hosptal newspaper new jersey may 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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Solutions to Healthcare Professionals p10
Pay-Plus Solutions…Transforming the
Payment Processp4
PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER
of the Month
National Nurses Week May 6-12, 2013
Congratulations NJ Nurses!
Rocking Horse Rehab
p16
PAGE 2 May, 2013 Hospital Newspaper - NJ
Hospital Newspaper - NJ May, 2013 Page 3
PAGE 4 May, 2013 Hospital Newspaper - NJ
At its annual 2012 Forum, PHX announced the formation of a new
subsidiary, Pay-Plus™ Solutions, Inc. (PPS). Since the announcement,
PPS has successfully implemented its services to numerous Payors
and Providers who are realizing the Pay-Plus solution to be the next
generation in e-payments.
Progressively, Payors have been facing mounting pressures from the
resulting increase in administrative costs, operational inefficiencies
and complicated processing requirements. An electronic payment
and remittance solution such as PPS simplifies the payment process
of health plan Payors delivering significant savings of both time and
money. Because PPS understands both the TPA and broader Payor
marketplaces, it consistently demonstrates the capabilities of its
products to fulfill the operational, financial and regulatory needs of
the market while also providing the exceptional customer service.
As a result, Pay-Plus outperforms industry estimates by converting
90% of all paper checks to electronic payments which consequently
cuts printing costs by nearly 50%.
We talked with Payors who have implemented PPS and asked them why they chose PPS as their electronic payment solution:
• Cutting edge technology and experience to reach a high % of providers
• Smooth Implementation Process managed every step of the way with a dedicated project leader
• Credibility by working with a subsidiary of a trusted and proven partner such as PHX
In addition, the rigor of the Pay-Plus process has positioned it as the Payor’s
PPACA (Patient Protection and Affordable Care Act) solution. That means
Payors will be compliant with the mandate and ready to offer this option
without changing internal workflow.
Providers are also recognizing large benefits by converting their processes
over to an electronic format through PPS. Providers are under more pressure
than ever before, facing higher administrative costs and with the addition of
cash flow issues—it’s more difficult for physicians to manage their business
and maintain profitability.
One way to provide relief is to transform check based payment to an electronic
payment solution. Providers have to struggle too hard and too long with
checks and paper-based processing, which are inefficiencies on many levels.
The business advantages for Providers of an electronic payment method such as PPS:
• Get paid an average of 11 days faster than check based processing
• Reduce administrative costs and data entry rates
• Allow administrative staff to spend more time on patient related activities
Pay-Plus Solutions has become the next generation for e-payments for the healthcare industry. Its easy integration process and evident
benefits align with strategic business goals of a Payor organization as well as Providers. For more information about Pay-Plus Solutions,
check out their website at https://www.ppsonline.com
Pay-Plus Solutions…Transforming the Payment Process
Hospital Newspaper - NJ May, 2013 Page 5
PAGE 6 may, 2013 Hospital Newspaper - NJ
Hospital Newspaper - New Jersey edition - Vol. 11 No. 5 -is published monthly, 12 times a year for $36 per year byBelsito Communications, Inc., 1 Ardmore Street, NewWindsor, NY 12553. Postage Paid at New Windsor, NYand additional mailing offices. Postmaster: Send addresschanges to Hospital Newspaper, 1 Ardmore Street, NewWindsor, NY 12553. No financial responsibility is assumedby this newspaper to publish a display, classified, or legalad or for typographical errors except of reprinting that partof the ad which was omitted or in error. Omissions or errorsmust be brought to the attention of the newspaper duringthe same month of publication.
845-534-7500 • (fax) 845-534-0055
A division of:
CORPORATE INFORMATION
ADVERTISER INDEX
Company Page
AkrimAx / Nitromist 32
Bankers Healthcare Group, inc. 11
EmA 7, 24
GNYHA Services 9
icare 31
Less Stress instructional Services 12
matheny School and Hospital 21
medExcel 3
NorthWest Seminars 25
Pay-Plus™ Solutions, inc. 5
Plymouth rock management Co of NJ 23
Premier Healthcare Exchange, inc. (PHx) 2
resource Directory 28, 30
rocking Horse rehab 17
runnells Specialized Hospital 19
Sun Home Loans 27
TESC 13
Trinitas regional medical Center 15
PUBLISHERJoseph P. Belsito
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• • •MARKETING EXECUTIVE
Anthony Mairo([email protected])
• • •CIRCULATION
Michelle Belsito(845-534-7500 x220)
• • •BUSINESS DEVELOPMENT,
PUBLISHER'S REPRESENTATIVE
Jeff HortonField office; Mahopac, NY
cell- 845-729-2525
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National Nurses Week May 6-12, 2013
Congratulations NJ Nurses!
Rocking Horse Rehab
p16
OUR VIEW
Hospital Newspaper is proud to recognize nurses as part of National Nurse Week which is May 6-12.
Facing unknown health issues can be very stressful. Hospital stays can be made more comfortable
because of the gentle, encouraging care provided by nurses.
Around the clock, patients push the alert button to summon the nurses. What an immense sense of
relief when the kind and helpful face of a nurse appears.
Most nurses feel their services are not recognized. However, they should be. Nurses are a special
group, an important part of our communities. Many nurses expressed that a few encouraging words
would mean so much to them after a 24-hour work shift. In today's healthcare system, these special
men and women face ever changing challenges.
Please take the opportunity during national Nurse Week to put a smile on a valued nurse! Where we
would be without them?
Please share your stories with us: [email protected]
Jim can be reached at 845-534-7500 ext. 219 and via email at [email protected].
Hospital Newspaper salutes all Nurses during National Nurses WeekMay 6-12, 2013
Hospital Newspaper - NJ May, 2013 Page 7
Gerardi Hosts Webinar for theEmergency Medicine PatientSafety Foundation (EMPSF)
Michael Gerardi, MD, FACEP, presented a webinar entitled,“Safety in Pediatric EmergencyMedicine” for the Emergency Medicine Patient Safety Foundation(EMPSF) Oct. 30, 2012.
Dr. Gerardi is a member of the faculty of the Department of Emergency Medicine at Morris-town (N.J.) Medical Center; a senior vice president with Emer-gency Medical Associates; and amember of the Board of Directorsof the American College of Emergency Physicians (ACEP).
Dr. Gerardi is a partner of Emergency Medical Associates.
About Emergency Medical AssociatesEmergency Medical Associates(EMA), headquartered in Parsip-pany, N.J., is a physician-led,physician-owned medical practicethat specializes in emergency, hospitalist and urgent care medicine. Dedicated to providingexceptional solutions for the measurable success of our hospitalpartners, EMA is recognized forclinical excellence, quality serviceand sustained improved patientsatisfaction. For more information,visit www.ema.net, www.face-book.com/EMANews or www.twitter.com/EMANews.
Stuhlmiller Co-Authors Chaptersin Commission on Accreditationof Medical Transport SystemsTextbook
David Stuhlmiller, MD, FACEP,CMTE, co-authored two chaptersin the Commission on Accredita-tion of Medical Transport Systemstextbook. The first surroundedmeasurement and data titled“Safety and Quality in MedicalTransport Systems. Creating an Effective Culture” and the secondchapter emphasized Essentials oflearning and improvement “Safetyand Quality in Medical TransportSystems. Creating an Effective Culture.”
Dr. Stuhlmiller is a partner ofEmergency Medical Associatesand chairman of the department ofemergency medicine at NewtonMedical Center, Newton, N.J.
Weinberg Serves as Faculty atBase Camp 2013
Eric Weinberg, MD, served as amember of the faculty for BaseCamp, a multidisciplinary confer-ence for first-year pediatric emer-gency medicine fellows andpediatric emergency nurses. The conference was held February9-10, 2013, at Weill Cornell Medical College in New York City.
Dr. Weinberg served as the facili-tator throughout the day. Throughsimulation, lectures and hands-onpracticals with cadavers and procedural simulators, Weinbergtaught pediatric resuscitation techniques to pediatric emergencymedicine fellows and nurses.
Dr. Weinberg is an attending pediatric emergency physician andassistant professor of the depart-ment of pediatric emergency med-icine at Maria Fareri Children'sHospital at Westchester MedicalCenter in Valhalla, N.Y.Dr. Weinberg is a partner of Emergency Medical Associates.
News in Emergency Medicine
(877) 692-4665 [email protected] www.EMA.net
The Sign of Excellence in Emergency Medicine® for More Than Three Decades
35 years of expertise
Serving patients in New Jersey, New York and Pennsylvania, as well as North Carolina and Rhode Island
Dedicated board-certi�ed emergency physicians integrate into your hospital’s culture
Recognized for clinical excellence, quality service and high patient satisfaction
2012 Best Places to Work in Healthcare
2012 Top 10 Emergency Department Contractors
The Sign of Excellence in Emergency Medicinefor More Than Three Decades
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PAGE 8 May, 2013 Hospital Newspaper - NJ
All too often, conversations about product quality, costs, and nursing take place separately. While the relationship
between nurses and the quality of hospital care has been a frequent topic of discussion and research (with much of it
linking nursing care to safety, patient satisfaction, and outcomes), the same cannot be said about nurses and their
impact on costs. The celebration of National Nurses Week (May 6-12) provides a good time to recognize the vital role
nurses play in helping to control hospital costs, specifically in the supply chain.
As supply chain management rightly takes ownership of the intersection of cost, quality, and outcomes in response to
the integrated care delivery model, the once deeply siloed supply chain will need to become more collaborative.
Nurses—with their hands-on experience using the majority of hospital products, their expanding professional duties,
and their clinical backgrounds—are indispensable supply chain allies in helping to select the right product and technology
at the right price.
The disconnect between nurses and the supply chain does not work in today’s collaborative supply chain, which, more
than ever before, has a big-picture focus that goes beyond costs. According to an American Society of Health-System
Pharmacists survey, nurses administer medications in 99.7% of hospitals. And for many patients, nurses, who have
the most patient contact, are the face of the hospital, delivering life-saving care and advice, and making valuable patient
care decisions. Nurses comprise most of hospital staff. Therefore, hospitals that relegate nurses solely to the role of
supply users who have little or no input on products, tools, or equipment choices—and who are left out of training on
product purchasing and cost savings—are bypassing a critical resource that could facilitate major improvements that
lead to a better bottom line.
In order to evaluate a new product or technology, or fix supply chain issues by prioritizing patient care over process
approach, supply chain professionals need to go beyond the numbers and learn about care practices and how products
are used on the hospital floor. Nurses, in turn, should be aware of how their work with patients connects to hospital
costs. Nurses who are engaged with their supply chain department can positively affect the product decision-making
process by adding valuable product usage insight, such as the long-term expense of a low-cost but inefficient product.
Supply chain educated nurses can also serve as partners in promoting cost consciousness and product use efficiencies
to hospital physicians and other clinicians who are often more responsive to colleagues who understand their job
firsthand. In addition, nurses can add a perspective based on experience rather than supplier claims.
