse in Tyler and, in 2022, became the Clinical Director for Med-Surg and ER at CHRISTUS Trinity Mother Frances Hospital – Winnsboro, Texas. She is pursuing her Master of Business Administration and Master of Science in Nursing: Nursing Leadership in Health Care Systems from Grand Canyon University and plans to graduate in 2024. She hopes to bring her knowledge and experience to the East Texas ENA, the awareness of the need for strong, experienced nursing and education in small rural communities.