hospital newspaper new york april edition
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Hospitals will find this the place to recognize employees, tell their stories of patient care, market their new technology and promote upcoming events! No one tells the story of local hospitals like Hospital Newspaper!TRANSCRIPT
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Children’s Health and Rehabilitation
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PAGE 2 April, 2013 Hospital Newspaper - NY
Hospital Newspaper - NY April, 2013 Page 3
PAGE 4 April, 2013 Hospital Newspaper - NY
internet address directory
associationsNYSNA
www.nysna.org
healthcare consultantsMedco Consultants, Inc.
www.medcoconsultants.com
hospitalsHealthAlliance of the Hudson Valley®
www.HAHV.org
North Shore LIJ
www.northshorelij.com
medical equipment & ProductsTSK Products
www.tskproducts.com
rehabilitationwww.stcharles.org
To list your business website contact:Jim Stankiewicz
Tel: 845-534-7500 ext.219 [email protected]
To meet the increasing needs of
patients requiring intensive brain
injury treatment, Glen Cove
Hospital recently opened a new $4
million, 10,000-square-foot Brain
Injury Unit (BIU).
Every year, about 1.7 million
Americans sustain a traumatic brain
injury, causing 52,000 deaths and
contributing to a substantial number
of cases of permanent disability, ac-
cording to the US Centers for Dis-
ease Control and Prevention. In
New York State alone, more than
12,000 people are hospitalized an-
nually with a traumatic brain injury.
In addition, acquired brain injuries,
such as stroke or brain aneurysm,
can also disrupt the normal brain
function causing mild to severe
symptoms.
The BIU is the only New York
State-designated, hospital-based,
adult brain injury rehabilitation
center in Nassau County. Rehabil-
itation specialists will treat patients
from age 17 to elderly patients with
a range of brain injuries, including
complex stroke, brain hemorrhage,
brain tumors and other brain injury-
related conditions, as well as trau-
matic brain injuries, such as those
caused by motor vehicle crashes,
falls, sports-related concussions
and violence.
“The goal of the program is to
help patients recover as optimally
as possible and facilitate their re-
turn to the most active and highest
level of their functioning after an
acquired or traumatic brain injury,”
said Barry Root, MD, Glen Cove
Hospital’s chair of physical medi-
cine and rehabilitation. “Patients
will benefit from a multidiscipli-
nary clinical team, including a
physiatrist with specialty training in
brain injury medicine; a neuropsy-
chologist; psychiatrists; physical,
speech, recreational and occupa-
tional therapists; rehabilitation
nurses and social workers.”
The 10-bed unit includes eight
single rooms furnished with sleep
sofas for overnight visitors and one
double room. The new facility in-
cludes a modern-designed physical
therapy gym, occupational therapy
treatment area and a studio apart-
ment, complete with kitchen and
laundry area, so patients are able to
practice activities of daily living.
Also included in the new unit are
private speech therapy treatment
rooms, a recreational therapy activ-
ity room and a restorative dining
room.
“Brain injury is a process; it is
not just a single event,” Adam B.
Stein, MD, chair of physical medi-
cine and rehabilitation at the North
Shore-LIJ Health System, said at a
special ribbon-cutting ceremony to
celebrate the facility’s opening.
“Achieving the best outcomes for
patients affected by brain injury re-
quires an integrated team of med-
ical and rehabilitation specialists.
We are fortunate to be part of a
comprehensive health system that
can provide the full continuum of
care, from acute management by
neurosurgeons, neurologists and
physiatrists to inpatient rehabilita-
tion to home and community-based
care.” The brain injury center staff
will work closely with neurovascu-
lar and trauma surgeons at North
Shore University Hospital, LIJ
Medical Center and other hospitals
to provide “seamless care and com-
munication,” as patients transition
from the acute hospital to rehabili-
tation and to home, said Dr. Stein.
“It is critically important for fam-
ily members to be part of the care
team, because brain injury can
cause ongoing disability in terms of
physical, emotional, cognitive and
personality changes,” explained
Dr. Root “The more we work with
patients and their families during
treatment, the smoother and safer
reintegration back to the commu-
nity will be.”
At Friday's opening, Zachary
Young, 23, of Plainview, shared his
story of recovery after sustaining a
brain injury and sudden cardiac ar-
rest in December 2011, which
caused him to lose oxygen to the
brain. After two hospitalizations
and getting implanted with a defib-
rillator to regulate his heart beat,
Mr. Young received treatment at
Glen Cove’s rehabilitation unit in
January 2012, noting that “having
New $4M Inpatient Brain Injury Unit opens at Glen Cove Hospital
Susan Kwiatek, RN, executive director of Glen Cove Hospital, and Zachary Young, a former patient ofthe hospital’s rehabilitation program, cut the ribbon to commemorate the opening of Glen Cove’s newBrain Injury Unit. Joining them for left to right, are: Gene Tangney, senior vice president and regionalexecutive director, North Shore-LIJ; Raj Narayan, MD, chair, neurosurgery, North Shore-LIJ; Adam B.Stein, chair, physical medicine and rehabilitation, North Shore-LIJ; and Ronald Kanner, MD, chair ofneurology, North Shore-LIJ.
my family and friends nearby to
visit made things a lot easier.” At
the time, he was a senior at Bing-
hamton University. “I feel like I got
a second chance,” said Mr. Young.
Due to his brain injury, he expe-
rienced physical and cognitive
challenges, including difficulty
walking, writing, talking and mem-
ory issues. He and his family were
not sure if he’d ever graduate col-
lege or drive a car again. After
three weeks of intensive rehabilita-
tion at Glen Cove, Mr. Young con-
tinued his recovery and graduated
from college in December 2012.
“Although I have slight physical
limitations, my life has gotten bet-
ter…I have more conviction in my
studying and my family has gotten
closer,” he said.
Mr. Young is fulfilling his dream
to become a lawyer and has been
accepted to several law schools.
“My family and I will soon be de-
ciding which school I’ll be attend-
ing in September,” he added.
North Shore-LIJ’s Southside
Hospital in Bay Shore also has an
inpatient brain injury unit, which
together with Glen Cove’s pro-
gram, provides a greater ability to
keep patients closer to their family
members and loved ones.
For more information about Glen
Cove’s Brain Injury Unit, please
contact the Rehabilitation admis-
sion’s office at 516-674-7692.
provided
The numbers are in: North Shore-LIJ hospitals have been recognized with 57 national and regional designations of
excellence by U.S. News and World Report. That’s more than any other health system in New York. For us, it’s an
important validation of the great work being done every day by our teams in specialty areas like cancer care, cardiology,
numerous pediatric specialities, and more. For our patients, it means the security of knowing they’ve made the right
choice for their health care provider. And if you aren’t one of our patients? Now you have 57 new reasons to choose us.
To fi nd a North Shore-LIJ physician, go to northshorelij.com/physician
Hospitals recognized: Cohen Children’s Medical Center – 7 Specialties; Forest Hills Hospital – Gastroenterology and Urology; Glen Cove Hospital – Orthopedics; Huntington Hospital – 11 Specialties; Lenox Hill Hospital – 12 Specialties; Long Island Jewish Medical Center – 7 Specialties; North Shore University Hospital – 11 Specialties; Southside Hospital – 5 Specialties; Staten Island University Hospital – Nephrology. For more information: northshorelij.com/usnews
How Many Prestigious Rankings Did We Receive?So Many That They Don’t All Fit on One Page.
Hospital Newspaper - NY April, 2013 Page 5
PAGE 6 April, 2013 Hospital Newspaper - NY
PUBLISHERJoseph P. Belsito
• • •GENERAL MANAGER
James Stankiewicz([email protected])
• • •MANAGING EDITOR
Cathryn Burak([email protected])
• • •SENIOR CORRESPONDENT
Geraldine A. Collier• • •
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Maureen Rafferty Linell([email protected])
• • •MARKETING EXECUTIVE
Anthony Mairo([email protected])
• • •CIRCULATION
Michelle Belsito(845-534-7500 x220)
• • •BUSINESS DEVELOPMENT,
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Jeff HortonField office; Mahopac, NY
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If you are a Hospital employee looking for a mortgage or
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PATIENT SATISFACTION
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Senior Citizens have major concerns about Obamacare and for good reason!Most of the savings over the 10 initial years is to shave off an estimated $575 billion to the Medicare
program. Parts of the massive law are designed to appeal to seniors, yet Medicare is already burdened by anunfolded liability of $38 trillion.