The value of nurses’ unique skill set—patient care, clinical expertise, and supply and equipment knowledge—cannot
be ignored. Involving nurses early and often in the supply chain process (especially during value analysis) should be
a fundamental requisite of any optimized, strategic, clinically integrated supply chain.
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.
Connecting Nurses, Supply Chain to Control Costs
GNYHA Services provides support to both clinicians and non-clinicians in the acute care se�ing. Our physician preference, product evaluation, continuing education, and communication services help bring clinicians together with supply chain executives to implement innovative processes that bene�t your bo�om line as well as your patients.
Join forces today. Call GNYHA Services at (212) 246-7100.
555 West 57th St. I New York, NY 10019
Collaborate to Innovate CELEBRATING NATIONAL
NURSES WEEKMay 6−12, 2013
GNYHA Services thanks nurses everywhere for the extraordinary work they do
to support our communities and improve the lives of the
patients they serve.
Hospital Newspaper - NJ May, 2013 Page 9
In a time of extraordinary change within the industry, healthcare professionals face a list of challenges that seems to grow longer by the day. Providers are required to juggle priorities and effectively dele-gate responsibility in an effort to deliver high quality care. External pressures such as declining reimbursements, increasing compliance requirements and uncertainty surrounding the Affordable Care Act only add to the burden.
Additionally, healthcare providers must adapt to the changing dynamics of the doctor-patient relationship as patients take a more proactive approach in how they gather information and interact with care providers.
Despite these challenges, providers must make sure that operations continue to run smoothly while maintaining a steady
upgraded, additional staff may be needed to distribute the workload, and payroll or
burden can often be overwhelming, leaving bills unpaid and projects stalled.
In 2010, Fund-Ex, LLC was founded to provide healthcare professionals with the
grow a practice. As a lender that works exclusively with healthcare professionals,
-
and challenges. The funds can be used for a wide range of business purposes includ-ing working capital, debt consolidation,
a practice. Fund-Ex’s goal is to simplify and shorten the lending experience for healthcare providers, ensuring that time away from patients is minimized.
doesn’t run like your typical business. Every second that a doctor spends away from patients means lost revenue,” said Albert Crawford, Owner and CEO of Fund-Ex. “We launched Fund-Ex to give healthcare professionals access
keeping the disruption of their day-to-day routine to an absolute minimum.”
doors in 2010, principal owners Albert Crawford, Eric Castro and Robert Castro
-care providers for more than two decades. That extensive experience has helped them gain a deep understanding of healthcare business cycles. It also led them to the realization that healthcare professionals
“Our years of experience have helped
us to provide capital to our healthcare clientele with unparalleled speed, service
Owner and COO of Fund-Ex. “Combine that low-stress, no-pressure experience
solutions and you have winning combina-tion for healthcare professionals.”
In addition to being time consuming and tedious, healthcare professionals
fruitless. Traditional lenders are often
Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals
unfamiliar with healthcare professionals and unwilling to look outside their credit matrix to understand the complete picture surrounding the borrower.
“Day after day we hear how challenging
healthcare professionals with healthy incomes and solid credit histories,” said April Brissette, Chief Lending
is rooted in a thorough understanding of their business process, and we take the time to understand the entire situation. This understanding allows Fund-Ex to say yes when other lenders are saying no.”
www.fund-ex.com | 877.851.9405
The Funding Expert for Healthcare Professionals
By Patrick Harrigan | Syracuse, NY
PAGE 10 May, 2013 Hospital Newspaper - NJ
* Express Program offers fund availability in as few as 5 days, Flex Program offers funds at interest rates as low as 6%.
Your healthy financial future is here.
At Fund-Ex, our specialty is you. As a lender that
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understand your needs and determine the best solution for you and
your business. Fund-Ex can help you improve operational cash flow,
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Call 877.851.9405 or visit www.fund-ex.com/HNNY to connect with one of our funding experts.
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Hospital Newspaper - NJ May, 2013 Page 11
PAGE 12 May, 2013 Hospital Newspaper - NJ
education & careers
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 Stankiewiczfor more information.
[email protected]: 845-534-7500 x219
MONOC is pleased to announce
that they have just received five
year accreditation by the Commis-
sion on Accreditation of Allied
Health Education Programs (CAA-
HEP) for their Paramedic program.
MONOC runs their Paramedic pro-
gram in conjunction with Ocean
County College and is one of just
four New Jersey Department of
Health approved programs in the
state and only the second program
to be accredited by CAAHEP.
“MONOC is pleased to have
achieved this important milestone,”
said Vince Robbins, MONOC’s
President and CEO. “CAAHEP ac-
creditation is a mark of distinction
we are honored to now have. It is
a testament to the professional,
high quality education program
MONOC provides. We appreciate
the dedication and hard work our
education team displays every
day.”
CAAHEP is a programmatic
postsecondary accrediting agency
recognized by the Council for
Higher Education Accreditation
(CHEA) and carries out its accred-
iting activities in cooperation with
19 review committees (Committees
on Accreditation). CAAHEP is the
largest programmatic accreditor
in the health sciences field. In
collaboration with its Committees
on Accreditation, CAAHEP reviews
and accredits over 2,100 educa-
tional programs in 23 health science
occupations.
The specific committee that
oversees EMS is called the Com-
mittee on Accreditation of Educa-
tional Programs for the Emergency
Medical Services Professions
(CoAEMSP). The mission of the
CoAEMSP, under the auspices of
CAAHEP, is to continuously im-
prove the quality of EMS educa-
tion through accreditation and
recognition services for the full
range of EMS professions. Their
vision is that CoAEMSP/CAA-
HEP will be the single, compre-
hensive National EMS education
accreditation agency, as defined in
the EMS Education Agenda for the
Future.
MONOC Mobile Health Services
is a non-profit hospital cooperative
consisting of 15 acute care hospitals
located throughout New Jersey.
Formed in 1978 MONOC’s mission
is to improve health care and
reduce costs. MONOC Mobile
Health Services is accredited by the
MONOC receives National Accreditation for Paramedic Program
Commission on Accreditation of
Ambulance Services (CAAS) and
employs over 730 employees and
operates a fleet of over 100 ambu-
lances. Together this shared
services consortium acts as a health
care cooperative for these acute
care hospitals and over 2.8 million
residents that they serve living in
more than 1,800 square miles of
the Garden State.
Among its numerous service
lines, MONOC operates MICU
Paramedic Services, Helicopter in-
terfacility and 911 services, Mobile
Critical Care Services, and Basic
Life Support interfacility and 911
services. Additionally, MONOC
operates a Continuing Education
Coordinating Board for Emergency
Medical Services (CECBEMS)
accredited education department
which is the largest EMS education
department in New Jersey providing
continuing medical education to
EMTs, Paramedics, Nurses, Police
Officers, Fire Fighters and the
general public. Coordinating all of
MONOC’s communications is an
Accredited Center of Excellence
(ACE) 24/7 state of the art 9- 1-1
dispatch center which handled over
171,000 requests for service in 2012.
Hospital Newspaper - NJ May, 2013 PAGE 13
education & careers
Thomas Edison State College is one of the 12 senior public colleges and universities in New Jersey, and is accredited by the Middle States Commission on Higher Education, 3624 Market Street, Philadelphia, PA 19104 (267-284-5000).
All nursing programs are accredited. For speci�c accreditation information, please visit the nursing webpage at www.tesc.edu/nursing.
Apply Now!Learn more at www.tesc.edu/nursing, or call 866.540.9378.
Our �exible, self-paced nursing programs are designed to advance clinical expertise, technological competence, and professional leadership. Our offerings include:
• RN-BSN • RN-BSN/MSN
Design Your Education Accelerate degree completion; ask about generous credit transfer and demonstration of college-level knowledge earned outside the classroom. Choose from convenient, state-of-the-art learning opportunities.
• MSN • Graduate Nursing Certi�cate Programs
DESIGN YOUR EDUCATIONADVANCE YOUR CAREER
100 percent pass rate for Thomas Edison State College graduates who took2012 National Nursing Licensure Exam
The New Jersey Board of Nursing recently reported
that the first graduates of Thomas Edison State
College’s accelerated Bachelor of Science in Nursing
(BSN) program achieved a 100 percent pass rate on
the National Council Licensure Examination for
Registered Nurses (NCLEX-RN), based on the
graduates who took the exam in 2012.
The college’s Accelerated 2nd Degree BSN
Program, launched in 2011, is a one-year program
designed for those who already possess a non-nursing
bachelor’s degree and are interested in becoming a
registered nurse. The program’s first graduating class
included 16 graduates, of which 14 took the NCLEX-
RN exam in 2012. All of the graduates who took the
exam in 2012 passed.
“We are extremely pleased about this outcome and
the performance of our graduates,” said Dr. Phyllis
Marshall, dean of the W. Cary Edwards School of
Nursing. “They have invested a great effort and were
fully committed to putting their lives on hold for the
program.”
The information reported to the college by the
New Jersey Board of Nursing was provided by the
National Council of State Boards of Nursing and
reflects the results of all first-time NCLEX test takers
from the college who took the exam in 2012.
About Thomas Edison State CollegeThomas Edison State College provides flexible,
high-quality, collegiate learning opportunities for self-
directed adults. One of New Jersey’s 12 senior public
institutions of higher education, the College offers as-
sociate, bachelor’s and master’s degrees in more than
100 areas of study. Students earn degrees through a
wide variety of rigorous and high-quality academic
methods that can be customized to meet their individ-
ual needs. Identified by Forbes magazine as one of the
top 20 colleges and universities in the nation in the use
of technology to create learning opportunities for
adults, Thomas Edison State College is a national
leader in the assessment of adult learning and a pio-
neer in the use of educational technologies. The Col-
lege is home to The John S. Watson Institute for Public
Policy. The New Jersey State Library is an affiliate of
Thomas Edison State College. Further information
about admission to the College may be obtained by
calling (888) 442-8372, via email at [email protected] or
by visiting the College website at www.tesc.edu.
(From left) Brittany Arrington, Gerald Bertekap, Carl Coleman, RachelBoka and Lisa Dellon, members of the first graduating class ofThomas Edison State College’s accelerated Bachelor of Science inNursing (BSN) program, which achieved a 100 percent pass rate onthe National Council Licensure Examination for Registered Nurses(NCLEX-RN), based on the graduates who took the exam in 2012.
provided
PAGE 14 May, 2013 Hospital Newspaper - NJ
Latestinfo fo
r
nurses and
students
By Alison Lazzaro
National Nurses Week allows nurses to be recognized for their around
the clock diligence and caring. The week actually ends on May 12 to
celebrate Florence Nightingale's birthday. National School Nurse Day is
incorporated into the Wednesday of the weeklong holiday. In February
of 1974, President Nixon designated National Nurse Week through a
proclamation. Later in 1982, the American Nurses Association formally acknowledged May 6th as National
Nurses Day, which helped pass a joint resolution of the United States Congress to recognize the day for
nurses.
