Hospital Newspaper NJ March 2013

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EMERGENCY MEDICINE &TRANSPORTATION

Hunterdon Medical Center offers Smartphone Technology for faster heart attack care p19

MONOC: New Jersey’s Only Hospital Cooperative Specializing in Medical Transportation p4

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March, 2013

Hospital Newspaper - NJ

Trinitas Leads the Nation in Creating Educational Environments That Support Nursing Excellence!

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rinitas Regional Medical Center is the first healthcare institution in the nation to receive not one but two Center of Excellence designations from the National League for Nursing, the pre-eminent organization in the country for promoting 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 Progression of Nurses.” Trinitas is one of three hospitals in the United States to attain this second honor, which recognizes our significant achievements in providing nursing staff with opportunities for academic advancement, enabling nurses to use their new knowledge to improve patient care and outcomes.

Proud graduates of the Trinitas School of Nursing, Class of May 2012, join a long line of expertly educated nurses going back to 1891.

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!

T R I N I TA S R E G I O N A L M E D I C A L C E N T E R 225 Williamson Street, Elizabeth, NJ 07202 • www.TrinitasRMC.org For information on nursing at Trinitas, call 908.994.5334 For information on the Trinitas School of Nursing, visit www.TrinitasSchoolOfNursing.org TRINITAS CENTERS OF EXCELLENCE

Behavioral Health • Cancer Care • Cardiology • Diabetes Management 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.

Hospital Newspaper - NJ March, 2013

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New Jersey’s Hospital Service Corporation Corporate Headquarters 4806 Megill Road Neptune, NJ 07753

732-919-3045 www.monoc.org

New Jersey’s Only Hospital Cooperative Specializing in Medical Transportation The Monmouth-Ocean Hospital Service Corporation (MONOC) is a non-profit hospital cooperative comprised of 15 acute care hospitals located in 8 counties throughout New Jersey. Formed in 1978,

MONOC is New Jersey’s only hospital cooperative specializing in medical transportation.

MONOC’s mission is to improve health care and reduce costs. MONOC employs over 700 employees and operates a fleet of over 100 ambulances. 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.

Services Among its numerous service lines, MONOC operates MICU Paramedic Services, Mobile Critical Care Services, Helicopter interfacility and 911 services, and Basic Life Support interfacility and 911 services.

Additionally, MONOC operates the largest Emergency Medical Services 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 a 24/7 state of the art 9-1-1 dispatch center which handled over 171,000 calls for service in 2012. This central medical transportation coordination center allows hospitals to schedule all of their medical transportation by simply calling one number (888-MED-UNIT). Some hospitals are also provided with an in-house transportation coordinator that takes the burden off of hospital staff to arrange all hospitals transports. The communications center has a staff of over 60, including Coordinators, Supervisors, dispatchers and call takers.

Internationally Accredited As a testament to MONOC’s clinical, operational and business acumen, in 2004 MONOC became the first company in New Jersey to receive unconditional accreditation from the Commission on Accreditation of Ambulance Services (CAAS). As the “JCAHO of ambulance services,” CAAS standards are viewed as the gold standard in the industry. Today, MONOC remains one of just over 150 agencies throughout the World to have obtained this distinction. In 2007, MONOC’s Education Department received organizational accreditation by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). As one of only 95 agencies Worldwide to have earned this prestigious honor, this accreditation is reserved for those few organizations that are truly dedicated to quality continuing medical education. Additionally, in 2011 MONOC became an Accredited Center of Excellence (ACE) by the National Academies of Emergency Dispatch (NAED) and is the only training center in New Jersey for NAED dispatch programs.

For more information, contact Scott A. Matin, Vice President at 732-919-3045 ext. 1168 or visit our web site at www.monoc.org.