Unless Medicare savings are captured and reinvested back into the Medicare program, it will continue todecline.
Medicare drug coverage under Obamacare provides a $250 rebate for seniors who fall into the “donut hole”and requires drug companies to provide a 50 percent discount on brand name prescriptions filled in the hole.
Obamacare has imposed a tax (a “fee”) on the sale of these brand name drugs in Medicare and othergovernment health programs, ranging from $2.5 billion in 2011 to $4.1 billion in 2018. Meanwhile, the lawwill freeze payments to Medicare Advantage plans and restrict physicians from referring seniors in Medicareto specialty hospitals where physicians have an ownership interest. This year, the law eliminates the taxdeductibility of the generous federal subsidy for employers who provide drug coverage for retirees. This couldfurther undercut provision of employment-based prescription drug coverage for seniors.
Hospitals and Doctors are forced to comply with the new rules and sometimes are forced to reducereimbursement for treating senior citizens.
It is critical that the Obamacare savings planned from the Medicare program be reinvested back into theprogram or Medicare will not be there eight to 10 years from now. Our seniors deserve to feel more security.
Please let us know your opinion!Letter to the Editor: Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553 or e-mail Jim at
Hospital Newspaper - NY April, 2013 PAgE 7
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If you’d like to reach the health and hospital communities
of New York each month, there is no more cost-effective
way than the Hospital Newspaper.
Call Jim Stankiewicz to place your advertisement:
845-534-7500 *219
Calvary Hospital recently hon-
ored Michael Cashin (Bronx) and
Lucy Tedesco (Nassau County) with
the 2013 Annual Meviar Smith Hu-
manitarian Award. The award,
which has been bestowed since
1988, was created to honor the
memory of 28-year Calvary veteran,
Meviar Smith. Until her death in
1987, Meviar was famous for her
loyalty, conscientious work ethic,
and dedication to the patients at Cal-
vary Hospital. This year’s selection
committee felt that Michael and
Lucy best demonstrated the qualities
for which Meviar was known.
Michael Cashin
Michael was born in the Bronx
and has resided here his entire life.
He completed public school and vo-
cational training and volunteered at
Jacobi Medical Center for a year be-
fore coming to Calvary Hospital.
Michael started in the Housekeep-
ing Department at Calvary in 1978
a few weeks before the new building
opened and helped prepare the
rooms for the arrival of the first pa-
tients. Michael’s dedication and
heartwarming smile is a reminder to
everyone to not let anything get in
the way of performing your job with
enthusiasm and optimism. Michael
resides in the Pelham Bay section of
the Bronx with his brother Bob and
has recently taken up golf as a
hobby.
Lucy Tedesco
Lucy was born and raised in the
Bronx and has resided in Long Is-
land since 1990. Lucy first joined
Calvary Hospital in 1972 and
Meviar Smith was one of her in-
structors. Lucy left Calvary for one
year in 1985 and returned in 1986.
In total, Lucy has been with Calvary
for 41 years.
Lucy enjoys sharing her sto ries
and the history of Calvary to the de-
light of the listener. She is known for
welcoming patients, family mem-
bers and visitors with open arms.
She has been a Cancer Care Techni-
cian (CCT-II) for 13 years, and
worked in the Brooklyn campus for
8 years. Lucy has one daughter, 3
grand children and 1 great grand-
child.
Calvary Hospital is the nation’s
only fully accredited acute care spe-
cialty hospital devoted exclusively to
providing palliative care to adult ad-
vanced cancer patients. A 225-bed
facility with locations in the Bronx
and Brooklyn, Calvary is the model
for the relief of cancer pain and
symptoms for more than a century.
More than 5,600 patients are cared
for annually by Calvary’s inpatient,
outpatient, homecare, hospice, nurs-
ing home hospice, and wound care
services. To learn more, support the
Calvary mission, or sign up for the
Hospital’s e-newsletter, please go to
www.calvaryhospital.org.
Calvary Hospital honors Michael Cashin and Lucy Tedesco, CCT-IIwith 2013 Meviar Smith Humanitarian Award
Michael J. Brescia, MD, Executive Medical Director, Calvary Hospital(center) is flanked by the 2013 Meviar Smith Humanitarian Awardhonorees, Michael Cashin (left) and Lucy Tedesco (right).
provided
PAGE 8 April, 2013 Hospital Newspaper - NY
It’s not just people that make a hospital. The environment—the infrastructure, architecture, and design—also plays
a key role in hospital viability. As the economy recovers, so does the will to invest in hospital facility upgrades and
construction projects, albeit cautiously and on a smaller scale. And with the potential increase in patient load, coupled
with the link between patient satisfaction, outcomes, and payments, facility investments present a long-term opportunity
to make a positive impact on your bottom line.
A 2011 survey found that patient satisfaction is one of the top three concerns of hospital executives. And in October of
last year, the patient satisfaction stakes rose even higher when the Affordable Care Act tied payment cuts to the Hospital
Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Poor HCAHPS scores will cost
hospitals 1% of their reimbursement, a penalty that will grow to 2% in FY 2017. Among other questions, the survey
asks patients to rate their hospital environment according to cleanliness and noise level—which should make facilities
an essential part of every hospital’s reimbursement strategy.
The 2012 Hospital Construction Survey by Health Facilities Management and the American Society of Healthcare
Engineering reported that the majority of hospitals plan to spend more on renovations than new construction, consistent
with the present climate of fiscal restraint. In this patient-centric, tight budget environment, hospitals need to make
prudent decisions and invest in the right projects at the right price.
Although not traditionally associated with facilities management, group purchasing organizations (GPOs), which provide
access to competitive pricing for a variety of contracts for everything from planning to plumbing and from floor mats to
roofing, make a perfect partner for facilities managers and other decision-makers before and during a renovation or
building project.
Hospitals that work with GNYHA Services from the inception of a construction project can present their proposed plan
and gain access to custom-made supply and other contracts. They can also consult a GPO subject matter expert—
who is armed with a background in construction and/or electrical, architecture, etc.—at any or every stage of the
process. In addition, GPO representatives are available to help facilities managers identify savings through suggested
contracts and can create contracts based on specific needs. GPOs are even equipped to become part of a hospital
emergency preparedness plan, helping to arrange access to medical and non-medical supplies and technology.
Hospitals are realizing that their facilities are fundamental to their overall success, affecting everyday but important
issues, such as patient satisfaction and workflow. With well thought out construction plans and a GPO to maximize
savings on supplies, equipment, and services, hospitals can ensure that they are providing an environment that allows
for the highest possible level of care and brings them to the optimal intersection of cost, quality, and outcomes.
Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital
Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization,
and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials
Management (AHRMM).
Ask An ExpertAsk An Expert
Christopher J. O’ConnorExecutive Vice President, GNYHA Ventures, Inc.,
President, GNYHA Services, Inc. and President, Nexera, Inc.
Building Patient Satisfaction
Hospital Newspaper - NY April, 2013 Page 9
Upgrade your bottom line.Facility upkeep is vital to the safety and satisfaction of your patients and employees. �e GNYHA Services facility maintenance portfolio is designed to help hospitals complete successful repair, renovation, and construction projects with reliable suppliers at signi�cant savings.
Repair and renovation don’t have to be DIY. Call GNYHA Services at (212) 246-7100.
555 West 57th St. I New York, NY 10019
PAGE 10 April, 2013 Hospital Newspaper - NY
Latestinfo fo
r
nurses and
students
By Alison Lazzaro
Valentines Day 2013 was not the usual couples retreat at Bally’s Hotel in Atlantic City
this year. Two-thousand nursing students chose to spend the day at the New Jersey Nursing
Students Inc. 61st Annual Convention. This networking opportunity was themed Kings
and Queens of Hearts: Ace Your Career in Nursing. The year-long diligent planning by a
student run board of nursing students was in full swing on Valentine’s Day.
Eager nursing students began their trip on Wednesday night if they were chosen to
represent their schools as Delegates. The enthusiastic group followed Roberts Rules of
Parliamentary Procedure to conduct business. Thursday was packed with forty-seven
focus sessions on topics from prenatal care to resume workshops, run by the New Jersey
Association of Healthcare Recruiters, to psychiatric-mental health concepts, caring for
the LGBTQ population, political action, and cardiac pharmacology. There was a topic
for every student's unique interest. Simultaneously, a blood drive hosted by the American
Red Cross enabled students to save lives even when they were away from clinical for a day.
Student nurse speakers also discussed the resolutions they prepared in order to present them at the National Student Nurses
Association Convention. NCLEX preparation classes were even available to help students pass after graduation and land
their dream job!