During this week, nurses can take some time to show each other their appreciation, reflect on growth, and
cherish unique nursing friendships. Whether the individual is a co-worker on your unit, professor, or preceptor,
show a special nurse how much he or she meant to you and helped your career.
College chapters of Student Nurses Associations are a great avenue for student nurses to show their
appreciation to mentors and friends in nursing who have aided in their success. The American Nurses
Association Board of Directors actually designated May 8th as National Student Nurses Day. Candy grams
are an easy fundraiser that allows students to purchase a piece of candy for a fellow nursing student or
professor in order to show their appreciation. All profits from the candy sale can go directly to the organization
or contribute to a small award honoring a nurse or teacher. Nursing friendships are bonded through countless
hours of studying, group projects, and long hours at clinical.
College chapters can also honor the nursing profession and their peers through a health
fair or preventative screening in their student center. This promotes the positive influence
nurses can have and brings awareness to all organizations throughout campus. Using
promotional pins, tee-shirts and posters can help to make it an inspirational event and
raise awareness.
Nurses working in hospitals or facilities after graduation can recognize other nurses
on their unit through awards, honorary breakfasts or a simple card. Think about the
nurses who are always willing to go out of her way to switch hours with you so you can
make it to an appointment, the nurse who brought you a coffee to help jump start your night shift, or the
nurse who got out late but helped you review a procedure so you would feel more comfortable. Do not let
these special people who work days, nights, weekends, and holidays go unnoticed.
Nurse’s Viewpoint
Hospital Newspaper Correspondent
Celebrating Caring, Commitment, and Compassion
Trinitas Regional Medical Center is the first healthcare institution in the nationto receive not one but two Center of Excellence designations from the Na-tional League for Nursing, the pre-eminent organization in the country for pro-
moting quality nursing standards and initiatives.
The Trinitas School of Nursing is a repeat recipient of the NLN’s Center of Excellence designation in the category of “Creating Environments that Enhance Student Learning and Professional Development.” This honor was followed just recently by another accolade, Center of Excellence recognition of Trinitas in the category of “Creating Workplace Environments that Promote Academic Progressionof Nurses.” Trinitas is one of three hospitals in the United States to attain this secondhonor, which recognizes our significant achievements in providing nursing staff withopportunities for academic advancement, enabling nurses to use their new knowledge to improve patient care and outcomes.
This dual honor means that Trinitas nurses – both those in basic nursing education as well as those established in their careers– can benefit from programs that have been recognized as the best in the field. And that is very good news for our patients!
TR IN I TAS REG IONAL MED ICAL CENTER225 Williamson Street, Elizabeth, NJ 07202 • www.TrinitasRMC.org
For information on nursing at Trinitas, call 908.994.5334For information on the Trinitas School of Nursing, visit www.TrinitasSchoolOfNursing.org
TRINITAS CENTERS Behavioral Health • Cancer Care • Cardiology • Diabetes Management OF EXCELLENCE Maternal & Child Health • Renal Services • School of Nursing • Senior Services Sleep Disorders • Women’s Services • Wound Healing & Hyperbaric Medicine
Trinitas Regional Medical Center is a Catholic teaching institution sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.
Trinitas Leads the Nation in Creating Educational EnvironmentsThat Support Nursing Excellence!
Proud graduates of the Trinitas School of Nursing,Class of January 2013, join a long line of expertly educated nurses going back to 1891.
Trinitas Leads the Nation in Creating Educational EnvironmentsThat Support Nursing Excellence!
Hospital Newspaper - NJ May, 2013 Page 15
Back in 1993, Sheri A. Marino-Haiken, MA, CCC-SLP
was working as a speech pathologist with a 3-year-old autistic
boy named Russell, when his mother noticed something
amazing at a birthday party. Russell became more attentive
and engaging when he was on a pony ride.
With this knowledge, Haiken set out to find a riding center
where she could bring Russell for his therapy. This kind of
treatment is called Hippotherapy and helps autistic children
develop social, language and motor skills. For more than
twenty years, Haiken as been a forerunner treating children
with autism in the U.S. and internationally.
“I’m not quite sure where my passion comes from,”
Haiken smiles. “Maybe it started when I was a young girl in
grammar school. I remember we had a boy transfer in who
had muscular dystrophy. Most kids were intimidated by his
wheelchair. I was determined to help him get around and
make friends. I guess I have always been like that. But I have
a passion for and love what I do. I always have, I always will.”
RHR is a pediatric rehabilitation and family wellness center
specializing in alternative therapies for children with special
needs and their families. Haiken and her experienced and
compassionate staff proudly offers a comprehensive array of
therapeutic services, including speech, physical and occupa-
tional therapy, Hippotherapy, equine mental health programs,
therapeutic riding, aquatic therapy, music therapy, therapeutic
yoga and therapeutic martial arts.
A variety of medical and psychiatric conditions are treated
at RHR, including autism, cerebral palsy, developmental and
congenital disorders, traumatic brain injuries, emotional and
behavioral disorders, brain tumors and spinal muscular atrophy.
However, with Haiken leading the way, RHR has become
renowned for their Equine Assisted Therapy programs.
Haiken was the first speech pathologist in New Jersey
and the second in the country to practice Hippotherapy.
Hippotherapy is an intensive one-on-one therapy session
with a physical, occupational, or speech therapist utilizing
the movement of the horse as a treatment strategy. It does not
teach riding skills. The three dimensional movement of the
horse helps stimulate the arousal mechanism of the central
nervous system effecting the patients motor skills, sensory
integration and attending skills. Speech and language skills
are addressed through improvements in trunk stability,
enhanced respiratory function and motor planning.
Haiken explains, “As therapists, we are trained to use the
biomechanics of the horses movement to improve postural
stability, muscle tone, core strength and sensory processing.
It’s a strategy that treats the whole child, integrating all
systems. For a non-ambulatory child, this 3 dimensional
movement accesses the muscles of the pelvis and trunk that
are at risk of atrophy from being in a wheelchair. Emotionally,
for the child, the horse gives them a sense of freedom as it
can take them beyond the limits of their wheelchair.”
Equine facilitated mental health programs at RHR are lead
by Kathy Lutz, LCSW. Lutz wrote the book “Horsemanship
and Humanship: How Horses Make us Better People” which
teaches social skills through groundwork with horses. It is
common for children with Asperger’s to have difficulty
forming relationships with their peers because of a lack of
social awareness and ability to understand social rules.
“Horses are a mirror of our soul. If we show up anxious or
agitated, the horse will react the same way. We use the
horse’s reactions as a form of biofeedback to teach children
how to be in touch with their own feelings. When we move
too quickly or speak too loudly they react showing the whites
of their eyes and pinning back their ears. We can teach
children with Asperger’s how to read body language, first
using the horse, and then generalizing with a peer. Horses
are beautiful teaching tool because they have a forgiving
heart ” said Haiken.
Ask any of the staff at RHR and they will all tell you they
have witnessed many miracles happen over the years.
“The greatest moments are when a child takes his first
steps or says his first words at Rocking Horse Rehab. It is
an emotional experience for the families and the therapists
involved.” Haiken said. Unfortunately, they have had their
share of sad moments too. Working with medically fragile
children has exposed the staff to great loss when a young
patient loses their fight with a terminal illness. “It’s a feeling
you cannot even put into words. The grief is unimaginable.
But the families tell us that their childs’ happiest moments
were with us, with their ponies. That’s what keeps you going.
I know those little angels up there have a hand in the miracles
we see” said Haiken.
Haiken prides herself on being entrenched in the community.
Currently she is leading a wellness program titled Peace-
Love-Ponies, for families who have lost their homes and
loves ones in Hurricane Sandy.
Haiken and RHR are proud to be a part of the community it
serves. The enterprising, 2,000-square foot facility is affiliated
with 20 universities across the nation, which provides RHR
yearly with some of the brightest interns studying speech,
occupational and physical therapy, social work and family
studies. RHR works with children at local schools with
special needs and works with all kinds of insurance.
More recently, Haiken has become the executive director
of the prestigious Autism Think Tank and Medical Center in
Warren, N.J. The Center is an innovative outpatient medical
center designed to provide a multidisciplinary team approach
to the identification and treatment of the complicated medical
co-morbidities of autism.
At the Autism Think Tank, world-renowned medical
experts collaborate via videoconference to assess medically
complex children and adults with autism. “It is a privilege
to work with a team of doctors who understand that the
complexity of autism needs to be addressed through a
collaborative approach. A synergistic plan of care which
medically stabilizes a child ensures greater educational and
therapeutic outcomes” said Haiken. Comprehensive family
services including diagnostics, rehabilitative medicine,
integrative medicine and comprehensive case management
are offered at the Autism Medical Center through the Autism
Think Tank and Bright Star Therapy.
Haiken has worked with thousands of patients and families
during her illustrious career. And, of course, she will never
forget any of these special people. Especially Russell, the
boy she treated nearly two decades ago. Just recently, he was
admitted to college in Colorado, with Haiken by his side.
“Aside from having my own children, it was one of the
most exciting moments of my life,” said Haiken. “It’s the
greatest feeling to see a patient thrive. My career has come
full circle and I’m just grateful to still be a part of Russell’s
and all of my patients’ lives.”
PAGE 16 May, 2013 Hospital Newspaper - NJ
PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER
of the Month
Sheri A. Marino-Haiken,
MA, CCC-SLP
Michael Torrens and Belle.photograph by: Sandra Nissen
Hospital Newspaper - NJ May, 2013 Page 17
Speech • Physical • Occupational Therapy • HippotherapyEquine Assisted Psychotherapy • Sensory Integration Therapy
Therapeutic Yoga • Aquatic Therapy • Music TherapySibling & Parent Support Groups • Field Trips • Summer Programs
Director: Sheri Marino Haiken, MA, CCC-SLP
PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER
973-731-8588www.rockinghorserehab.com
Woodland Ave • West Orange, NJ
PAGE 18 May, 2013 Hospital Newspaper - NJ
NJLN and The Wright Choice partner to increase Nurse faculty
The New Jersey League for Nurses(NJLN) partnered with The Wright ChoiceStaffing and Wright Choice for HomeHealth Care in the “Mouse that Roared”
program dedicated to provide scholarshipsto nursing students interested in becomingNurse Educators. Funding for scholarshipsaccrue from donations made by the WrightChoice when nurses apply for and accept as-signments from these agencies: $1 is do-nated for each hour worked, for as long asthe nurse works.
According to NJLN president Carol Pater-son, RN, MSN, CNE, “the Mouse that
Roared is an excellent way for healthcareorganizations and the NJLN to work to-gether to alleviate the nursing faculty short-age.” Since its inception in 2009, $1,000 inscholarship moneys have been awarded an-nually to nurses who are pursuing graduateeducation to specifically begin a career innursing education.
George Strang, CEO of the WrightChoice, would like to see the program ex-
panded. “If other agencies got on board, wewould be doing our part to eliminate the dis-parity of nurse educators,” he says.