Serving New Jersey Hospitals Since 1978 Helicopter Interfacility & 911 Services

Hospital Newspaper - NJ March, 2013

700 Member 15 Hospitals 171,000

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Responses in 2012

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march, 2013

Hospital Newspaper - NJ

OUR VIEW

ADVERTISER INDEX Company

Page

AlliedBarton Security Services

22

AkrimAx / Nitromist

32

Bergen regional medical Center

15

EmA

7

GNYHA Services

9

Holy Name medical Center

17

Hunterdon medical Center

19

icare

31

Less Stress instructional Services

12

matheny School and Hospital

23

medExcel

3

mONOC

5

New Jersey League for Nursing

26-29

NorthWest Seminars

21

Plymouth rock management Co of NJ

25

resource Directory

24, 30

St. Peter’s University

13

Sun Home Loans

11

Trinitas regional medical Center U.S. Navy

Gail Hammond helping the communities and the Nurse’s who help all patients!

Hospital Newspaper has had the pleasure of being at the beautiful League of Nurse’s convention every year since 2001!

There is no better convention and every exhibitor is treated with the utmost professionalism.

Nurse’s from the Tri-state are treated to the best educational opportunities available. There is always excitement at the many promotions at the three-day event.

Beyond the convention Gail Hammond, Executive Director of NJLN, helps the communities’ that the nurse’s serve. Recently the NJLN donated not only $1,000 to assist in the recovery efforts from Hurricane Sandy, but many others volunteered their time and nursing skills in the recovery.

I hope you get the chance the to thank Gail for her years of service. Hospital Newspaper thinks there is no one better!

Please share your stories with us: news@hospitalnewspaper.com Jim can be reached at 845-534-7500 ext. 219 and via email at jim@hospitalnewspaper.com.

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EMERGEN CY TRANSPOR TATION

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MARCH 2013

Hunterdon Me

dical Cen offers Sma ter rtphone Tec for faster hnology heart atta ck care p19

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Hospital Newspaper - NJ March, 2013

PAgE 7

Dorothy B. Hersh Foundation awards 1 million for new, expanded children’s emergency department Pediatric area at Saint Peter’s to be one of largest in N.J.

The Sign of Excellence ence in Emergency Medicine edicine® for More Than Three ree Decades

An artist rendering of the Pediatric Emergency Department’s main reception area.

Saint Peter’s Healthcare System announced that it has received a $1 million grant from The Dorothy B. Hersh Foundation to help construct a 14-bed plus minor care pediatric emergency department. The new pediatric emergency suite will bear The Dorothy B. Hersh Foundation name and is scheduled to open in early spring. When completed, the pediatric ED will be among the largest of its kind in New Jersey.

“The Dorothy B. Hersh Foundation welcomed the opportunity to work with Saint Peter’s on this new addition to the hospital”, stated Robert W. Donnelly Jr., the foundation’s president and director. “Dorothy would have been proud to have her name associated with such a wonderful project benefiting the area children and their families.”

Saint Peter’s University Hospital is in the midst of a two-and-half-yearlong project to enlarge its emergency department and expand emergency services. The pediatric emergency suite is part of the first phase of that project. Later additions will include special treatment bays for women’s health, acute care and rapid-treatment patients, a geriatric-friendly design, and a redesigned entranceway for ambulances, among numerous significant enhancements.

“Each year Saint Peter’s treats approximately 22,000 infants, children and young adults through our pediatric ED,” said Ronald C. Rak, president and CEO of Saint Peter’s Healthcare System. “Approximately 2,200 to 2,400 of those young patients are admitted to our hospital as in-patients. More than 50 percent of the children visiting the pediatric ED live at or below 200 percent of the

provided

poverty level. Saint Peter’s is committed to the expert care of every one of those children. The Dorothy B. Hersh pediatric emergency department will greatly further our cause in that important mission of care.”

Among its special features, the Saint Peter’s pediatric ED will deploy a dedicated child life specialist to answer any of the emotional concerns of a child and family members during a visit. “The child life specialist helps the child and family cope with illness, treatments and procedures by using therapeutic and diversionary interventions, medical and procedural play, and offers coping techniques,” said Michael Hochberg, M.D., chairman, department of emergency medicine. “If a child is admitted from the ED to the hospital, the child life specialist liaisons with in-patient staff to smooth the transition.”

When it opens, the pediatric ED will have grown from roughly 3,300 square feet to 5,200 square feet and feature 14 pediatric beds (11 in private rooms) as well as fast-track pods, which allow patients with acute but non-lifethreatening conditions to be diagnosed within 90 minutes, treated, and then released. The pediatric ED will treat patients from newborns to 18-year-olds.