The exhibit hall bustled with NCLEX test preparation organizations, colleges and universities, job opportunities,
uniform sales, and raffle baskets. Students came prepared with resumes and enthusiasm as they professionally greeted
exhibitors. Whether interested in applying to graduate school, ready to face the NCLEX, job searching, or just interested in
seeing what opportunities were available, students were busily networking
throughout the hall.
Thursday night allowed participants to unwind from the long day and
have fun with new acquaintances at the First Night Party. The theme was
"Rodeo Roundup: Lasso in Some Fun" and included Country line dancing
with the western theme. With “Watermelon Crawl” lessons, students came
dressed in cowboy boots to enjoy food and dancing.
Friday closed with the final House of Delegates meeting in which
students prepared speeches to run for a 2013-2014 board position.
Following delegate voting, students could choose to attend a NCLEX
review course or if the exam seemed far away as an underclassman, students could participate in a Disaster Health Services
Response Workshop held by the American Red Cross. The Convention was a huge success and a great way for students
to get more involved in their pre-professional nursing organization.
Nurse’s Viewpoint
Hospital Newspaper Correspondent
61st Annual Convention: Kings and Queens of Hearts: Ace Your Career in Nursing
SHOULD A NURTURING PERSONALITY AND LEADERSHIP ABILITY BE MUTUALLY EXCLUSIVE?
In the U.S. Air Force, we never forget that Doctors, Dentists, Nurses and Allied Health Specialists, professionals known for caring and compassion, also have the knowledge and character to lead the team. The same passion that makes a great healer also makes a great leader. If you re looking for professional growth and development through leadership experience, come practice in the Air Force. AIRFORCE.COM/HEALTHCARE
AIR FORCE HEALTH PROFESSIONS REGIONAL OFFICE NEW YORK, NY 212-349-2489 [email protected]
Hospital Newspaper - NY April, 2013 Page 11
PAGE 12 April, 2013 Hospital Newspaper - NY
Unique RecruitmentOpportunity
Hospital Newspaper believes that high school students should be informed about potential healthcare careers.
Special career sections will be placed in your local high schools, medical schools, colleges and nursing schools.
This is your opportunity to displayopportunities for:
Faculty/PhysicianNursingAdministrativeSupport PositionsClinical Care
Medical AssistantsCounselorsMedical ImagingDieticians
Please contact Jim Stankiewicz for more [email protected]
tel: 845-534-7500 x219
Coming off another snowstorm, it’s nice to know that, soon, you can put away the shovel and snow blower.
The weather is about to break. Finally! Believe it or not, spring will soon have finally sprung.
The springtime serves as peak home-buying season. Even though buyers have a greater advantage than they’ve had in
awhile, it’s still easy to take a wrong, frustrating and – gasp – costly turn. But don’t worry: The Sun National Bank Hospital
Employee Loan Program (H.E.L.P). provides six ways to make sure buying a new home proves to be a success.
Hospital Newspaper and Sun Home Loans teamed up to create the H.E.L.P. Program. This exclusive mortgage opportunity
provides discounted fees and low interest rates for firefighters and other members of the emergency services community.
The program offers unmatched rates, minimal lender fees and promises to get clients in their new home by the contract date.
1Be prepared: You will need to do a little homework before you get started looking for a new home. Make sure that
you can locate all the documents necessary for you to be pre-approved for a mortgage. You will most likely need the
following: Your two most recent pay stubs, your last two years W2’s, all of your asset statements, (checking, savings,
401k, stocks, bonds, mutual funds) and last two tax returns. Sit down and work up your budget, know how much you want
to spend before you are told how much you can actually spend.
2Get pre-approved: Call the H.E.L.P. Program to be pre-approved for your new mortgage. Without pre-approval,
you will not know what you can afford to buy. This can get you into a very difficult situation. If you put an offer on a
house without being approved and you can’t afford it, you might be opening the door to some very expensive litigation.
Call the H.E.L.P. Program today and find out what you can afford to buy.
3Ensure you are working with a real estate professional: Ask your H.E.L.P. Program representative if they
can recommend a real estate professional to you. It is extremely important to have a real estate agent that is working
for you and your best interests. A real estate agent will look out for the best deals in your market and are there to
facilitate the negotiating process and the transition to your new home.
4Find a good real estate attorney: A lawyer can help you negotiate the real estate contract and renegotiate it if a
home inspection finds flaws - or an appraisal deems the house less valuable than the sales price. A lawyer also represents
your interests at the closing and does the lion’s share of paperwork and coordination associated with it.
continued on next page
Sun Hospital Employee Loan program provides six waysto make your home purchase a success
Hospital Newspaper - NY April, 2013 PaGe 13
Win an iPad!If you are a member of the hospital community, now is your chance to enter
Sun Home Loans and Hospital Newspaper's contest to win a free iPad.
Just to go our website at www.hospitalnewspaper.com and fill in the entry form.
Once you complete it, you will receive an email that requires you to confirm your
email address. Once you do that you are entered. Hospital Newspaper will also
be accepting applications at all conventions that it attends. A total of Five iPads will
be given away so your chances to win are excellent. Sign up today to win today!
www.sunnb.com
Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender. NMLS #429900
Sun Home Loans, a division of Sun National Bank,
is proud to serve the heroes in our community
who dedicate their lives to serving the rest of us:
doctors, nurses and other hospital employees.
That is why we teamed up with Hospital News to
create the Hospital Employee Loan Program (HELP).
With a competitive mortgage rate and discounted
fees, this program helps our community heroes
purchase new homes or refinance existing homes.
Plus, the program comes with our pledge to get
hospital employees in their new homes by their
contract dates.
Hospital Employee Loan Program
PROGRAM INFORMATION
We understand that the current economic environment has created
challenges to home ownership. Working with our own resources and
Federal government programs we will create a solution that opens
the path to home ownership.
The Hospital Employee Loan Program delivers these advantages:
» A competitive mortgage rate, available specifically for
hospital employees
» Discounted fees
» Personal service from program specialists
» Our pledge to have you in your home by the contract date
COMMUNITY FOCUS
Sun National Bank, a full-service provider of banking products and
services, is dedicated to playing an active part in the communities
we serve. We support a variety of organizations, events and programs
whose goals are to make our neighborhoods a better place to live and
work and improve the lives of those living around us. Hospital News is
the leading provider of local news and information for doctors, nurses
and other hospital staff.
Learn MoreTo find out more about our Hospital Employee Loan Program, email [email protected] or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.
5Make a firm offer: When you see a
house you want, you’ll make a verbal
offer. If the seller is interested, your
next step is to commit yourself in writing. The
written offer, or contract, is usually drawn up
by the seller’s agent, but if you choose to use
a buyer’s agent and real estate lawyer, they
can negotiate and review that contract on your
behalf. If you end up negotiating the price of
the property, make sure that you check in with
your H.E.L.P. Program representative. You do
not want to overbid the price of the property
and then not be able to qualify.
6Get the home inspected: No matter
how good a house looks and no matter
how much you love it, you want to be
sure it’s sound structurally and in every other
way. If it’s not, you want to know whether the
seller will address the issue before you seal
the deal. If not you have to decide whether
you want to back out of the deal or take care
of the repairs yourself.
H.E.L.P. Program clients enjoy unmatched
customer service and attentiveness throughout
the process - from their initial inquiry - to
closing. Working with its own resources and
Federal government programs, Sun National
Bank develops solutions that open the path to
home ownership.
Sun National Bank provides a full-range of
banking products and services, delivered by
experienced bankers. Personal attention
merges with world-class service and compet-
itive products that meet the needs of today’s
consumers and businesses. Sun National Bank
believes that doing business in the community
means being a part of it.
Whether purchasing a new home or refi-
nancing an existing one, the H.E.L.P. Program
is offered exclusively, providing personal
service, benefits and rates not normally avail-
able to the general public.
“The springtime is the perfect time to
buy a home and we make it even easier with
aggressive products and programs available
to the men and woman who are such an im-
portant part of the fabric of our community,”
said Steven Testa, an executive vice presi-
dent with Sun National Bank. “The H.E.L.P
Program really got off the ground running
and continues to be a success. We are ex-
cited about it and look forward in continuing
to build our relationship with the hospital
community.”
To receive more information about the
program and its benefits, contact Steven
Testa at [email protected] or call 973-615-
9745. Sun National Bank Home Loans and
Hospital Newspaper are not affiliated. All
loans subject to approval. Certain conditions
and fees may apply. Mortgage financing
provided by Sun National Bank Loans, Equal
Housing Lender.