The NJLN, whose headquarters in Gar-wood, NJ, supports and implements the mis-sion of the National League for Nursing topromote excellence in nursing education tobuild a strong and diverse nursing work-force to advance the nation's health at theconstituent level.
For more information or an application,log on to NJLN’s website: www.njln.org
The “Mouse that Roared” program has the potential to create a
cache of New Jersey Nurse Faculty needed to educate student nurses.
Highlights from the 2013
NEW JERSEY LEAGUE FOR NURSING CONVENTION
Steve Testa, VP Regional Sales Manager for Sun Home Loans, signs up anotherattendee for the Hospital Employee Loan program at the Hospital News exhibit.
Hospital News was warmly received at the New Jersey League forNursing Convention at Tropicana Casino & Resort in Atlantic City, NJ.Hundreds of attendees visited the exhibit hall as RN's and studentscelebrated “Nurisng: Issues of Our time”.
HOSPITALNEWSPAPERH
Hospital Newspaper - NJ May, 2013 Page 19
40 Watchung Way, Berkeley Heights, NJ 07922Easily reached from Routes 22, 24 & 78. Just 1 mile from exit 41 off I-78.
A service of the Union County Board of Chosen Freeholders.
One of the area’s most respected providers of Rehabilitation and Post Acute Care.
The region’s premier provider of quality, compassionate care for long-term, hospice and Alzheimer’s-type patients.Respite stays available.
Call 908-771-5901 www.ucnj.org/RUNNELLS
Sub-acute Care
Nursing Care
With breathtaking views of the Watchung Mountains, this state-of-the-art facility is staffed 24 hours-a-day by dedicated professional nurses and daily by caring, compassionate physicians.
RUNNELLSSpecialized Hospital
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Hunterdon Medical Center Nurse wins March of Dimes Nurse of the Year Award
The March of Dimes New Jersey chap-
ter is pleased to announce the winners of
the annual March of Dimes Nurse of the
Year Awards. Hunterdon Medical Center
Nurse, Maryse Bouton, RN, MSN,
CWON was selected as the Nurse of the
year in the category, Hospice, Home
Health & Palliative Care/Long Term
Acute Care/ Long Term Rehab. Maryse
Bouton is the Education Coordinator for
Home Health and she resides in White-
house Station.
Nurses are an integral part of the March
of Dimes mission for stronger, healthier
babies. The Nurse of the Year Awards is a
state-wide event that recognizes excep-
tional nurses, creates awareness of profes-
sional excellence and promotes the future
of the nursing profession, while helping
to advance the mission of the March of
Dimes.
The Nurse of the Year selection com-
mittee reviews hundreds of applications
across 15 categories ranging from Adult
Critical Care to Neonatal. More than 100
finalists emerged, all representing the
March of Dimes vision for a healthier,
stronger generation of babies and fami-
lies.
“Nurses play a vital role in our society.
They are truly the unsung heroes of the
health care provider community, and we
are proud to honor the work they do,”
says Pat Steingall, Honorary Chair, Vice
President of Patient Care Services and
Chief Nursing Officer at Hunterdon Med-
ical Center.
The Nurse of the Year Award is pre-
sented by Actavis, Investors Bank, Hun-
terdon Healthcare, and Robert Wood
Johnson University Hospital- New
Brunswick.
The March of Dimes is the leading non-
profit organization for pregnancy and baby
health. With chapters nationwide, the
March of Dimes works to improve the
health of babies by preventing birth defects,
premature birth and infant mortality. For the
latest resources and information, visit mar-
chofdimes.com or nacersano.org. Find us
on Facebook and follow us on Twitter.
The other 2012 Nurse of the Year Winners included:
Michele Zucconi, South Jersey Healthcare
Category: Adult Critical Care/Emergency
Catherine Amato Bowden, Robert Wood Johnson University Hospital
New Brunswick
Category: Advanced Practice
Kimberly Briggs, Virtua
Category: Behavioral Health
Deborah Bruzek, Virtua
Category: Case Management/Quality/Risk Management/Clinical Informatics
Cheryl Holly, University of Medicine and Dentistry of NJ - School of Nursing
Category: Research
Ellen Shuzman, Central Jersey Family Health Consortium
Category: Education
Margaret Cunningham, Virtua
Category: General Adult Care
Dawn Goffredo, South Jersey Healthcare
Category: Leadership
Jessa Torres-Manalastas, Robert Wood Johnson University Hospital
New Brunswick
Category: Neonatal
Dr. Robert Cowan, Virtua
Category: Nurse Champion
Suzanne Butler, Cooper University Hospital
Category: Pediatrics
Julie Fitzgerald, Ramapo College of NJ/ Partnership for Maternal/Child Health
of Northern NJ
Category: Public Health/ Occupational Health & Ambulatory Care
Iris Vascos, Virtua
Category: Student Nurse of the Year
Robin Taylor, South Jersey Healthcare
Category: Women’s Health
provided
Four children who are enrolled in the Children’s Hospital of NewJersey’s Pediatric Daycare Center showed off their new RinglingBros. and Barnum Bailey yellow hard hats.
PAGE 20 May, 2013 Hospital Newspaper - NJ
Pediatric Waiting Area at Children’s Hospital of New Jersey has a new look thanks toRingling Bros. & Barnum Bailey Circus and Prudential Center give
The Greatest Show on Earth is displayed at Children’s Hospital of New Jersey
(L-R) Chairman, Devils Arena Entertainment Jeff Vanderbeek; Vice President Event Marketing & Sales FELD Entertainment Stephen C.Yaros; President and Chief Executive Officer of Barnabas Health Barry H. Ostrowsky; Chief Operating Officer of Newark Beth IsraelMedical Center and Children’s Hospital of New Jersey Darrell K. Terry, Sr. MHA, FACHE; and Assistant Vice President of Children'sHospital of New Jersey Jennifer K. Mendrzycki, JD, MHA, are joined by pre-school children who are enrolled in the Children’s Hospitalof New Jersey’s Pediatric Daycare Center and the world famous clowns of Ringling Bros. and Barnum & Bailey Circus. The group unveiledthe newly redesigned waiting room at the Pediatric Health Pediatric Health Center of the Children’s Hospital of New Jersey at NewarkBeth Israel Medical Center on Wednesday. Based on this year’s show theme of Built to Amaze!, the waiting room was transformed intoa first-of-its-kind, circus theme with children in mind.
Children in the Pediatric Health
Center’s waiting area at Newark
Beth Israel Medical Center and
Children’s Hospital of New Jersey
witnessed the unveiling of a fes-
tive interior design transformation
thanks to the generosity of Rin-
gling Bros. and Barnum & Bailey
Circus and Prudential Center.
Bright yellow and cobalt blue
paint lined the walls along with
floor-to-ceiling pictures of a few
featured acts from the “Built to
Amaze!” show, which recently
kicked off at Prudential Center. A
chalk board is now embedded into
the wall for the enjoyment of pe-
diatric patients, who can also par-
ticipate in the new “Reading with
Ringling” program that was intro-
duced. Pre-school children who
are enrolled in the Children’s Hos-
pital of New Jersey’s Pediatric
Daycare Center stopped by the
health center, located at 166 Lyons
Avenue, and donned yellow con-
struction hats and red clown noses.
Five clowns, from Ringling Bros.
and Barnum & Bailey Circus, en-
tertained the children and the
adults before bringing cheer to
children and staff on the pediatric
in-patient units.
"Barnabas Health is excited
and proud that Prudential Center
and Ringling Bros. teamed up to
design the waiting room at the
Pediatric Health Center in Chil-
dren’s Hospital of New Jersey at
Newark Beth Israel Medical Cen-
ter,” stated Barry H. Ostrowsky,
President and Chief Executive
Officer of Barnabas Health. “We
are consistently creating ways to
make our patients - of all ages -
as comfortable and relaxed as
possible. We believe the bright
colors, circus theme and new toys
will bring cheer and joy to the
thousands of children who come
to the hospital each year and help
make their experience as enjoy-
able as possible.”
“The patient experience, includ-
ing safety and quality, are most
important to us at The Beth, re-
gardless of your age,” said John A.
Brennan, MD, MPH, President
and Chief Executive Officer of
Newark Beth Israel Medical Cen-
ter and Children’s Hospital of
New Jersey. “I want to thank Jeff
Vanderbeek and the Prudential
Center, and Feld Entertainment
and Ringling Bros. and Barnum &
Bailey Circus for selecting our
Children’s Hospital as the first re-
cipient of their “Built to Amaze”
redesign initiative for 2013.”
“We want to create the best experience possible for children to receive
quality healthcare and to encourage them as they grow to practice preven-
tative health and wellness,” said Darrell K. Terry, Sr., MHA, FACHE, Chief
Operating Officer of Newark Beth Israel Medical Center and Children’s
Hospital of New Jersey. “I want to thank Jeff Vanderbeek, of the Prudential
Center, and Feld Entertainment and Ringling Brothers and Barnum & Bailey
circus for selecting Children’s Hospital of New Jersey and redesigning
the Pediatric Waiting Room. The enhancements make it a great space to
welcome children of all ages.”
About Children’s Hospital of New Jersey (CHoNJ):Children's Hospital of New Jersey, located at Newark Beth Israel
Medical Center and part of the Saint Barnabas Health Care System, is the
state's premier hospital caring for children, with specialized services to treat
ill and injured children from newborn to adolescent years and has the most
comprehensive pediatric cardiac care program in the region as well as
preventive programs that promote wellness in the community. For a referral
to a pediatrician or pediatric specialist, please call 1-888-724-7123.
Ringling Bros. and Barnum & Bailey Circus clowns pose with apediatric patient at Children’s Hospital of New Jersey, which islocated at Newark Beth Israel Medical Center.
photos provided
Hospital Newspaper - NJ May, 2013 PAge 21
The Matheny Medical and Edu-
cational Center has established sev-
eral training programs to make sure
that students entering such health-
care fields as medicine, nursing and
the various therapies are ready to un-
dertake and meet the special health-
care needs of people with
developmental disabilities. Recently
students from the new Associate of
Science degree program in Occupa-
tional Therapy Assistance (OTA)
from UMDNJ School of Health Re-
lated Professions took part in a spe-
cial training day at Matheny, a spe-
cial hospital and educational facility
in Peapack, NJ, for children and
adults with medically complex de-
velopmental disabilities.
Matheny’s OT department set up
four informational rotations that in-
cluded instruction in seating and
mobility (power and manual wheel-
chair access); switch, computer and
activities of daily living (ADL) ac-
cess, focusing on adaptive feeding
and bathing equipment to improve
accessibility; augmentative commu-
nications; and the collaborative role
of OTs and speech-language pathol-
ogists in enabling a student or adult
to access speech and computer
needs.
UMDNJ academic fieldwork co-
ordinator Karen Kowalski accom-
panied the nine students through the
rotations and ensuing discussion.
The next day she reported that, “the
students couldn’t stop talking about
the wonderful experience they had
at Matheny.”