The entire pediatric ED - from floors to beds – will be brand-new.

“The Dorothy B. Hersh Pediatric ED will help ensure that every child who seeks our aid will receive nothing less than the best treatment,” Rak said.

For more information about Saint Peter’s Healthcare System, please visit www.saintpetershcs.com or call 732-745-8600.

For more information about the Dorothy B. Hersh Foundation, visit www.dorothybhershfoundation.org

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35 yyears ears of expertise exper x tise

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Ser ving patients Serving patie ents in New Jersey Jersey,, New ew York York and Pennsylvania, Pennsyllvania, well as North No or th Carolina Carolina and Rhode Rho ode Island as well

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Dedicated board-certified Dedicated bo oard-cer tified emergency emerge ency physicians physicians integrate integ gra te into your your hos spital’s cultur e into hospital’s culture

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Recognized for Recognized fo or clinical excellence, excellence, quality quality service ser vice and high patient satisfaction patient sa tisffaction

Top 2012 T op 10 Emergency Department artment Contractors 2012 Best Places to Work Work orrk in Healthcare

(877) 692-4665 5

info@EMA.net

www.EMA.net www .EMA A.net

PAGE 8

March, 2013

Hospital Newspaper - NJ

Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.

Treating Poor Emergency Department Throughput with Stakeholder Engagement Increasingly the link between inpatient and outpatient care is emergency departments (EDs). They account for about half of hospital admissions, which is why poor patient throughput cannot be ignored. Issues in the ED are not just ED issues, they are hospital issues.

In addition, long ED wait times have been tied to negative patient outcomes and low Press Ganey quality scores.

And with more ED closures, the heavy patient loads that are being transferred to open EDs, coupled with the prospect of more unexpected emergency conditions testing hospital capacities—such as Superstorm Sandy—it is more important than ever for hospitals to improve their ED processes.

The ED often copes with large numbers of sick and stressed patients. It has limited staff and space, and is much like a complex machine with many moving parts. Given the potential impact on both patient care and facility costs, your hospital would likely benefit from a thorough evaluation of your ED throughput. At Nexera, our consultants use their own clinical experience to help client hospitals assess each component of their ED—process, people, organization structure, and information technology—while at the same time keeping the ED, the hospital, and cost in mind.

Thorough data collection and analysis is a key step in improving ED flow. After collecting data on the current state of the ED—such as the total time from door to decision and the number of patients who leave without being treated— then combining it with comprehensive, cross-departmental interviews with staff and leadership, our consultants can provide a custom-made assessment and flow design recommendations. This plan works within the departmental and institutional parameters, providing implementation support that identifies opportunities for savings and efficiency.

The new custom-made ED plan can include alternatives, such as adding a nurse hotline or creating a fast-track system for non-urgent patients and an observation area for short-term inpatients to improve post-discharge follow-up.

But to address these improvement opportunities and the process gaps identified in the assessment, the ED must have buy-in from their staff and other departments (e.g., Imaging and Lab) in order to implement the changes.

Increased, sustained improvement is more likely when hospital leadership increases its interaction with staff across departments through collaborative, regular discussions about the ED and works to align hospital goals with department goals.

Creating a more efficient ED, which for many patients has become the front door of the hospital, requires coordination at all levels. Real change can start with an in-depth assessment of current ED performance against best practices.

But real success requires a long-term commitment from the C-suite to make EDucation a priority on your hospital’s strategic agenda.

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).

Hospital Newspaper - NJ March, 2013

PUT YOUR EMERGENCY DEPARTMENT ON THE FAST TRACK With ED patient throughput increasingly linked to outcomes and satisfaction, a comprehensive evaluation may be just what the doctor ordered. Nexera uses years of clinical and operational experience to assess every component of your ED and create a custom improvement plan. :LWK 1H[HUD \RXU KRVSLWDO FDQ VWUHDPOLQH WKURXJKSXW IURP IURQW GRRU WR SDWLHQW URRP Ă RRU Call us today at (877) NEXERA-0.