H.E.L.P. Programcontinued from previous page
PAGE 14 April, 2013 Hospital Newspaper - NY
education & careers
Orange Regional Medical Center was awarded a grant through the New York State Depart-
ment of Labor’s (NYSDOL) Registered Nurse Upgrade Project. The grant supports continued
education of employed Licensed Practical Nurses (LPN) interested in enhancing their aca-
demic credentials to become Registered Nurses (RN) and further strengthen Orange Regional’s
nursing workforce.
Orange Regional’s grant application focused on tuition funding for a select group of cur-
rently employed LPNs to pursue their RN degrees. Orange Regional is proud to support twelve
employees of the LPN to RN Pathway to Excellence Program who are attending programs
offered through local higher educational institutions including Excelsior College, SUNY Or-
ange, SUNY Rockland and SUNY Sullivan. These academic institutions, along with the
1199SEIU health workers union, provided Orange Regional with the support needed to launch
this program.
“This grant reflects a strong support for continued education and training of nurses who
have a critical role within our healthcare system,” says Vice President and Chief Nursing Of-
ficer, Joanne Ritter-Teitel. “Orange Regional has an ongoing commitment to retain highly-
skilled nurses to provide excellent care to those in our community.”
Each nursing scholar has been paired with an Orange Regional mentor that will provide
support and assistance throughout their course of studies. The training is expected to last 18
months and upon completion and RN licensure, graduates will be promoted to carrying out
roles and responsibilities of an RN throughout various units at the Hospital.
To learn about the nursing opportunities available at Orange Regional Medical Center visit
www.ormccareers.org.
Orange Regional Medical Center is a member of the Greater Hudson Valley Health
System.
Orange Regional Medical Center Recipient of Registered Nurse GrantHospital establishes LPN to RN Pathway to Excellence Program
Orange Regional honored its Licensed Practical Nurses and their commitment to lifelong learning. Those who will utilize the LPN to RN Pathway to Excellence Programinclude Heather Sheehan-Essig, Mary Sandvik, Laurie Reina, Jeanette Babcock, Krista Esposito, Christina Fitzula, Gerri Hughes, Mary Gardner, Ingrid Betancur, SuzanneBaker, Rammel Hemmings-Love and Kristy Perini.
Hoper School of Nursing schedules Open HouseHopfer School of Nursing at Mount Vernon Hospital
will host Open House on April 18 at 1:00 PM and 6:00
PM – pre-registration not required - at the school, located
at 53 Valentine Street, Mount Vernon, NY.
Hopfer Administrators and Instructors will provide in-
formational sessions on admission requirements as well
as an overview of the two-year Registered Nursing pro-
gram. In addition to a tour of the School, there will be an
informal question and answer session at both times. Cur-
rent students will be available to provide insight into their
experiences and give helpful advice. Individuals looking
for a nursing program incorporating a high-tech, hands-
on, hospital-based approach in a fast-paced healthcare
system will find what they’re looking for at Hopfer.
Hopfer School of Nursing not only offers its highly re-
garded Associate Degree in Science (Nursing) Program,
but also has established an innovative Dual Degree Part-
nership with Mercy College. Graduating high school sen-
iors with 85% or higher grade point average can now
apply directly to Mercy College for a BS in Nursing Dual
Degree Program with Hopfer School of Nursing. Ac-
cepted students attend Mercy for their freshman year,
where they will fulfill requirements in liberal arts and the
sciences. Then year two and three is accomplished
through classroom instruction at Hopfer, including hands-
on clinical education within the Sound Shore Health Sys-
tem (Sound Shore Medical Center, Mount Vernon
Hospital and Schaffer Extended Care Center). With the
successful completion of the Hopfer requirements, stu-
dents receive an Associate Degree in Science (Nursing)
and are prepared to take the National Council Licensing
Examination. Upon passing the exam, they are qualified
to work as Registered Nurses while they complete their
senior year at Mercy, or students can postpone employ-
ment until they graduate with their Bachelor of Science
in Nursing degrees. This is the only program of its kind
in Westchester County – and one of only a few in New
York State.
Understanding the needs of its students, who are often
balancing personal as well as professional goals, Hopfer
is one of the few nursing schools in Westchester offering
Weekend/Evening Programs. Upon completion of their
Associate Degree requirements, Hopfer students are well
prepared to take the licensing exam for Registered Nurse
(Hopfer graduates had a first-time pass rate in 2012 of
95.65%). If graduates desire to continue their education
after successful completion of the two-year program,
Hopfer has articulation agreements with a number of four-
year Bachelor of Science in Nursing Degree programs.
These educational partners provide a seamless transition
for Hopfer graduates.
To learn more about Hopfer’s century-long tradition of
providing strong academic preparation and hands-on
learning – in a hospital-based setting – please contact Sandra
Farrior, Coordinator of Student Services at 914.361.6472
or by email at [email protected]. To view
Hopfer’s program catalog, visit www.Hopfer.org today.
provided
Hospital Newspaper - NY April, 2013 PAGE 15
Planetree’s Patient-Centered Lean® is a unique methodologythat helps health care organizations balance the
competing demands of efficiency and cost reductionwith the mission of providing personalized and
highly-responsive care to patients and creatinga nurturing work environment for staff.
Its distinctive approach integrates Planetree’swell-established patient-centered care modelwith Lean and Six Sigma methods and best
practices, creating a method of aligning organizational strategic planning with value
stream management to enhance the patient,resident, family and staff experience through
improved operational efficiency and effectiveness.
ResultsA 371- bed teaching hospital has significantly improved patients understandingof their medication regimen. Data shows that patients’ recall of new medicationsincreased from 64% to 92% and explanation of side effects climbed from 18%to 58%.
A 160-bed community hospital is projected to save $400,000/year while maximizing time at the bedside, significantly cut down on ED wait times, and
reallocate 700 nurse hours/year to value added direct patient care time.
Who should attend?All health care practitioners who want to change their workplace through process improvement in order to spend more time caring for patients and families, especiallyQuality Directors, Chief Nursing Officers, Directors of Operations, CEOs, Quality Managers, ED Managers, and Patient Safety Directors.
REGISTRATION—$2,500Register before March 15 and two colleagues from the same organization can attend for the price of one registrationTo register, please email Denise Samartano, [email protected] or call 203-732-1378. For more information about Planetree, visit www.planetree.org.
Northern Westchester Hospital400 East Main Street, Mt. Kisco, New York
April 8-11, 2013
Harnessing the Power of Patient-Centered Lean® to Transform the Patient Experience and Your Bottom Line
Patient-Centered Lean® Practitioner Training
Be the change agent at your organization!Increase time at the bedside with patients and families
Engage and educate patientsReduce wait times
Minimize discharge delaysEnhance staff satisfaction
Cut costs
Sound Shore Health System joins Mid-Atlantic Consortium
Sound Shore Health System
(SSHS) is pleased to announce its
participation in an innovative, non-
profit consortium, through Health
Science Library Association of
New Jersey (HSLANJ). Not only
does HSLANJ encourage profes-
sional development and advance-
ment of librarianship, it is
dedicated to improving the quality
of library services provided by
healthcare organizations. Through
this group licensing initiative,
SSHS is harnessing the consor-
tium’s purchasing power to pro-
vide the latest electronic medical
information, research, journals and
databases for the benefit of its pa-
tients.
Joining more than 100 hospitals
throughout the Mid-Atlantic, in-
cluding Robert Wood Johnson
University Hospital at Rahway,
Long Island Jewish Medical Cen-
ter and Lenox Hill Hospital, SSHS
is ensuring its physicians, medical
and surgical residents, nurses and
allied professionals have up-to-the
minute, interactive, medical infor-
mation at their fingertips 24/7.
Through the partnership with
HSLANJ, Sound Shore Health
System has the most current med-
ical information possible, includ-
ing access to research, journals and
databases.
Since hospital libraries are mov-
ing away from traditional hard-
copy and toward electronic
resources that use audio, video and
interactive applications and links
to bring medical material to life,
participation in the Association is
timely and vital. SSHS’s library
now provides electronic access to
the latest medical information any-
where and anytime it’s needed.
Leading edge technology at cost-
effective prices is the future, and
the future is now at Sound Shore
Health System.
To learn more about Sound
Shore Health System, visit us at
www.soundshore.org.