Future Occupational Therapists trained at Matheny
UMDNJ student Christine Pappas of Wanaque, NJ,learns experiences power wheelchair access,assisted by Matheny OT Veronica Armellino.
UMDNJ student Lisa Burke of Bridgewater, NJ,learns about switch access from Matheny OTWendell Lumapas.
ph
oto
s p
rovid
ed
Pediatric Palliative Care Room to open at Goryeb Children's HospitalLiam’s Room, a New Jersey-
based non-profit organization that
provides inpatient comprehensive
care rooms and support to families
whose child is faced with complex
medical and life-limiting condi-
tions, and Atlantic Health System,
one of the largest non-profit health
care systems in New Jersey, an-
nounced today the construction of a
Liam’s Room at Goryeb Children’s
Hospital in Morristown.
The redesigned inpatient hospital
room creates a home-like environ-
ment and addresses the needs of
families whose children spend
countless hours in and out of the
hospital. Families using Liam’s
Room are treated by the hospital’s
pediatric palliative care team,
which incorporates the total care
of a child’s mind and spirit and
provides support to the entire family.
The new room is scheduled to open
in spring 2013.
Goryeb Children’s Hospital is
part of the Atlantic Health System
family, which also includes Morris-
town Medical Center, Overlook
Medical Center and Newton Med-
ical Center. Goryeb shares the Mor-
ristown Medical Center campus,
and also includes an inpatient unit
and outpatient services at Overlook
Medical Center in Summit, NJ.
“Spending countless hours in a
cold, sterile hospital room just mag-
nifies the reality of having a sick
child,” said Lisa McNamara, co-
founder of Liam’s Room. “Liam’s
Room provides the amenities to
function as a family within the hos-
pital – more space, a comfortable
bed for parents, desk, refrigerator, a
private bathroom and entertainment
for children. While some doctors
and caregivers are taught to treat
the symptoms of a child’s illness, it
is the treatment of the entire family
that defines good care. This is the
benefit of pediatric palliative care.”
The first Liam’s Room opened in
2009 at Overlook Medical Center.
At that time, Liam’s Room also
funded Colin O’Reilly, DO, and Sh-
eryl Vassallo, MD, as they attended
a training program at the Harvard
Medical School Center for Pallia-
tive Care. They now both serve as
pediatric palliative care physicians
at Goryeb Children’s Hospital. In
addition, O’Reilly also practices pe-
diatric critical care.
“The need for pediatric palliative
care is growing,” O’Reilly said.
“Having an additional Liam’s Room
in Morristown will allow our pro-
gram to benefit more patients and
their families as they navigate the
challenges of potentially life-limit-
ing illnesses. In addition to the
comfort the room provides, its pres-
ence helps to remind our staff of the
needs of families who are living
through disease and the impact of
illness.”
“We are excited about the
progress being made with Goryeb
Children’s Hospital,” said Peter
McNamara, Co-Founder of Liam’s
Room. “We look forward to con-
tinuing to provide resources to
families and children who benefit
from pediatric palliative care, to the
development of more rooms, and
to inspiring more hospitals to
adopt the pediatric palliative care
approach.”
About Liam’s RoomLiam’s Room provides a “home
away from home” for children with
chronic, potentially life-limiting ill-
nesses and their families in hospitals
by building rooms that are comfort-
able, peaceful and equipped with all
the amenities that a child’s room
should offer. Additionally, Liam’s
Room is committed to facilitating
the education of hospital staff treat-
ing these families in the field of pe-
diatric palliative care – an approach
to treatment that focuses on enhanc-
ing the quality of life for patients
who suffer from serious illness. The
NJ based non-for-profit organiza-
tion was created by Lisa and Peter
McNamara in loving memory of
their son, Liam Hayden McNamara.
For additional information, please
visit www.liamsroom.org.
PAGE 22 May, 2013 Hospital Newspaper - NJ
Trinitas Comprehensive Cancer Center joins Jefferson Kimmel Cancer Center Network
New affiliation will bring national research trials to the region
The Trinitas Comprehensive
Cancer Center has joined the
Philadelphia-based Jefferson Kim-
mel Cancer Center Network, an-
nounced officials from both
institutions recently.
“The Trinitas Comprehensive
Cancer Center is an outstanding ad-
dition to the Kimmel Cancer Center
Network,” says Leonard Gomella,
MD, Chair of the Department of
Urology at Thomas Jefferson Uni-
versity and clinical director of the
Jefferson Kimmel Cancer Center
Network. “Trinitas has a proven
commitment to a high quality mul-
tidisciplinary approach to cancer
care.”
“We are pleased to become part
of the Kimmel Cancer Center
Network,” states Trinitas Regional
Medical Center’s President and
Chief Executive Officer, Gary S.
Horan, FACHE, adding, “Partnering
with such a prestigious academic
medical center and cancer care net-
work allows us access to top-notch
expertise and research that will di-
rectly benefit our patients.”
Those benefits to patients served
by Trinitas are many, notes Barry
Levinson, MD, Medical Director of
the Cancer Center. “Through this
affiliation, we’ll have access to all
of Jefferson’s treatment studies and
we will be able to choose to open
those studies that best match our pa-
tient population. In addition, Trini-
tas will become a member of the
National Surgical Adjuvant Breast
and Bowel Project (NSABP)
through Jefferson. We’ll have ac-
cess to all of their studies as well,”
he adds. Trinitas oncologists plan
to open four new treatment trials
this year, according to Dr. Levinson.
The interdisciplinary team of
highly skilled professionals at
Trinitas Comprehensive Cancer
Center works with each patient to
develop a comprehensive approach
to care that encompasses the latest
diagnostic and treatment options,
medical technology, clinical trials
and integrative therapy. Approved
by the American College of Sur-
geons Commission on Cancer,
Trinitas was the first cancer center
in New Jersey to offer patients the
advanced Varian RapidArc radia-
tion system, which significantly re-
duces radiation treatment time.
Trinitas was also the first in the
state to offer the new AccuBoost ra-
diation treatment for breast cancer
patients.
Trinitas’ cancer care team consists
of all-board certified hematologists,
surgeons, and medical and radiation
oncologists, who work together with
highly-skilled physician assistants,
nurse practitioners, dosimetrists,
physicists, radiation therapy technol-
ogists, and registered nurses. This
team specializes in all aspects of
cancer treatment, including prostate,
breast, lung, colorectal, head and
neck, gynecological, multiple
myeloma, leukemia and other hema-
tological disorders. Since 2007,
Trinitas has participated in a Radia-
tion Therapy Oncology Group re-
search affiliation through the
Jefferson Kimmel Cancer Center.
The Jefferson Kimmel Cancer
Center Network is a consortium of
institutions dedicated to improving
cancer care and increasing clinical
research. It supports the cancer
programs of its members through
education, information, research,
and cancer program development.
Thomas Jefferson University Hospital in Center City Philadelphiashares a 13-acre campus with Thomas Jefferson University.
The Trinitas Comprehensive Cancer Center is housed in theAndrew H. Campbell Pavilion on the main campus of TrinitasRegional Medical Center in Elizabeth, New Jersey.
(GOG) and the National Surgical
Adjuvant Breast and Bowel Project
(NSABP).
For more information on this
affiliation or about Trinitas Com-
prehensive Cancer Center, please
call (908) 994-8000 or visit
www.TrinitasCancerCenter.org.
About Trinitas Regional Medical Center
Trinitas Regional Medical Cen-
ter (TRMC), a major center for
comprehensive health services for
those who live and work in Central
New Jersey, is a Catholic teaching
medical center sponsored by the
Sisters of Charity of Saint Eliza-
beth in partnership with Elizabeth-
town Healthcare Foundation. With
10 Centers of Excellence across the
continuum of care, Trinitas has dis-
tinguished itself in cardiology, can-
cer care, behavioral health, renal
care, nursing education, diabetes
management, wound healing and
sleep medicine.
For more information on Trinitas
Regional Medical Center, visit:
w w w . T r i n i t a s R M C . o r g
<http://www.TrinitasRMC.org or
call (908) 994-5138.
Kimmel Cancer Center is an NCI-
designated clinical cancer center
and was ranked 20th in the 2012
U.S. News and World Report rank-
ing of top cancer hospitals in the
United States. The Kimmel Cancer
Center is the cornerstone of the net-
work, which operates the Jefferson
Oncology Group (JOG). JOG is a
cooperative program to enhance
clinical and translational cancer re-
search, including clinical trial de-
velopment.
The Kimmel Cancer Center is a
member of several national re-
search groups, including the Radi-
ation Therapy Oncology Group
(RTOG), the Eastern Cooperative
Oncology Group (ECOG), the
Gynecologic Oncology Group
For more details contact:Jim Stankiewicz at
845-534-7500 ext. [email protected]
Hospital Newspaper features one hospital per month as the centerfold.
Great way to get information about your facility to interested readers.
Would you like to be
Hospitalof the Month?
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Hospital Newspaper - NJ May, 2013 PaGe 23
The Dr’s Office, LLC, of Wood-
bridge, NJ, and founder Dr. Richard
Goldstein, recently joined the Rar-
itan Bay Physicians’ Group, PC.
The group also added Nisheet
Prasad, MD, board certified in in-
ternal and geriatric medicine, as
part of this partnership. Drs. Gold-
stein and Prasad accept most major
medical insurances, are currently
accepting new patients and main-
tain Saturday hours at their office
located at One Woodbridge Center,
Suite 900, Woodbridge, NJ. To
schedule an appointment, call 732-
965-1050 or Raritan Bay Medical
Center’s free physician referral
service 1-800-DOCTORS.
Internal medicine practitioners
are trained in a broad range of dis-
ciplines enabling them to diagnose
and treat most illnesses and medical
conditions, including chronic dis-
eases such as asthma, diabetes and
high blood pressure. Geriatric med-
icine practitioners promote health
by preventing and treating diseases
and disabilities in older adults and
identifying diseases from the ef-
fects of normal aging.
Dr. Goldstein has been practicing
in Woodbridge since 1997. He
received his Doctorate of Medicine
in 1994 from Albert Einstein
College of Medicine,Bronx, NY.
Dr. Goldstein completed his resi-
dency in internal medicine at Mon-
tefiore Hospital Medical Center,
Bronx, NY, in 1997. He is also
Senior Director, Clinical Product
Internists Dr. Goldstein and Dr. Prasadjoin Physicians’ Group
-The Dr’s Office Physician Practice located in Woodbridge, NJ,
Joins Raritan Bay Physicians’ Group, PC-
Development, for MD On-Line,
Inc., of Parsippany, NJ, overseeing
all clinical product development.
Dr. Prasad completed his inter-
nal medicine residency at the Uni-
versity of Medicine and Dentistry
of New Jersey Medical School –
University Hospital, Newark, NJ,
in 2005. He completed his fellow-
ship in geriatrics at the Maine
Medical Center, Portland, Maine,
in 2010. He previously practiced
as a hospitalist at Togus VA Med-
ical Center in Togus, Maine, and
as a hospitalist and geriatrician at
Southern Maine Medical Center,
Biddeford, Maine.