555 WEST 57TH STREET l 15TH FLOOR l NEW YORK, NY 10019

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fo for n i t s Late s and

nursdeents stu

March, 2013

Hospital Newspaper - NJ

Nurse’s Viewpoint

By Alison Lazzaro

Hospital Newspaper Correspondent

March Madness As the snow settles along the side of the roads and you wish Punxsutawney Phil did not see his shadow on Groundhogs day, you are not alone in feeling the winter drag. March madness sets in when school or work feels monotonous and your routine falls into a rut. Here are some easy ways to de-stress yourself this winter and enhance your outlook on nursing.

Put a little love in your heart: Sign up for a volunteer day.

Helping others is the basis of your profession, but it can also boost your mood. While enriching your resume and life experiences, taking a few hours of your day to help out at a nursing home or with after school activities could be just what you need to change up your routine.

Everybody dance now: Taking a break to go to the gym can seem monotonous when you repeat the same exercises.

So break up your usual work out with a new exercise class. Short on cash? Online workout videos can be done at home without costing you a dime. Get your friends together to improve your cardiovascular health while getting a good laugh out of the silly workout moves.

Rub-a-dub-dub: Start spring cleaning early. Turn on some of your favorite background music and do a clean sweep of your room. This will get you off the couch, break up your day and leave you invigorated to get back to the books when everything is in its place.

Top chef: Take a break from researching for your next class and pick out a recipe you have been meaning to try. Cooking or baking something new can excite your taste buds. The best part? You have a great home cooked meal once you are done or you can satisfy your sweet tooth.

Pamper yourself. You might not want to spend the money on a day at the spa, but making time to give yourself a mani pedi can be a nice release to relax.

A bright color can help you remember that spring is right around the corner!

Schedule something to look forward to: Put on your calendar a day at the aquarium, night at a comedy club, or even just a movie night at home with a few friends. Having future plans can keep you motivated to stay on top of your work that week and energize you.

Relieving stress is an important part of nursing because it allows us to take a few moments to focus on ourselves so that we can provide better patient care for others. Although the weather might not be as bright and sunny as we want, these little tips can keep you from going mad in March!

Hospital Newspaper - NJ March, 2013

PaGE 11

Sun Hospital Employee Loan program provides six ways to make your home purchase a success

Win an iPad! Coming off another snowstorm, it’s nice to know that, soon, you can put away the shovel and snow blower.

The weather is about to break. Finally! Believe it or not, spring will soon have finally sprung.

The springtime serves as peak home-buying season. Even though buyers have a greater advantage than they’ve had in awhile, it’s still easy to take a wrong, frustrating and – gasp – costly turn. But don’t worry: The Sun National Bank Hospital Employee Loan Program (H.E.L.P). provides six ways to make sure buying a new home proves to be a success.

Hospital Newspaper and Sun Home Loans teamed up to create the H.E.L.P. Program. This exclusive mortgage opportunity provides discounted fees and low interest rates for firefighters and other members of the emergency services community. The program offers unmatched rates, minimal lender fees and promises to get clients in their new home by the contract date.

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Be prepared: You will need to do a little homework before you get started looking for a new home. Make sure that you can locate all the documents necessary for you to be pre-approved for a mortgage. You will most likely need the following: Your two most recent pay stubs, your last two years W2’s, all of your asset statements, (checking, savings,401k, stocks, bonds, mutual funds) and last two tax returns. Sit down and work up your budget, know how much you want to spend before you are told how much you can actually spend.

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Get pre-approved: Call the H.E.L.P. Program to be pre-approved for your new mortgage. Without pre-approval, you will not know what you can afford to buy.

This can get you into a very difficult situation.

If you put an offer on a house without being approved and you can’t afford it, you might be opening the door to some very expensive litigation. Call the H.E.L.P. Program today and find out what you can afford to buy.

If you are a member of the hospital community, now is your chance to enter Sun Home Loans and Hospital Newspaper's contest to win a free iPad. Just to go our website at www.hospitalnewspaper.com and fill in the entry form.

Once you complete it, you will receive an email that requires you to confirm your email address. Once you do that you are entered. Hospital Newspaper will also be accepting applications at all conventions that it attends. A total of Five iPads will be given away so your chances to win are excellent. Sign up today to win today!