Good Samaritan Hospital Med-
ical Center’s Pharmacy Department
has scheduled a drug “take back”
day on Saturday, April 27, from
10:00 am to 2:00 pm, in partnership
with the federal Drug Enforcement
Administration. Members of the
community may safely dispose of
unused or expired medications
rather than discarding them in the
garbage or flushing them down the
toilet which could lead to environ-
mental contamination. There will
be bins in the hospital’s main lobby
for the collection of these items.
Good Samaritan successfully
collected more than 300 pounds
of unused medications in 2012.
Unused or expired pharmaceuticals
can pose unnecessary risk to indi-
viduals and the community. Drug
“take back” days offer a safe and
environmentally friendly disposal
program that proactively ad-
dresses potential hazards associ-
ated with improper management.
The program helps protect the nat-
ural environment, avoid accidental
poisoning and helps prevent
against prescription drug abuse.
For further information on the
proper disposal of unused or
expired drugs, please call (631)
376-4444.
Safely dispose of unused/expired drugs
provided
PAGE 16 April, 2013 Hospital Newspaper - NY
By Stuart Koman, Ph.D.
Although it is the most common
eating disorder, binge-eating disorder
(BED) has not been officially rec-
ognized as a legitimate eating dis-
order – until now.
This spring, when the American
Psychiatric Association (APA)
publishes the fifth edition of The Di-
agnostic and Statistical Manual of Mental Disorders, widely known as DSM-5, binge-
eating disorder will be among the new additions.
The fourth edition, DSM-IV, included binge-eating disorder in its appendix
“for further study.” The addition of binge-eating disorder to the manual legitimizes
the disorder and gives new hope to those who have it. This is a big deal because:
• Nearly half of all states have parity laws that require insurers to cover officially
recognized disorders. While insurers have generally covered BED, they may now
provide more comprehensive coverage.
• DSM is used as a reference for psychiatrists and other healthcare professionals
worldwide. Now, they will have common criteria for diagnosing BED.
• DSM provides healthcare professionals with the language they need to commu-
nicate effectively with patients, their families and insurance companies. Everyone
affected by the disorder will now have consistent, shared language to use when
discussing BED.
• By making BED a legitimate diagnosis, it helps those who have the disorder
from a psychiatric perspective, because they are more likely to accept it and to
seek treatment.
• It should improve research funding. More research would lead to a better
understanding of BED, and hopefully to improvements in treatment and recovery.
• The extensive research behind DSM-5 gives the manual a great deal of credi-
bility. DSM-5 took more than a decade to produce and includes contributions from
more than 1,500 mental health experts.
Identifying Binge-Eating Disorder
Until now, individuals with binge-eating disorder were typically diagnosed as
having EDNOS, which stands for “eating disorders not otherwise specified.”
While insurance companies have generally shown flexibility in covering EDNOS
patients, the failure to meet medical criteria for a disorder puts coverage in question
and may have dissuaded some from seeking treatment.
In addition, being categorize with EDNOS can be distressing to many patients.
They may have a life-threatening disorder, but the medical limbo of EDNOS makes
it not seem like a real eating disorder.
Now, those who meet specific criteria will be diagnosed as having binge-eating
disorder. While DSM-5 will not officially be published until May, publication
available online during a comment period included the following criteria. To be
diagnosed with BED, a patient would:
• Eat, in a discrete period of time (e.g., within a two-hour period), an amount
that is definitely larger than most people would eat in a similar period under sim-
ilar circumstances.
• Feel loss of control over eating during the binge. Those with BED believe they
cannot stop eating; they cannot control what or how much they eat.
Also, they must have three or more of the following symptoms:
• Eat an unusually large amount at one time. It’s difficult to define how much is
typically consumed during a binge, but studies show that consumption in the
average binge ranges from 2,000 to 5,000 calories.
• Eat much more quickly during binges than during normal eating episodes.
• Eat until physically uncomfortable and nauseated due to the amount of food
consumed.
• Eat when depressed or bored.
• Eat large amounts of food even when not hungry.
• Often eat alone during periods of normal eating, because of feelings of embar-
rassment about food.
• Feel disgusted, depressed or guilty after binging.
• Binge, on average, at least once a week for three months.
• Binge in a manner not associated with the recurrent use of inappropriate com-
pensatory behavior.
Like others with eating disorders, binge eaters almost always suffer from one or
more additional disorders, such as depression.
Binge eaters typically become obese over time, but not everyone who is obese
has binge-eating disorder. BED has a cognitive aspect lacking in those who are obese
and do not have binge-eating disorder. When those who have BED binge, they think
about it to the point where it ruins their day. They feel guilty and either do not eat
or restrict their eating for the rest of the day.
It is important to diagnose BED in those who are obese, because unless it is treated
and the patient recovers, any treatment for obesity has the potential to fail over time.
If a patient with BED has weight-loss surgery, for example, he or she may continue
to struggle with loss of control over eating, especially once the post-operative period
of severely limited eating passes.
The first step for medical professionals who want to determine if their patients
have BED should be to use a screening questionnaire, such as the SCOFF Ques-
tionnaire, which is similar to the CAGE Questionnaire used by medical profes-
sionals to evaluate alcohol use. There is also a Binge Scale and Night Eating
Questionnaire.
Combining Therapies
As with other eating disorders, successful treatment of binge eating typically
requires a combination of therapies. Using these therapies, the prognosis for recovery
is usually good.
Treatment typically begins by educating patients about their condition, so they
are more aware of their eating patterns and can identify triggers that influence how
and what they eat.
Typically, cognitive-behavioral therapy (CBT) is the most effective treatment.
CBT integrates behavior therapy with cognitive psychology and is based on the idea
that changing maladaptive thinking can change behavior.
The therapist provides information, guidance, support and encouragement. Goals
include normalized eating, the reduction or elimination of binging and a reduction
in eating behavior triggered by mood and events. Cognitive goals include improving
the patient’s self-esteem and weight-related concerns.
When patients fail to respond to CBT combined with interpersonal therapy,
dialectical behavioral therapy (DBT) is typically used. DBT combines cognitive
behavioral techniques for regulation of emotion, and reality testing with distress
tolerance, acceptance and mindful awareness. DBT seeks to reduce binging by
improving adaptive emotion-regulation skills.
Behavioral weight-loss therapy is another option, but many believe that it is best
for the patient to recover from BED before addressing weight loss.
What works for one individual does not necessarily work for another, so treatment
should be based on an in-depth diagnosis and a plan developed by a team, covering
medical, behavioral and nutritional care, while also considering co-occurring disorders.
Depending on how far the disorder has advanced, in-patient care or residential
care may be necessary to help the patient become medically stable and to begin
intensive therapy. Insurers have often been resistant to that level of care, but they
may be more flexible because of DSM-5.
When there are co-occurring disorders – and there are more often than not – it is
critical to treat them concurrently. Otherwise, another disorder will likely become
more advanced as the patient makes progress with BED. Many in the industry are
hopeful insurers will be increasingly supportive of treating co-occurring disorders
concurrently because of DSM-5.
With the publication of DSM-5, the APA is acknowledging that BED is a real dis-
order. That’s something that those who have BED have long known. Now that pro-
fessionals in the field have acknowledged the reality of BED, it should get the
attention it warrants as America’s most common eating disorder.
Stuart Koman, Ph.D. is President and CEO of Walden Behavioral Care in
Waltham, Mass. He can be reached at [email protected].
Binge-Eating Disorder gets real
Consultants Corner
Hospital Newspaper - NY April, 2013 Page 17
northwestS E M I N A R S
(800) 222-6927www.northwestseminars.com
EMERGENCY MEDICINE UPDATE CME
2013May 6-9
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April 12-19Western Caribbean Cruise
May 19-22New Orleans, Louisiana
July 21-25Yosemite, California
September 15-18Las Vegas, Nevada
December 9-12Paradise Island, Bahamas
Franklin Hospital ranks among Top US Hospitals, Best on Long Island for Orthopedics
Franklin Hospital executives and heads of the orthopedics department with the2013 Healthgrades award.
Franklin Hospital recently an-
nounced that it has been ranked the
best on Long Island for overall or-
thopedics and among the top 10
percent of all hospitals in the US for
its orthopedic surgery outcomes in
2013, according to Healthgrades, a
leading national independent rat-
ings group.
Franklin has received a five-star
rating from Healthgrades in total
joint replacements for three con-
secutive years (2011 – 2013) and
the following designations this
year:
• Healthgrades Orthopedic
Surgery Excellence Award
(2013);
• Ranked ninth in New York
State for overall orthopedic
services (2013);
• Ranked best on Long Island
for overall orthopedic services
for the last three years (2011 –
2013);
• Five-star recipient for overall
orthopedic services (2013);
• Five-star recipient for total
knee replacement for the last
three years (2011 - 2013); and
• Five-star recipient for hip
fracture treatment for the last
two years (2012 - 2013).