Raritan Bay Medical Center,
with locations in Old Bridge and
Perth Amboy, established the Rari-
tan Bay Physicians’ Group, PC,
(RBPG) in early 2012 as a for-
profit entity providing employment
opportunities for local physicians.
As healthcare continues to evolve,
RBPG works to improve quality
through enhanced clinical integra-
tion and care coordination while
providing physicians effective
practice management and better
work-life balance. With local com-
munities inmind, the group ensures
that patients receive high-quality
care and are satisfied with their
healthcare services. Longtime Mid-
dlesex County, NJ, internist and
cardiologist Majid K. Khan, MD,
and family medicine physician
Alexandra C. Caracitas, DO, are
also part of the RBPG.
peopleonthemove
Please send your People on the Move editorial [email protected]
Dr. Nisheet PrasadDr. Richard Goldstein
pro
vid
ed
pro
vid
ed
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PAGE 24 May, 2013 Hospital Newspaper - NJ
Saint Peter’s University Hospital
has achieved “Senior Friendly” sta-
tus for its NICHE (Nurses Improv-
ing Care for Healthsystem Elders)
program. NICHE hospitals such as
Saint Peter’s commit to excellence
in the care of patients 65 years and
older.
The “Senior Friendly” status
recognizes that Saint Peter’s has
put in place a variety of programs
such as “Care Companions” and
“Silver Spoons” to assist senior
patients. The first program calls
for volunteers to keep elder pa-
tients company. The second pro-
gram provides assistance during
meals. Additionally, the hospital
has invested time and resources
to:
• implement the NICHE Geriatric
Resource Nurse (GRN) model,
• develop aging-sensitive policies
and
• obtain input of patients, families
and community-based providers in
planning and implementation of
NICHE initiatives.
Seniors can be at risk for certain
conditions including anxiety,
dementia, depression, falls, incon-
tinence, osteoporosis, and pain.
In addition to NICHE initiatives,
Saint Peter’s integrated outpatient
geriatric medicine program spe-
cializes in the diagnosis and
treatment of disease and the main-
tenance of good health and quality
of life.
Saint Peter’s is also designated
as a primary stroke center. The hos-
pital is staffed by a specialized
stroke team that includes emer-
gency physicians, neurologists and
nurses with special training in
acute stroke management who are
available 24-hours-a-day, seven-
days-a-week.
Programs and Services The vision of NICHE is for all
patients 65 and older to be given
sensitive and exemplary care. The
Geriatric Resource Nurse model,
an educational and clinical inter-
vention initiative, calls for NICHE
hospitals to train staff nurses as
clinical resource persons on geri-
atric issues for other nurses on their
unit. Based at New York Univer-
sity Hospital, NICHE is an interna-
tional program designed to help
hospitals improve the care of older
adults.
“The NICHE designation and
the ‘Senior Friendly’ status are
proof of our commitment to qual-
ity, patient-centered care for older
adults,” says Linda Carroll, MSN,
RN-BC, director of professional
practice and clinical education and
nursing research education at Saint
Peter’s University Hospital. “Our
participation in the NICHE pro-
gram allows us to continually
maintain the high standard of care
that has always been available at
Saint Peter’s. This leads to greater
satisfaction rates for our patients,
their families and our staff.”
Hospital achieves “Senior Friendly” status– Focuses on improving care for older adult patients –
Shira Goldberg, M.D., left, a Saint Peter’s Healthcare System geriatrician, shares a laugh with MaryNotaro, 83, of Monroe during a physical exam at the Saint Peter’s Comprehensive Care Group in Monroe.
In the United States, 8,000 people
turn 65 every day. By the end of 2011,
the senior population of America
reached nearly 49 million. By 2025, it is
expected to grow to nearly 72 million,
according to the U.S. Department of
Health and Human Services and the
State Department.
As people age, their medical issues
tend to become more complex, explains
Saint Peter’s geriatrician Shira Gold-
berg, M.D. “When developing a care
plan for geriatric patients, physicians
must use an interdisciplinary approach
that incorporates not only medical but
also the patient’s social and psychologi-
cal needs. A patient’s values and
preferences need to be investigated
and integrated into their individu-
alized treatment plan.”
An interdisciplinary team of
board-certified physicians and
health care professionals, all of
whom are trained in geriatric med-
icine, works with patients and their
families to develop a comprehen-
sive plan of care for improved
overall quality of life.
Areas of specialty at Saint
Peter’s include: diabetes; diagnosis
and treatment of depression and
anxiety; diagnosis and treatment of
memory loss; hormone replace-
ment therapy; minimally invasive
surgery; nutrition; orthopedic serv-
ices including hip resurfacing and
knee replacement; pain manage-
ment; promoting and maintaining
health, strength and functional
abilities, and wound care and hy-
perbaric oxygen therapy (HBOT)
for non-healing chronic wounds.
Outpatient services at Saint
Peter’s include geriatric evaluation
and management services (GEMS),
a comprehensive assessment pro-
gram that helps health care profes-
sionals diagnose and develop a plan
of care for patients who suffer from
Alzheimer’s disease and other
forms of dementia. The Wound
Care Center® and Hyperbaric
Services at Saint Peter’s University
Hospital counts among the spe-
cialty services provided for seniors.
With locations in Saint Peter’s Cen-
ter for Ambulatory Resources in
New Brunswick and in a new facil-
ity in Monroe Township, the center
is a leader in the surgical and non-
surgical treatment of chronic non-
healing wounds. Patients are
treated by a multidisciplinary team
of board-certified physicians that
includes general surgeons, vascular
surgeons, plastic surgeons, in-
ternists, geriatricians, infectious
disease specialists, physiatrists, and
clinical wound specialists.
The hospital’s three Comprehen-
sive Care Group medical practices –
in New Brunswick, Piscataway, and
at the new Monroe Township facil-
ity – focus on providing primary and
specialty care for seniors as well as
resources for their caregivers. With
a focus on quality of life, the goal is
to provide patients with services and
programs that help to maintain their
health, and independence, and en-
hance their daily living.
Other outpatient resourcesinclude:
• Saint Peter’s Adult Day Center at
Monroe Township
• Margaret McLaughlin McCar-
rick Care Center, a not-for-profit
skilled nursing facility in Somerset
• Community Nursing Services
such as onsite nursing, blood pres-
sure checks and educational pro-
grams at a number of adult
communities in Monroe Township
Visit SaintPetersHCS.com/geri-
atric/ to learn more about our
geriatric services. To find a doctor
affiliated with Saint Peter’s visit
SaintPetersHCS.com/findaphysi-
cian/ For more information about
Saint Peter’s Healthcare System,
visit www.saintpetershcs.com or
call 732-745-8600.
provided
Hospital Newspaper - NJ May, 2013 PAGE 25
Trinitas’ Long Term Care Facility secures Five Star Quality rating from Centersfor Medicare and Medicaid Services (CMS)
Brother Bonaventure Extended Care
Center, the long-term care facility of
Trinitas Regional Medical Center, has
received a Five Star Quality rating
from the federal government’s Centers
for Medicare and Medicaid Services
(CMS). The facility, located at 655 W.
Jersey Street in Elizabeth, is a 130-bed
facility that has also recently under-
gone a renovation and beautification
project.
The Five Star Rating System is de-
signed to help consumers, their fami-
lies and caregivers compare nursing
homes more easily and help them to
identify areas about which they might
want to ask questions. Together, the
ratings are then combined to calculate
an overall rating that is designed to
give consumers a “snap shot” of the
care that individual nursing homes
give.
CMS uses its own database, Health
Inspection, and a national database
known as Minimum Data Set (MDS)
to compile its ratings. CMS’s database
includes information obtained from
state inspections of nursing homes and
staffing levels at facilities. The MDS
is an assessment done at regular inter-
vals on every resident in Medicare- or
Medicaid-certified nursing homes.
Information is collected about the res-
ident’s health, physical functioning,
mental status, and general well-being
which is then used to assess each resi-
dent’s needs and develop a plan of
care. CMS publishes information on
its webpage about every Medicare-
and Medicaid-certified nursing home
in the country, including over 15,000
nationwide, to encourage consumer
comparison of nursing homes.
Brother Bonaventure’s CMS “above
average” quality rating and the reno-
vation of the facility were celebrated
recently at an Open House at Brother
Bonaventure. Mayor J. Christian
Bollwage of the City of Elizabeth was
among those who expressed congratu-
lations to the Center for its new rating
and its commitment to the care it
provides to its many residents. Also
on the brief speaking program were:
Gary S. Horan, Trintias’ President and
CEO: James Lape, FACHE, Senior
Vice President for Long Term Care;
Karim J. Khimani, MD, Medical
Director of Brother Bonaventure;
Krishna Garlic, Elizabeth Department
of Health, and Debby Hall, Adminis-
trator of Brother Bonaventure.
Photographed at the Brother Bonaventure Extended Care Center Open House were, from left,J. Christian Bollwage, Mayor of Elizabeth; Krishna Garlic, Elizabeth Department of Health;Debby Hall, Administrator of Brother Bonaventure; Gary S. Horan, President and CEO of TrinitasRegional Medical Center; Karim J. Khimani, MD, Medical Director of Brother Bonaventure, andJames Lape, FACHE, Senior Vice President for Long Term Care, Trinitas Regional Medical Center.
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7/5-127-Day Alaskan Cruise
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PAGE 26 May, 2013 Hospital Newspaper - NJ
Holy Name Medical Center receives accreditation for Bariatric Surgery program
After completing a comprehen-
sive review of Holy Name Medical
Center and the services and facili-
ties associated with its surgical
weight loss program, the American
Society for Metabolic & Bariatric
Surgery (ASMBS) has approved
Holy Name as an American Society
for Metabolic & Bariatric Surgery
Center of Excellence® (BSCOE).
BSCOE accreditation ensures the
quality, safety and efficacy of
bariatric patient care. Facilities with
BSCOE approval support best
practices for the treatment of mor-
bid obesity and its associated con-
ditions, by offering a broad
spectrum of treatment, education
and support services.
The American Society for Meta-
bolic & Bariatric Surgery’s inspec-
tion is comprehensive and rigorous.
It encompasses meetings with man-
agement from a variety of disci-
plines within the hospital, a review
of required documentation and
medical charts, an operating room
tour, and interviews with staff.