Hospital Employee Loan Program

Sun Home Loans, a division of Sun National Bank, is proud to serve the heroes in our community who dedicate their lives to serving the rest of us: doctors, nurses and other hospital employees.

That is why we teamed up with Hospital News to create the Hospital Employee Loan Program (HELP).

With a competitive mortgage rate and discounted fees, this program helps our community heroes purchase new homes or refinance existing homes.

Plus, the program comes with our pledge to get hospital employees in their new homes by their contract dates.

PROGRAM INFORMATION We understand that the current economic environment has created challenges to home ownership. Working with our own resources and Federal government programs we will create a solution that opens the path to home ownership.

The Hospital Employee Loan Program delivers these advantages: » A competitive mortgage rate, available specifically for hospital employees » Discounted fees » Personal service from program specialists » Our pledge to have you in your home by the contract date

COMMUNITY FOCUS Sun National Bank, a full-service provider of banking products and services, is dedicated to playing an active part in the communities we serve. We support a variety of organizations, events and programs whose goals are to make our neighborhoods a better place to live and work and improve the lives of those living around us. Hospital News is

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Ensure you are working with a real estate professional: Ask your H.E.L.P. Program representative if they can recommend a real estate professional to you. It is extremely important to have a real estate agent that is working for you and your best interests. A real estate agent will look out for the best deals in your market and are there to facilitate the negotiating process and the transition to your new home.

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Find a good real estate attorney: A lawyer can help you negotiate the real estate contract and renegotiate it if a home inspection finds flaws - or an appraisal deems the house less valuable than the sales price. A lawyer also represents your interests at the closing and does the lion’s share of paperwork and coordination associated with it. continued on next page

the leading provider of local news and information for doctors, nurses and other hospital staff.

Learn More To find out more about our Hospital Employee Loan Program, email stesta@sunnb.com 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.

www.sunnb.com Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply.

Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender.

NMLS #429900

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March, 2013

Hospital Newspaper - NJ

careers H.E.L.P. Program

continued from previous page

5

Make a firm offer: When you see a house you want, you’ll make a verbal offer. If the seller is interested, your next step is to commit yourself in writing. The written offer, or contract, is usually drawn up by the seller’s agent, but if you choose to use a buyer’s agent and real estate lawyer, they can negotiate and review that contract on your behalf. If you end up negotiating the price of the property, make sure that you check in with your H.E.L.P. Program representative. You do not want to overbid the price of the property and then not be able to qualify.

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Get the home inspected: No matter how good a house looks and no matter how much you love it, you want to be sure it’s sound structurally and in every other way.

If it’s not, you want to know whether the seller will address the issue before you seal the deal. If not you have to decide whether you want to back out of the deal or take care of the repairs yourself.

H.E.L.P. Program clients enjoy unmatched customer service and attentiveness throughout the process - from their initial inquiry - to closing. Working with its own resources and Federal government programs, Sun National Bank develops solutions that open the path to home ownership.

Sun National Bank provides a full-range of banking products and services, delivered by experienced bankers. Personal attention merges with world-class service and 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.

“The springtime is the perfect time to buy a home and we make it even easier with aggressive products and programs available to the men and woman who are such an important part of the fabric of our community,” said Steven Testa, an executive vice president with Sun National Bank. “The H.E.L.P Program really got off the ground running and continues to be a success. We are excited about it and look forward in continuing to build our relationship with the hospital community.”

To receive more information about the program and its benefits, contact Steven Testa at stesta@sunnb.com or call 973-615-9745. Sun National Bank Home Loans and Hospital Newspaper are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun National Bank Loans, Equal Housing Lender.

Hospital Newspaper - NJ March, 2013

Page 13

education AMA medical students tell Congress: Protect Residency Programs Medical student advocates call for retaining funding for graduate medical education, and increasing training positions

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Hundreds of medical students from across the country visited Capitol Hill for the AMA’s medical student advocacy day. They urged Congress to retain Medicare funding for graduate medical education (GME) programs, known as residencies, and lift the cap to increase the number of Medicare-supported residency slots. As the nation deals with a physician shortage, it is important that all medical students can complete their training and care for patients.