“Healthgrades’ recognition of our
orthopedic achievements under-
scores the clinical excellence of our
orthopedic staff and their extraordi-
nary teamwork,” said Catherine Hot-
tendorf, RN, Franklin’s executive
director. “Franklin Hospital has dis-
tinguished itself throughout Long Is-
land and the entire metropolitan area
for the quality orthopedic services it
provides to its patients. We are grate-
ful to our dedicated and talented staff
for all of their hard work as well as
the community for its support.”
Giles Scuderi, MD, vice presi-
dent of the North Shore-LIJ Health
System orthopedic service line,
said, “Once again achieving a five-
star rating from Healthgrades,
Franklin Hospital orthopedics has
shown that the ability of everyone
to work together as a team toward a
common goal is key to success and
national recognization.”
“It is very rewarding to have our
talented orthopedic team help hun-
dreds of patients continue their
every-day activities and have a bet-
ter quality of life with the help of
our services,” said Gus Katsigior-
gis, DO, chief of orthopedics at
Franklin Hospital.
Franklin’s rankings can be found
in the American Hospital Quality
Outcomes 2013: Healthgrades Re-
port to the Nation. Healthgrades an-
alyzed approximately 4,500 hospitals
across the country for procedures
performed between 2009 and 2011.
Patients who are treated in Health-
grades’ five-star-rated hospitals have
about a 61 percent lower risk of hav-
ing a complication from their treat-
ment than those patients in hospitals
that received one-star ratings.
For more information about
Franklin’s orthopedic services, call
516-256-6606.
provided
PAGE 18 April, 2013 Hospital Newspaper - NY
Hailey’s Hope Foundation supports Orange Regional Medical Center’sRowley Family Birthing Center
Organization donates NICU equipment
From L to R: Nursing Director of Rowley Family Birthing Center; Cindy Chapman, Neonatologist;Dr. Manuel DeCastro, Orange Regional Medical Center Foundation President; Christine Maraia, Hai-ley’s Hope Foundation Board Members; Dawn Singer, Debra Randazzo and Ann Siegel.
Hailey’s Hope Foundation, a
Goshen-based nonprofit organiza-
tion dedicated to helping meet the
special needs of families with pre-
mature babies in New York area
Neonatal Intensive Care Units
(NICUs), has donated equipment to
Orange Regional Medical Center’s
NICU located in the Rowley Fam-
ily Birthing Center.
Hailey’s Hope Foundation donated
a digital infant scale, breast pumps as
well as a digital camera outfitted with
a printer so new parents may have
photos of their newborn. In addition,
the organization often provides fam-
ilies of NICU patients with financial
support including lodging, gas cards
and assistance with breast pump
rental fees, if needed.
“The support provided by Hai-
ley’s Hope Foundation is invalu-
able to the families and babies we
care for,” says Orange Regional
Medical Center’s Nursing Service
Administrator of Women and Chil-
dren, Theresa Fay Conte, RN-C,
MSN. “We look forward to contin-
uing our partnership with Hailey’s
Hope Foundation and our ability to
assist families in need.”
For more information about Or-
ange Regional Medical Center’s
Neonatal Intensive Care Unit, visit
www.ormc.org/nicu. To learn more
about Hailey’s Hope Foundation,
please visit www.haileyshopefoun-
dation.org.
About Orange Regional’sRowley Family Birthing
CenterThe Rowley Family Birthing
Center, located on the sixth floor of
the Hospital, is a state-of-the-art fa-
cility where moms deliver in a nur-
turing, safe and comfortable
environment. The Birthing Center
includes a high-tech security sys-
tem, 12 private labor/delivery and
recovery rooms, 23 private post-
partum rooms, private triage rooms
and two operating rooms for cae-
sarean delivery. Each room has a
bathroom with a soothing shower,
scenic views, HDTV, an individual
thermostat and sleeper sofa for
birthing partners. The Level II
Neonatal Intensive Care Unit
(NICU) provides specialized care
for newborns in need. The 10-bed
unit complements current perinatal
provided
services and provides a full array
of specialized equipment and de-
livery room coverage along with
all required support services
around the clock. Full-time neona-
tologists affiliated with Maria
Fareri Children’s Hospital at
Westchester Medical Center and
specially trained neonatal nurses
and nurse practitioners will provide
expertise and support to you and
your infant.
Hospital Newspaper highlights
one hospital per month as
the centerfold feature.
Great way to get
information about
your facility
to interested readers.
Hospital of the Month!
For more details contact:Jim Stankiewicz at
845-534-7500 ext. [email protected]
Scan this barcode with your smart mobile device to see Hospital of the Month examples on www.hospitalnewspaper.com
Hospital Newspaper - NY April, 2013 Page 19
TTHHEE WWIINN
IIFFRREE
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EXCEL LENCE IN R EHAB I L I TAT ION FOR NEARLY 100 Y EARS
PROGRAMS:• Amputee• Joint Replacement• Brain Injury• Cardiopulmonary• Neurological• Orthopedic• Spinal Cord Injury• Stroke Recovery
785 Mamaroneck AveWhite Plans, NY 10605888.99.BURKEwww. Burke.org
Founded in 1915, Burke Rehabilitation Hospital is the
only hospital in Westchester County dedicated to
rehabilitation medicine. Burke offers inpatient and
outpatient programs for those who have experienced a
disabling illness, traumatic injury or surgery. Burke is
both a rehabilitation hospital and medical research
institute. Burke's doctors and therapists provide the
highest quality treatment, while its research scientists
explore the frontiers of rehabilitation medicine. All share
the Burke mission to ensure that every patient makes the
fullest possible recovery.
Where You GoFor Rehab Matters
Rehab + Research = Results
B U R K E
Burke Rehabilitation Hospital’s Dr. Barry Jordan named to NCAA Concussion Task Force and Pop Warner Advisory Committee
Barry Jordan MD, MPH,
assistant medical director of
Burke Rehabilitation Hospital
in White Plains has been
selected to be part of the
National Collegiate Athletic
Association (NCAA) Con-
cussion Task Force that will
begin meeting in April to
study the issues surrounding
sports concussions in student
athletes.
“It is an honor to be se-
lected to be part of a group of
people dedicated to protect-
ing our young athletes from
this serious trauma,” said Dr.
Jordan, who is also director
of Burke’s Brain Injury Re-
habilitation program.
Over the last eight years,
the NCAA’s Injury Surveil-
lance Program found that the
rate of concussions for the
NCAA overall is 1.9 concus-
sions per 1,000 game-related
exposures when injuries can
occur. This has remained
steady even as efforts have
been made to better recog-
nize and treat this injury.
During the 2011 NCAA foot-
ball season, 2.5 concussions
were reported for every 1,000
periods of athletic activity.
"We need to get a better
idea of the epidemiology of
the situation and see what
we're dealing with," Dr. Jor-
dan said. And that is exactly
what the task force will at-
tempt to do. According to
NCAA Chief Medical Offi-
cer Brian Hainline, M.D., the
goal of the dozen physicians
and scientists on the task
force is to try to make sense
out of everything—to come
to a consensus about what is
known, unknown and how to
move forward. The task force
will also look at concussions
from what is causative versus
correlative, and determine a
management plan. The re-
sults will then be submitted
to the NCAA Board that
will evaluate the findings
and determine the next
course of action.
The NCAA says this
process will take place
over the next few years
and that there is no time-
line for the completion of the study.
In addition to the NCAA Task
Force, Dr. Jordan has also been in-
vited to join the Pop Warner Foot-
ball Medical Advisory Committee.
The committee is led by physicians
with expertise in neuro-medicine
and sports safety. It focuses on the
prevention, proper identification
and treatment of concussions; and
increasing awareness regarding hy-
dration, proper nutrition, and health
and safety issues, especially for
those involved in football and
cheerleading.
The committee was formed in
2010 by Pop Warner Little Schol-
ars, Inc., a non-profit organization
that provides youth football and
cheer and dance programs for about
425,000 participants aged 5 to 16
years old, in 42 states and several
countries around the world, to en-
sure Pop Warner remains proactive
on all medical issues that affect
youth sports.
“As a former Pop Warner Foot-
ball player, I am delighted to be part
of the committee and look forward
to helping keep our young athletes
playing and, most importantly,
playing safely,” Dr. Jordan said.