Facilities that achieve accredita-
tion must demonstrate compliance
across a broad spectrum:
• Institutional commitment to
maintaining excellence in
bariatric surgery, including such
aspects as administrative support
andboard-certified bariatric sur-
geons
• Satisfactory levels of surgical
experience and patient volume
• A dedicated bariatric surgery
medical director and an organ-
ized bariatric team, including a
bariatric program coordinator
• Appropriate equipment, instru-
ments and furnituresuitable for
the morbidly obese patient, al-
lowing for appropriate treatment,
personal comfort and a sense of
dignity
• Bariatric policies and clinical
pathways to provide standards of
care and positive outcomes
• Facility-wide in-services to en-
sure a basic understanding of
bariatric surgery and appropriate
management and care
• Patient support groups
• Long-term patient follow-up
According to Holy Name’s Sh-
eryl Slonim, DNP, RN-BC, NEA-
BC, Executive Vice President,
Patient Care Services, and Chief
Nursing Officer.the success of
bariatric surgery has as much to do
with education, support and follow-
up, as it does with the actual surgi-
cal procedure. “Holy Name holds
free monthly seminars about surgi-
cal options, risks and benefits,” she
Walsh Presents at American Academy of Emergency Medicine 19th Annual Scientific Assembly (AAEM)
Brian Walsh, MD, MBA, presented two projects at the American Academy of Emergency Medicine 19thAnnual Scientific Assembly held Feb. 11-13 in Las Vegas.
The first research abstract presented was titled “Utility of Ultrasound to Diagnose Appendicitis inCommunity Hospitals” – the main objective was to determine the diagnostic rate and incidence of follow-up CT scans for pediatric patients who had appendix ultrasound in a community hospital. Theconclusion found the utility of ultrasound to diagnose appendicitis at a community hospital seems tobe limited by a high rate of non-diagnostic studies.
The second presentation was a case report regarding a patient with a wrist injury. The final presentationWalsh gave was a mock scenario of a patient experiencing scrotal pain. The case was presented to theaudience then followed with a discussion about diagnosis and other complications post-management.
Dr. Walsh is an active researcher in the fields of pre-hospital and emergency medicine. He is a frequent regional and national lecturer on topics pertaining to emergency medicine. He is an attendingphysician at Morristown (N.J.) Memorial Hospital and a partner of Emergency Medical Associates.
About Emergency Medical AssociatesEmergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicatedto providing exceptional solutions for the measurable success of our hospital partners, EMA is recog-nized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.
says, “and we conduct an extensive
screening process with a bariatric
surgeon, registered dietitian and a
psychologist to determine eligibil-
ity for bariatric surgery.”
Dr. Slonim notes that pre- and
postoperative support is essential to
patient well-being and recovery.
She says that by emphasizing post-
op healing, lap-band adjustments,
individualized nutrition and psy-
chotherapeutic sessions, “we help
to prevent side effects and compli-
cations, and promote successful
long-term outcomes. “
“Holy Name Medical Center’s
efforts help support a culture where
we are prepared to manage mor-
bidly obese patients with under-
standing and compassion,” says
Dr. Slonim, “and with appreciation
for the burdens presented by dis-
ease comorbidities.”
For hospitals, benefits of accred-
itationinclude recognition by The
Joint Commission’s quality check
web site, participation in accredita-
tion-based quality improvement
initiatives, and the opportunity to
contribute to health systems im-
provement and the advancement of
field knowledge with surgical out-
comes and patient trends.
Bariatric surgery is a treatment
option for people living with mor-
bid obesity—especially for those
who have not experienced long-
term weight loss success through
other means. Obesity is a chronic
disease with symptoms that build
slowly over an extended period of
time.
The National Institutes of Health
(NIH) defines morbid obesity as:
• 100 or more pounds over ideal
body weight, or
• Body mass index (BMI) of 40
or greater, or
• BMI of 35 or greater and an
obesity-related condition, such as
type 2 diabetes, acid reflux/GERD,
heart disease, osteoarthritis and
joint pain, high blood pressure,
or obstructive sleep apnea
According to data from The
Centers for Disease Control and
Prevention, 35.7% of Americans
are obese.The National Center for
Biotechnology Information, a divi-
sion of the National Institutes of
Health, reports that about 113,000
people in the US have bariatric sur-
gery every year.
Often referred to as weight loss
surgery, bariatric surgery has trans-
formed the health and lives of many.
At Holy Name Medical Center,
patients benefit from services that
treat the whole person, encouraging
lifestyle improvements and giving
support before and after surgery.
The program is composed of a ded-
icated multidisciplinary team that
provides the highest level of patient
care to deliver positive outcomes,
with bariatric surgeons who have
specialized expertise in obesity and
related diseases, and in performing
advanced surgical techniques.
Types of Bariatric Surgery
A patient must meet the NIHcri-
teria for obesity to qualify as a sur-
gical candidate, and have at least
one related comorbid conditionor,
for the adjustable gastric band, a
body mass index (BMI) > 30.
HolyNameMedicalCenter offers
three surgical approaches to weight
loss:
Gastric banding is a restrictive
surgical procedure. Aband is
placed around the upper part of the
stomach to create a small pouch,
about the size of an egg. The ad-
justable gastric band limits the
amount a patient can eat at one
time to about half a cup. By slow-
ing the flow of food out of the
stomach, patients feel full sooner
and stay satisfied longer. Over
time, surgeons adjust the tightness
of the band to help patients meet
weight loss goals.
Gastric bypass (Roux en-Y)
surgery uses a combination of re-
striction and malabsorption. The
surgeon creates a smaller stom-
ach pouch. The surgeon then at-
taches a Y-shaped section of the
small intestine directly to the
pouch, causing food to bypass a
large portion of the small intes-
tine.The smaller stomach pouch
causes patients to feel fuller
sooner and eat less food.
Sleeve gastrectomy is a restric-
tivesurgical procedure. The sur-
geon removes approximately 75%
of the stomach, leaving a narrow
sleeve-like stomach that limits the
amount of food a patient can eat at
one time, while producing a
fullfeeling that lasts longer. Food
passes through the digestive tract in
the usual order, allowing it to be
fully absorbed.
To sign up for a patient informa-
tion seminar or for a referral to a
Holy Name bariatric surgeon, call
1-877-HOLY-NAME (1-877-465-
9526). For general information
about the Bariatric Surgery
Program at Holy Name Medical
Center, call 201-833-7043.
Hospital Newspaper - NJ May, 2013 Page 27
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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
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Sun National Bank, a full-service provider of banking products and
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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.
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Dr. Narula is a general surgeon who practices
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The H.E.L.P. program provides discounted
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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 competitive
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 refinancing
an existing one, the H.E.L.P. Program is offered
exclusively, providing personal service, benefits
and rates not normally available to the general
public.
“Our rates and customer service are some of
the things that set our program apart,” Testa said.
“To hear Dr. Narula compliment us like that
really means a lot. We are committed to providing
the best rates for our clients with products and
promotions that make sense for them. It was our
pleasure working with Dr. Anil Narula and
Dr. Anita Narula. They are great people.”
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 1st Responder
Newspaper are not affiliated. All loans subject to
approval. Certain conditions and fees may apply.
Mortgage financing provided by Sun National
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Sun National Bank Hospital Employee Loan program helps local Physiciangain mortgage with outstanding service
Online Directory available at www.hospitalnewspaper.com
ARCHITECTURE
Bernstein & Associates, ArchitectsFounded in 1990, Bernstein & Associates,
Architects, specializes in the design and con-struction of hospital and healthcare facilities.Our focus: high-quality design, excellent serv-ice, and client satisfaction.
We have worked for over 100 hospitals andanother 200 private healthcare facilities, acrossthe United States. Our project types have in-cluded all hospital and healthcare servicegroups, including:
Adult Day Care, Alcoholism Treatment Facil-ities, Ambulatory Surgery Centers, Assisted Liv-ing, Cancer Centers, Cardiac Cath, Cardiology,CCU/ICU, Clinics, Coronary Care, Dental, Der-matology, Dialysis Clinics, Doctors Offices,Drug Treatment Facilities, Elder Care, Employeeand Student Health Support Services, EmergencyDepartments, Emergency Preparedness, En-doscopy, ENT, Expert Witness, Group Practices,Hospices, Hospitals, Infectious Disease, Infor-mation Systems, Intensive Care, JCAHO Survey,Joint Commission Survey, Laboratories, MasterPlans, Medical Offices, Medical Equipment,Medical Libraries, Medical Records, Neurology,Nursing Homes, Ophthalmology/Eye Center,OB/Gyn, Orthopedic, Pain Care Facilities,Pathology, Patient Safety Consulting Services,Pediatric, Pharmacy, Physical Fitness and Sports,PT/OT, Primary Care Programs, Psychiatric, Ra-diology, Rehabilitation, Senior Citizen Facilities,Sleep Centers, Social Services, Statement ofConditions, Surgical Suites and Ambulatory Sur-gery Centers, Urgent Care Centers, and USP 797Consulting Services.
The firm's projects have won design awardsfrom Progressive Architecture, ArchitecturalRecord, and the Architectural Woodworking In-stitute, and have been published in Advance,Health Facilities Management, Medical Technol-ogy Today, Bio/Technology, Progressive Archi-tecture, Architectural Record, Design Solutions,Hospitality Design, Sound and Communication,Contract Design and Hospital Newspaper.
Architectural Services include: program-ming, planning, design, construction docu-ments, bidding and negotiation, andconstruction administration.
The firm also offers sustainable or “green”healthcare design. The firm has a number ofLEED-accredited professionals, has success-fully completed numerous green healthcareprojects, and has published articles on “Green-ing the Healthcare Environment”.
Project Management (or Owner’s Represen-tative Services) is offered as a stand-alone serv-ice through our affiliated project managementcompany, Empire Projects, Inc. (www.empire-projects.com).
Bernstein & Associates, Architects - PLLC
1201 Broadway - #803,
New York, NY 10001
Contact: William N. Bernstein, AIA
Managing Principal
Tel: 609-309-7005
Fax: 609-309-7006
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The Wedgie can support patients weighing upto 350 lb. It is made of a medical grade foamand an anti-microbial, anti-bacterial, tear resistant,and stain resistant medical grade vinyl cover.It can be cleaned with standard disinfectantproducts. Optional disposable protective coversand wall holders are available.
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Phone: (732) 982-1090Fax: (732) 389-9044
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CAREER MANAGEMENT
Connect with Leading Healthcare Recruiters
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you being considered for the top leadership jobs?Join BlueSteps today to put your resume andconfidential careerprofile at the finger tips ofover 8,000 of the world’s top executive recruiters,including hundreds who specialize in healthcareand life sciences recruiting. In addition to aunique connection to the executive searchcommunity, BlueSteps also provides a suite ofproactive career management tools including:
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RESOURCE DIRECTORY
Contact Jim Stankiewicz
to find out how
your organization can be
featured in our
Resource Directory.
845-534-7500 ext.219
Fax: 845-534-0055
COMMUNICATION SkILLS
“Removing language and cultural barriers
to effective communication”
Aspirin for Your Language Headache!
When nurses, administrative staff and
technicians speak a different language
than patients and their families:
• Patients may not be able to understand
simple questions or directions.
• Hospital staff may not be able to give
or get important information from
caregivers or family members.
• Employees may not understand proper
protocol and procedures.