“Residency training gives new physicians hands-on experience and provides high-quality care to patients,” said AMA President Jeremy Lazarus, M.D. “Limiting residency slots available to train physicians as they leave medical school creates a bottleneck in the system and prevents the physician workforce from growing to meet the needs of our nation’s patients.”

The demand for physicians will grow as the U.S. population continues to age, life expectancy increases and 30 million newly-insured Americans have increased access to health care services from the Affordable Care Act. Medical schools are expanding enrollment and making changes to prepare students for the future practice of medicine, and the AMA has announced a $10 million initiative to further accelerate change in undergraduate medical education. But that is just part of the continuum of medical education essential to produce physicians ready to meet future demands. The number of GME slots has been frozen by the federal government since 1997, and U.S. medical school graduates will exceed the number of available slots as soon as 2015.

“Medical students, patients and physicians who are concerned about protecting GME slots to reduce the physician shortage can contact their elected officials through a new website, www.SaveGME.org,” said Dr. Lazarus. “The timing is especially critical as Medicare budget cuts from sequestration could have an impact on funding for graduate medical education.”

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March, 2013

Hospital Newspaper - NJ

education Record-breaking graduating class at Trinitas School of Nursing 96 graduates complete program where faculty and students excel The January 2013 graduates of the Trinitas School of Nursing, the largest class in the school’s history, were awarded their diplomas and their Associate degrees at a ceremony held recently at the main campus of Union County College with which the school is affiliated.

The class boasts 71 graduates from New Jersey and 25 from New York. Eleven men are included among the graduates who have completed the nursing/Associate Degree program offered at the school which is recognized as one of the largest nursing schools in the nation. Twenty of the graduates were Licensed Practical Nurses who completed their studies to achieve their RN degree. Three of the graduates received Nursing High Honors while 22 others received Nursing Honors.

The Trinitas School of Nursing currently holds a designation as a National League for Nursing Center of Nursing Education Excellence for its commitment to nursing education excellence among its faculty and student body through 2015. At the Union County College campus in Elizabeth, the Trinitas School of Nursing has a state-of-the-art 16-bed Learning/Simulation Center simulation lab Students and faculty members work together in the lab that resembles a fully outfitted Intensive Care Unit. Here, patient care simulators (men, women and infants) serve as patients with whom nursing students practice their skills.

Trinitas is the recipient of Laerdal Medical Corporation's Pinnacle Award for Collaboration in Education (PACE Award) for its leadership contribution to the development of standards and practices in simulation-based learning in nursing education.

Marybeth Kelley, MSN, MEd, RN, CNE, Dean of the School, who holds an honorary doctorate from the College of Saint Elizabeth located in Convent Station, New Jersey, has also been honored as a visionary for her commitment to cultural diversity among the faculty and student populations at the School. The National League for Nursing has recognized Trinitas School of Nursing as the first in the United States to have 100% of its eligible faculty certified with the Certification in Nursing Education (CNE) credential.

Interest in the Trinitas School of Nursing stretches around the world. In 2011, the School hosted the visit of two Australian nurse educators and researchers who consulted with faculty members about a simulation program for their respective institutions.

For more information on Trinitas Regional Medical Center, visit: www.Trinitas RMC.org or call (908) 994-5138.

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About Trinitas School of Nursing Trinitas School of Nursing, one of the largest nursing schools in the nation, conducts a Cooperative Nursing Program with Union County College and confers a Diploma in Nursing from Trinitas and an Associate Degree from the College. Initially offering nursing studies as the Elizabeth General Medical Center School of Nursing, Trinitas School of Nursing has been in continuous operation since 1891. Trinitas School of Nursing received a renewal of its designation as a Center of Excellence in Nursing Education (2011 – 2015) from the National League for Nursing for its commitment to both student and faculty advancement. The Cooperative Nursing Program offers a Diploma in Nursing from Trinitas School of Nursing and an Associate in Science Degree from Union County College upon successful completion of the