Dr. Jordan is committed to the
safety of athletes at all levels. Along
with the NCAA and Pop Warner,
Dr. Jordan serves as the chief med-
ical officer of the New York State
Athletic Commission, team physi-
cian for U.S.A. Boxing, and a mem-
ber of both the National Football
League (NFL) Players Association
Mackey-White Traumatic Brain In-
jury Committee and the NFL
Neuro-Cognitive Disability Com-
mittee.
provided
PAgE 20 April, 2013 Hospital Newspaper - NY
ARCHITECTURE
Bernstein & Associates, ArchitectsFounded in 1990, Bernstein & Associates, Architects,
specializes in the design and construction of hospital andhealthcare facilities. Our focus: high-quality design, excellentservice, and client satisfaction.
We have worked for over 100 hospitals and another 200private healthcare facilities, across the United States.Our project types have included all hospital and healthcareservice groups, including:
Adult Day Care, Alcoholism Treatment Facilities, AmbulatorySurgery Centers, Assisted Living, Cancer Centers, Cardiac Cath,Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Derma-tology, Dialysis Clinics, Doctors Offices, Drug Treatment Fa-cilities, Elder Care, Employee and Student Health SupportServices, Emergency Departments, Emergency Preparedness,Endoscopy, ENT, Expert Witness, Group Practices, Hospices,Hospitals, Infectious Disease, Information Systems, IntensiveCare, JCAHO Survey, Joint Commission Survey, Laboratories,Master Plans, Medical Offices, Medical Equipment, MedicalLibraries, Medical Records, Neurology, Nursing Homes, Oph-thalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facil-ities, Pathology, Patient Safety Consulting Services, Pediatric,Pharmacy, Physical Fitness and Sports, PT/OT, Primary CarePrograms, Psychiatric, Radiology, Rehabilitation, Senior CitizenFacilities, Sleep Centers, Social Services, Statement of Condi-tions, Surgical Suites and Ambulatory Surgery Centers, UrgentCare Centers, and USP 797 Consulting Services.
The firm's projects have won design awards from Progres-sive Architecture, Architectural Record, and the ArchitecturalWoodworking Institute, and have been published in Advance,Health Facilities Management, Medical Technology Today,Bio/Technology, Progressive Architecture, ArchitecturalRecord, Design Solutions, Hospitality Design, Sound andCommunication, Contract Design and Hospital Newspaper.
Architectural Services include: programming, planning,design, construction documents, bidding and negotiation, andconstruction administration.
The firm also offers sustainable or “green” healthcare design.The firm has a number of LEED-accredited professionals, hassuccessfully completed numerous green healthcare projects, andhas published articles on “Greening the Healthcare Environment”.
Project Management (or Owner’s Representative Services)is offered as a stand-alone service through our affiliated projectmanagement company, Empire Projects, Inc. (www.empire-projects.com).
Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001
Contact: William N. Bernstein, AIAManaging Principal
Tel: 212.463.8200 • Fax: [email protected]
NEW YORK - HARTFORD - PRINCETON
BARIATRIC EQUIPMENT& PRODUCTSTSK PRODUCTS
FAST & COMFORTABLE PELVIC EXAMSThe Wedgie Pelvic Exam Wedge provides fast, comfortablepelvic exams in the ER, Radiology, and Women's Health.
It is a much more comfortable than using a hard bedpan.The 6" height of the Wedgie lifts the patient's pelvis significantlyhigher then a bedpan, thus allowing physicians to perform abetter exam. The Wedgie's unique cutout design allows thephysicians to maneuver their speculum in all directions withoutinterference.
The Wedgie can support patients weighing up to 350 lb. It ismade of a medical grade foam and an anti-microbial, anti-bacte-rial, tear resistant, and stain resistant medical grade vinyl cover.It can be cleaned with standard disinfectant products. Optionaldisposable protective covers and wall holders are available.
12 Windsor Drive, Eatontown, NJ 07724www.tskproducts.com
Phone: (732) 982-1090 • Fax: (732) 389-9044
CAREER MANAgEMENT
Connect with Leading
Healthcare Recruiters
Join BlueSteps, the executive career management service of the Association of
Executive Search Consultants
Healthcare executives are in demand. Are you being con-sidered for the top leadership jobs? Join BlueSteps today toput your resume and confidential careerprofile at the fingertips of over 8,000 of the world’s top executive recruiters,including hundreds who specialize in healthcare and lifesciences recruiting. In addition to a unique connection to theexecutive search community, BlueSteps also provides a suiteof proactive career management tools including:
• a free resume review and career consultation• access to the International Executive Search
Firm Directory• exclusive information on hundreds of active
executive searches• online brand management tools• career management content and events
specifically for senior-level executives
As a service of the Association of Executive SearchConsultants, you can rest assured that your career detailswill be confidentially and securely managed withinBlueSteps. Unlike other mass job boards, only the highestcaliber executive search consultants (all members of theAESC) will have access to your BlueSteps profile. Eachyear, AESC members recruit for over 70,000 of the highestlevel executive positions globally, many of which are neveradvertised publically.
Join BlueSteps today and receive 15% OFF your membership!
Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this
exclusive discount.
Contact [email protected] to learnmore or for assistance getting started!
CONTRACT/PRACTICE MANAgEMENT SERVICES
MED�EXCEL USA
Providing Emergency Medicine Excellence for over 20 years
EMERgENCY MEDICINE
CONTRACT MANAgEMENT
Physician Owned and Managed
Award winning Customer Relations Program
Continuous Quality Improvement
Risk Management Innovations
Cost Containment
Measurable Outcomes
EMERgENCY MEDICINE SERVICES
CONSULTATION SERVICES
Customer Satisfaction
TeamBuilding/Staff Development
Conflict Mediation
ED Systems Analysis
PRACTICE MANAgEMENT SERVICES
Hospital and Physician
Billing/Coding/Auditing/Consultation
NEW YORK BASED OFFICEMED�EXCEL USA
Please contact Marie Buchanan at 800.563.6384 Ext. 249
[email protected] inquiries are confidential
EDUCATION
Prepare for a Career in Healthcare Sector Management at Long Island University.
Earn an advanced certificate or an M.B.A. degree in thegrowing field of healthcare management at Long IslandUniversity’s Hudson Graduate Center at Westchester.
Demand for healthcare managers with business skills hasnever been greater. Responding to this need, Long IslandUniversity has launched a new Healthcare Sector Managementprogram, offering two graduate study options in the field ofhealthcare administration.
After completing your advanced certificate or your M.B.A. atthe University’s Hudson Graduate Center at Westchester, youwill be prepared to advance in middle and upper managementpositions in the healthcare industry.
Option A: The Advanced Certificate in HealthcareSector Management
Enhance your credentials by enrolling in the advancedcertificate program. Certificate candidates will complete fourhealthcare sector management courses for a total of 12graduate credits on a part-time basis in just two semesters.
Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration
Students in the M.B.A. program follow the standard 48-creditcurriculum, normally completed by part-time students over a24-month period, with a focus on leadership in healthcareorganizations.
The Healthcare Sector Management Program will be offeredat Long Island University’s Hudson Graduate Center atWestchester, located on the grounds of Purchase College, 735Anderson Hill Rd., Purchase, N.Y. Courses are offered onweekday evenings and on Saturdays.
“The healthcare management field is one of the few sectors of oureconomy we know will continue to grow significantly over thenext five years,” according to Dr. Lynn Gunnar Johnson, directorof the M.B.A. Healthcare Sector Management program.
For information, contact Dr. Johnson at 914-931-2711 [email protected].
Long Island UniversityHudson Graduate Center at Westchester
735 Anderson Hill Rd.Purchase, NY 10577
RESOURCE DIRECTORY
Contact Jim Stankiewicz
to find out how
your organization can be
featured in our
Resource Directory.
845-534-7500 ext.219
Fax: 845-534-0055Online Directory available atwww.hospitalnewspaper.com
Hospital Newspaper - NY April, 2013 PaGe 21
NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air.
Quick, easy to use and patient friendly.
The technology requires no calibration.
From beginning to end the test takes under 60 seconds.
Icare® has over 32,000 satisfied users in over 50 countries.