On your site on your schedule:
• Spanish for Healthcare
• Accent Reduction
(Pronunciation Improvement)
• Communicating Across Cultures
• Business Writing Skills
• Sign Language
• ESL (Basic/Advanced)
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Language Directions can help doctors, nurses, technical, and administrative staff
to communicate more effectively between each other, patients,
and their families
www.languagedirections.com
Contact Donna Clark
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CONTRACT/PRACTICEMANAGEMENT SERVICES
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Providing Emergency Medicine
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Please contact Marie Buchanan at 800.563.6384 Ext. 249
[email protected] all inquiries are confidential
HOME MORTGAGES
Gateway Funding
specializes in mortgage options to the
healthcare industry.
We understand the nuances involved
with obtaining mortgages for physicians,
nursing staff, residents,
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You’re busy, we know it. Your unique, we
get it. You need financing for a home,
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www.TheMancinoTeam.com
PAGE 28 May, 2013 Hospital Newspaper - NJ
Hospital Newspaper - NJ May, 2013 PAgE 29
‘Donate Life’ flag raised throughout Barnabas HealthHeartfelt ceremony honors donors; marks Donate Life Month
Seven Barnabas Health facilities
across the state simultaneously
raised the Donate Life flag today at
10 am to pay tribute to organ and
tissue donors and to raise awareness
of the life-saving and life-restoring
value of organ and tissue donation.
Donor families, organ recipients,
community leaders and health care
professionals gathered with team
members of NJ Sharing Network in
the series of heartfelt ceremonies,
which marked April as Donate Life
Month.
“Barnabas Health is extremely
proud to participate in Donate Life
Month at each of our facilities to
raise awareness of the importance
of organ donation and to honor our
donors, recipients and their fami-
lies,” said Barry Ostrowsky, Presi-
dent and Chief Executive Officer of
Barnabas Health. “These donor
families responded to personal
tragedy with life-saving generosity.”
Barnabas Health facilities: Saint
Barnabas Medical Center, Liv-
ingston; Clara Maass Medical Cen-
ter, Belleville; Newark Beth Israel
Medical Center, Newark; Commu-
nity Medical Center, Toms River;
Monmouth Medical Center, Long
Branch, Barnabas Health Ambula-
tory Care Center, Livingston; Kim-
ball Medical Center, Lakewood.
At each facility, dozens gathered
to raise awareness. They heard from
organ recipients able to live fully
again because of a transplant. They
also heard from donor families who
said the decision to donate organs
that saved others provided a meas-
ure of solace and comfort. Local of-
ficials also attended several of the
events.
Joe Roth, President & CEO, NJ
Sharing Network, thanked health
care professionals throughout the
Barnabas Health system for their
hard work and dedication to organ
and tissue donation.
“Without our hospital partners,
without our donor families and
without the commitment of so many
people we do not exist,” Roth said.
“We are able to continue with our
life-saving and life-restoring work
because so many people — many of
them gathered today throughout
Barnabas Health — believe and
support our mission.”
Nearly 5,000 people currently are
awaiting life-saving organs in New
Jersey. In 2012, over 370 heart,
lung, kidney and pancreas trans-
plant surgeries were performed at
Barnabas Health facilities, Saint
Barnabas Medical Center in Liv-
ingston and Newark Beth Israel
Medical Center in Newark.
Employees at the Barnabas Health Ambulatory Care Center (ACC) along with representatives fromthe New Jersey Sharing Network gathered recently in the Atrium of the ACC to raise the NJ SharingNetwork flag in support of Donate Life Month.
Anyone, regardless of age or
medical history, can sign up to be a
donor. In-person organ donor reg-
istration is available at local Motor
Vehicle Commission agencies.
Visit www.NJSharingNetwork.org
to register online.
To learn more about organ and
tissue donation or to get involved
with NJ Sharing Network please
call 1-800-742-7365 or visit
www.NJSharingNetwork.org to
register as an organ and tissue
donor.
For further information about
the Barnabas Health Transplant
Programs, please visit www.Barn-
abasHealth.org.
provided
NationalNurses Week May 6-12, 2013
Salutes all Nurses during
HOSPITALNEWSPAPERH
RESOURCE DIRECTORY
www.bagoliefriedman.com
WoRKERS’ coMPEnSAtion
HoSPitAl WoRKERS HAvE YoU
BEEn inJUREd on tHE JoB?
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3. Remember, you are entitled to treatmentand benefits even if you have previously in-jured the same body part in a prior accident.Do not let the job tell you different.
4. Your doctor controls the treatment, notrisk management. If you need an MRI andthe job will not approve it, the experiencedattorneys at BAGOLIE FRIEDMAN canfight to get it approved at no cost to you.
5.When you are released from treatment, youmay be entitled to money for your injury anddisability. You may also collect for repetitivestress, cumulative trauma, cancer, hearing loss& hepatitis.
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ExtEndEd cARE & ASSiStEd livinG
dAUGHtERS oF iSRAEl
Daughters of Israel is a multi-faceted, state-of-the-art skilled nursing facility offering themost modern and comprehensive servicesavailable including:
• Sub-Acute Rehabilitation • Long-Term, Skilled Nursing Care • Alzheimer’s Care • Hospice & Palliative Care • Respite Stays • The Charles Bierman Home -
Senior Housing with Assistance • The Sarah & Aaron Franzblau Institute
for Continuing Education
Our team of skilled and dedicated profes-sional staff deliver the highest quality of care forour 300+ residents. Services provided include:round-the-clock professional nursing care; 24-hour medical coverage by board-certified geria-tricians; on-site synagogue with full-timerabbinical services; a full range of stimulatingand innovative recreational activities; on-sitebeauty salon, barber shop, work activity center,gift shop and coffee shop; spacious dining rooms,auditoriums, lounges and outdoor patio areas.
Our sub-acute rehabilitation facility, whichfunctions as a separate unit within the Home,features a spacious gym with state-of-the-artequipment and comfortable recovery suiteswith luxury amenities.
Semi-private and private rooms are availableat Daughters of Israel. The facility is coveredby Medicare, Medicaid, commercial insurancesand private payment. Daughters of Israel is abeneficiary agency of United Jewish Communitiesof MetroWest, N.J.
1155 Pleasant Valley Way, West Orange, NJ 07052
www.doigc.org
Contact: Adena Twersky, Director of Admissions
Tel: 973-400-3307 Fax: 973-731-8364
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.
HoSPitAlS
BERGEn REGionAlMEdicAl cEntER, l.P.
Located in Paramus, Bergen RegionalMedical Center is the largest hospital inNew Jersey dedicated to serving the residentsof Bergen County and surrounding communi-ties. With 1000+ beds and 1,500 staff mem-bers, the hospital specializes in BehavioralHealth Services, which include child and ado-lescent, adult and geriatric psychiatric treat-ment. Long Term Care Services provides ascope of services, which far exceeds that of-fered in a standard nursing home. As a fullservice accredited medical center, we providewound care, surgical care, cardiac care, re-habilitation services, respiratory care unitwhich includes ventilator dependent resi-dents, Korean care services and an acute careunit all under one roof for our residents. Thehospital excels in the treatment of substanceabuse.
The hospital offers detoxification, 21-day re-habilitation program, outpatient services, andtreatment for the mentally ill and chemicallyaddicted. Our Acute and Ambulatory Servicesoffers same day surgery, medical and specialtyclinics and state-of -the-art operating suites.
www.bergenregional.com
Tel. 201-967-4000
apparatusCampbell Supply companywww.campbellsupplyco.com
expositionsAbilities Expowww.abilitiesexpo.com
financial InstitutionsHealthcare Employees Federal Credit Unionwww.hefcu.com
home care specialistsComprehensive Home Carewww.homecarenj.com
hospitalsChildren’s Specialized Hospitalwww.childrens-specialized.org
Matheny Medical & Educational Centerwww.matheny.org
contact Jim Stankiewicz to find out how
your organization can be featured in our
Resource directory.
845-534-7500 ext.219 Fax: 845-534-0055
Cape Medical Billing (CMB) is your singlesource billing provider for curing undetected“revenue leakage” that plagues today's healthcarepractices. CMB has been in business for 22 yearsand is uniquely qualified to help your medicalpractice reverse “revenue leakage” with fast, effi-cient, innovative and customized billing programs.We offer personalized and cost effective servicewith 92.9% of charges paid upon the firstsubmission! We accomplish this everyday byutilizing our “state of the art” billing software andpaying close attention to critical detail used tomatch and process data. We also pride ourselves onsignificantly reducing days in accounts receivableby deploying aggressive and consistent follow-upprocedures. Our technology, expertise andpersonal approach drive our billing practicesand produce unparalleled results for our clients.
Are you currently doing billing in house andconsidering outsourcing? No problem, we canintegrate our technology with your current EMRsoftware package and help you convert yourmedical services to consistent cash flow! Ourbilling specialties: Cardiology, Internal Medicine,Podiatry, Family Practice, General Surgery,Pathology, Infectious Disease, Gastroenterology,OB/GYN, Neurosurgery, Urology, TraumaSurgery, PT/OT, Mental Health and Ambulance.We're the experts...STOP risking your money andprofit by collecting it yourself, or utilizing a billingcompany with less experience. We collect theHARD Stuff and we do it every day!
Call for a FREE Billing Analysis to detectand solve your revenue leakage!
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5 Locust LaneP.O. Box 670
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www.capebilling.com
MEdicAl BillinG
Online Directoryavailable at
www.hospitalnewspaper.com
Contact:Bob Goldbacher
(609) [email protected]
Meridian Healthwww.meridianhealth.com
medical equipment & productsTSK Products, Inc.www.tskproducts.com
internet address directory
PAGE 30 May, 2013 Hospital Newspaper - NJ
Hospital Newspaper - NJ May, 2013 PaGe 31
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 32 May, 2013 Hospital Newspaper - NJ
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).
October 6-9, 2013
The Planetree Annual Conference is the longest running, international conference about patient-centered care.
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Change your organizational culture by providing care that puts patients firstMontreal, a cosmopolitan city enriched by the diverse cultures of its people,embodies the personality of this a one-of-a-kind educational event forhealth care professionals who strive to create culture change and deliverhealth care that puts the needs of the patients first.
Montreal is easily accessible with hundreds of flights per day, many that are less than two hours from the U.S., and half-day trip in the car from thenortheast.
Be a part of an international learning communityAttendees across the continuum of care from large urban systems to small critical access hospitals and long term care communities attend the Planetree Conference. Our global presence, with countries ranging fromCanada, The Netherlands and Brazil, as well as some of the largest and innovative health care systems in the U.S., comes together as a true collaborative community to obtain the expertise, tools, and support needed to transform their healthcare organizations.
Gain Innovative ideas and field-tested approaches that get resultsThis unique conference offers innovative tutorials, educational breakouts,noteworthy keynote speakers, and networking time withkey leaders in the field. This is where healthcare professionals who do this work every day come toshare their field-tested approaches, forge new relationships, and gain vital information from theircolleagues—the best and brightest minds in theindustry. This event reignites caregivers’ passionfor healthcare, and motivates them to put theirnewly acquired knowledge to work.