curriculum. Fully accredited by the New Jersey State Board of Nursing and the National League for Nursing Accrediting Commission, Inc., the program offers a basic course of study in nursing. Itprovides a sound theoretical base of knowledge in the nursing, biological, behavioral and sociological sciences and integrates this knowledge into academic and practical experiences within the health and illness continuum of client care. Utilization of a variety of health care agencies facilitates the application of all aspects of the students’ learning. Students earn a total of 75 credits in the Cooperative Nursing Program. Upon graduation, students are eligible to sit for the National Council Licensing Examination(NCLEX) for Registered Nurse Licensure. For information about the program of study at Trinitas School of Nursing, call 908-6595200 or visit www.trinitashospital.org/school_of_nursing.htm.

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Hospital Newspaper - NJ March, 2013

PaGe 15

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March, 2013

Hospital Newspaper - NJ

HOSPITAL

H of the Month

Holy Name Medical Center 718 Teaneck Road, Teaneck, NJ 07666 1-877-HOLY-NAME (1-877-465-9626) www.holyname.org

Since its founding in 1925 by the Sisters of St. Joseph of Peace, Holy Name Medical Center in Teaneck, New Jersey, has evolved into a dynamic and comprehensive medical center that combines the highest standards of clinical proficiency and advanced technology with the convenience of a local community setting.

Widely recognized for its commitment to caring and compassion - as reflected in the Holy Name model of care, in its culturally and linguistically sensitive outreach programs, in the Villa Marie Claire residential hospice that offers a holistic, family-focused approach to achieving quality of life for people with advanced terminal illness - Holy Name’s commitment to innovation fosters the development of medical, surgical and technological initiatives across the spectrum of its departments and service lines, as exemplified by the Interventional Institute at Holy Name Medical Center, one of the Medical Center’s Centers of Excellence.

The Institute offers innovative, non-surgical treatment options for a broad spectrum of illnesses, from vascular conditions and gynecologic health problems to skeletal disease and cancer. A dynamic field whose treatment techniques are adaptable to many different medical problems, interventional

radiology (IR), is a rapidly growing medical specialty devoted to advancing patient care through minimally invasive, targeted treatments that are performed with the assistance of imaging guidance.

Under the leadership of John H. Rundback, MD, an internationally recognized specialist in the field of interventional radiology, board-certified interventionalist physicians insert narrow catheters and miniature instruments through tiny incisions, and navigate them directly to the treatment site. Often performed on an outpatient basis, IR carries fewer risks than surgery, with less discomfort and faster recovery.

More important, treatment results are comparable to those of traditional approaches.

This revolutionary branch of medicine can shrink uterine fibroid tumors that once necessitated a hysterectomy, clear a life-threatening blood clot in a deep leg vein, eliminate leg pain and amputation risk from plaque buildup in the peripheral arteries, resolve unsightly varicose veins, stabilize painful spine fractures due to osteoporosis, and deliver chemotherapy directly to cancer cells.

Its success in limb salvage has earned the Institute a national reputation and helped to establish it as a referral center for complex vascular care. “Advanced technology delivered by a highly skilled collaborative medical team in a dedicated hospital setting,” says Dr. Rundback, “enables the Interventional Institute at Holy Name Medical Center to provide its patients with an extraordinarily sophisticated level of care.”

photos provided

Services of the Interventional Institute at Holy Name Medical Center: • Peripheral artery disease (PAD) treatment • Limb salvage • Chemoembolization and transcatheter chemoembolization • Radiofrequency ablation (RFA) • Ablation of nonresectable lung cancers • Uterine fibroid embolization • Fallopian tube recanalization • Pelvic congestion syndrome • Deep vein thrombosis (DVT) treatment • Endovenous laser treatment for varicose veins • Kyphoplasty and vertebroplasty for osteoporosis • Microsphere radioembolization (TheraSphere® and SIR-Sphere®brachytherapy for liver cancer)

Hospital Newspaper - NJ March, 2013

Major achievements in minimally invasive therapies

John Rundback, MD Director, The Interventional Institute

As the Director of the Holy Name Medical Center Interventional Institute, Dr. John Rundback and his team of renowned physicians are developing new ways to identify, target and treat diseases. Thanks to advanced techniques such as integrated CT scans and 3-D roadmapping, patients with peripheral arterial disease (PAD), diabetic foot wounds, uterine fibroids, liver and lung tumors, and even varicose veins now have minimally invasive alternatives to major surgery.