Contact: Bob Goldbacher (609) 412-2134 [email protected]
PAGE 22 April, 2013 Hospital Newspaper - NY
HOSPITALS
Calvary HospitalFounded in 1899, Calvary Hospital is the nation’s only
accredited acute care hospital devoted to palliative care foradult advanced cancer patients. Its mission is to address thephysical, psychological, and spiritual needs of patients andtheir families. Calvary’s continuum of care includes inpatient,outpatient, home hospice, nursing home hospice, home care,and the care of complex wounds. Press Ganey has consistentlyranked Calvary among the top one percent in patient satisfactionamong 7,000 hospitals in the country.
Each year, Calvary cares for more than 6,000 patients andtheir families. It cares for inpatients at its 200-bed hospitalin the Bronx and at its 25-bed Brooklyn satellite at LutheranMedical Center.
Calvary@Home offers home care, hospice, and nursinghome hospice for patients suffering from advanced cancer andother chronic and acute terminal illnesses.
• Home care is available in the Bronx, Queens, Manhattan,and lower Westchester.
• Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties.
• Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties.
In 2004, Calvary opened the Center for Curative andPalliative Wound Care at its Bronx facility. Since then, ateam of experienced physicians, surgeons, and certified woundcare nurses has helped more than 800 patients to date withcomplex chronic wounds caused by complications of diabetes,cancer, venous and arterial disease, and other illnesses.
For more information, visit www.calvaryhospital.org orcall the following numbers: Calvary Hospital (718) 518-2300,Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.
NURSING HOMEJewish Home Lifecare is one of the premier non-profit
geriatric and rehabilitation institutions in the country. The Home serves more than 9,000 older adults daily
through traditional long term care, subacute care, rehabilitation services, community services and seniorhousing programs. These services are offered on theHome's three campuses in Manhattan, the Bronx, andWestchester at the Sarah Neuman Center for Healthcareand Rehabilitation, as well as through our Lifecare Serv-ices Division, which provides programs throughout themetropolitan area.
Many levels of care are provided by the Home's healthsystem so that as needs change, individuals can transferfrom one level of care to another. Skilled nursing andmedical care are provided 24 hours a day by on-site clin-ical staff as well as a complement of physicians represent-ing a full range of medical specialties.
The Home also educates and trains physicians andmedical professionals in geriatrics. In an unprecedentedteaching program with Mt. Sinai School of Medicine, over2400 fourth year Mt. Sinai Medical School students haveparticipated in a mandatory rotation program at the Home.
A strong component of the Home's activities includeconducting research to improve the quality of life of olderadults. Jewish Home Lifecare is the home of the LesterEisner, Jr. Center for Geriatric Education, the SaulAlzheimer's Disease Special Care Unit (Bronx), theGreenberg Center on Ethics in Geriatrics and Long TermCare and the Center on Pharmacology for the Elderly(COPE).
The Home has added a new service titled, CONNEC-TIONS, an information and referral service for the profes-sional and lay communities, connecting people toprograms.
Jewish Home Lifecare - Manhattan - Bronx - Sarah Neuman Center
120 West 106th Street, New York, New York, 10025
Call Connections Information and Referral at 212- 870-5919 or 800-544-0304
SENIOR LIVING
Getting better…. just got better.
We are proud to announce that our stunning new nursingcenter has opened and has private and semi-private roomswith magnificent views of Long Island Sound.
United Hebrew is a not-for-profit, non-sectarian, multi-servicesenior living campus serving the Westchester metropolitan areasince 1919. Our dedicated short-term rehabilitation suite is staffedby Burke Rehabilitation professionals. The exemplary clinicalteam of professionals will design a personalized treatmentplan for care in our nurturing environment. Features includecountry kitchens, recreation rooms on each floor, a courtyardgarden for recreational use, private dining and family roomsand wireless internet access.
United Hebrew Family of Services:
• Nursing Home Care
• Burke Rehabilitation at United Hebrew
• Willow Towers Assisted Living Residence
• Soundview Apartments for Independent Seniors
• Long Term Home Health Care Program
• Azor Home Health Agency
For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff [email protected].
United Hebrew 391 Pelham Road, New Rochelle, NY 10805
914.632.2804www.uhgc.org
RESOURCE DIRECTORYWORKERS’ COMPENSATION
HOSPITAL WORKERS HAVE YOU BEEN INJURED
ON THE JOB?
Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights!
Do Not Make These Mistakes That Can Cost You Benefits
1.You must report the accident or injury as soon as possible, even ifyou might not lose time from work or need immediate medical care.
2. Report all injuries to all body parts, no matter how minorthey may seem. If you do not report it and the injury getsworse over time, the job may deny benefits.
3. Remember, you are entitled to treatment and benefits evenif you have previously injured the same body part in a prioraccident. Do not let the job tell you different.
4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the expe-rienced attorneys at BAGOLIE FRIEDMAN can fight to getit approved at no cost to you.
5.When you are released from treatment, you may be entitledto money for your injury and disability. You may also collectfor repetitive stress, cumulative trauma, cancer, hearing loss &hepatitis.
6.Contact Attorneys Ricky Bagolie or Alan Friedman now fora confidential and free consultation and to discuss your workers'compensation and disability rights. There is no fee if there is norecovery.
BAGOLIE FRIEDMAN, LLCWorkers' Compensation & Disability Attorneys
CALL TOLL fREE 1-866-333-3529(After Hours / Emergency Number - 201-618-0508)
The Five Corners Building - 660 Newark Ave Jersey City, NJ07306 • (201) 656-8500
790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414
BF
www.bagoliefriedman.com
NEW PRODUCT TECHNOLOGY
NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular
Pressure (IOP) with unique, patented reboundtechnology which enables quick and painlessmeasurement with no drops or air. Quick, easy touse and patient friendly. The technology requiresno calibration. From beginning to end the testtakes under 60 seconds. Icare® has over 32,000satisfied users in over 50 countries.
PLACEYOUR AD HERE!
Contact Jim Stankiewicz
to find out how
your organization can be
featured in our
Resource Directory.
845-534-7500 ext.219
Fax: 845-534-0055Online Directory available atwww.hospitalnewspaper.com
Contact:Bob Goldbacher
(609) [email protected]
Hospital Newspaper - NY April, 2013 Page 23
Calling All Emergency Responders
When everysecond counts...Count on NitroMist®
NitroMist provides fast, effective symptom relief.
NitroMist provides a consistent dose with each metered spray.*
NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.†
Available in 90 & 230 spray bottles.
©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T
NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.
Not Actual Size
Count on NitroMist
NitroMist provides fast, effective symptom relief.
NitroMist provides a consistent dose with each metered spray.*
NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.
Available in 90 & 230 spray bottles.
For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.comNow covered on UnitedHealthcare.Check with your GPO for low contract pricing. For additional information, please contact us at [email protected]
BRIEF SUMMARYNitroMist® (nitroglycerin) lingual aerosol Rx OnlyINDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guano-sine monophosphate (cGMP)-specifi c phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARN-INGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive. Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefi ts of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported. DRUG INTERACTIONS– PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specifi c phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myo-cardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the refl ex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministra-tion of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissue-type Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the fi rst-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability. Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossifi cation were seen. The latter fi nding probably refl ects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include suffi cient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-
orted clinical experience has not identifi ed differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, refl ecting the greater frequencyof decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamiceffects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and evenbloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either fl ushedor cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specifi c antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerinoverdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fl uid volume. Passive elevation of the patient’s legs may be suffi cient, but intravenous infusion of normal saline or similar fl uid may also be necessary. The use of epinephrineor other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and diffi cult, and invasive monitoring may berequired. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color changeon exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required.NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fi brotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity inan in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and bodyweight gain in both sexes at all matings. No specifi c effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafi l, vardenafi l, and tadalafi l. These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructedthat prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness ordizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly fl ammable propellant (butane),do not have the container burned after use and do not spray directly towards fl ames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content.Manufactured for Akrimax Pharmaceuticals, LLC Cranford, NJ 07016 by Dynamit Nobel GmbH, Leverkusen, Germany Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USANitroMist is a registered trademark of NovaDel Pharma Inc., used by permission. 141B002 10/2012
* Priming NitroMist: After receiving a new prescription or refi ll, patients should remove the plastic cap, place forefi nger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays.
† Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F).
212.481.5777 x51668 | AlliedBarton.com/HCReform2014
Preparing for Change: The Impact of Healthcare Reform
Are you prepared?
If the full measures of healthcare reform legislation go into effect as planned in 2014, it could have a major impact on your vendors. Featuring the security industry as an example, learn how Healthcare Reform will impact your service providers and therefore, you. Learn about your options.
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PAGE 24 April, 2013 Hospital Newspaper - NY