So they get back to a better quality of life faster and easier than ever before.

Visit holyname.org/interventional for more information, or call 1-877-HOLY-NAME (1-877-465-9626).

Healing begins here • 718 Teaneck Road • Teaneck, NJ 07666

Page 17

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March, 2013

Hospital Newspaper - NJ

Trinitas Regional Medical Center provides a more direct route to critical care for heart attack patients When the recommended timeframe of emergency angioplasty treatment for a heart attack is only 90 minutes, every minute is crucial.

When a healthcare facility is able to cut 15 to 20 minutes off its “door-to-balloon” time, the potential for saving lives soars.

At Trinitas Regional Medical Center, that life-saving potential is realized every time a heart attack patient is en route. Field assessments of emergency responders trigger an early call to the Cardiac Catheterization Lab. The Cath Lab team calls the Emergency Department where doctors can assess the patient and confirm the diagnosis immediately upon arrival resulting in reduced time spent in the Emergency Room.

Trinitas is one of the only medical centers in New Jersey to offer this direct line to cardiac care. Patients experiencing STEMI (ST segment elevation myocardial infarction, a heart attack brought on by a blocked coronary artery) have traditionally been forced to make a first stop in a hospital’s ER before being brought to a cardiac unit for treatment – a practice the American Heart Association is lobbying to change,” says Trinitas Mobile ICU Coordinator Ken Reardon.

“It comes down to doing what’s in the patient’s best interest,” Reardon says. “Now when we have a patient in the field showing STEMI, EMS responders have a 20-minute head start in notifying the hospital and the cath lab. They can perform a 12-lead ECG and transmit those results [from the truck] to the hospital and on-call staff via e-mail and fax, and they can keep that patient on a stretcher all the way to the lab.”

Reardon, along with Chairman of the Department of Emergency Medicine John D’Angelo, DO, FAAEM, Fayez Shamoon, MD, Medical Director of Cardiovascular Services, and RNs Denise Loneker and Janice Lynch were among the key players in helping transform Trinitas’ response to STEMI emergencies. For D’Angelo, who’d seen the system succeed at the Florida facility where he worked before joining Trinitas, the premise is simple. “Time is muscle,” he says. “Symptom onset [when a patient experiences chest pain] to opening the blocked artery is critical. Our patients need to recognize signs of a heart attack and present to the Emergency Department immediately.

Every second counts—every second we save means we’re saving heart muscle and potentially preventing complications like fluid retention and shortness of breath.”

D’Angelo continues, “Our approach is to view medicine through the eyes of our patients. The team at Trinitas recognizes that the quicker we get blood flowing again to a patient's heart muscle, the better the outcome. A patient's quality of life depends on our ability to respond with a best-practice approach.” For patients arriving in an ambulance, that means being able to remain on the paramedic stretcher all the way to the cardiac lab without spending extra time at an ER stop and transferring to another stretcher.

provided

Dr. Fayez Shamoon, Director of Cardiovascular Services (left), confers with Dr. John D’Angelo, Chairman of the Department of Emergency Medicine, about the life-saving potential of field assessments of patients suffering heart attacks caused by blocked arteries, known as STEMI.

Patients who walk into the ER and present cardiac arrest symptoms are given an EKG and evaluated on the spot.

With so many departments either directly or indirectly involved in emergency cardiac patient care, effective collaboration is vital in ensuring the initiative runs efficiently. To that end, D’Angelo holds monthly meetings to assess recent cases and identify ways that “door-to-balloon” time can be even further reduced.

“We have monthly ‘door-to-balloon’ meetings of all critical personnel to scrutinize where we can pick up more time in the process,” he says. “The idea is to create a feedback loop so that everyone’s sharing information and best practices, to make sure everyone is educated on the best way to do this.”

As Reardon points out, it wasn’t difficult to bring the staff together in making the new system work. “There’s no downside to it,” he says. “It’s what’s right for the patient, which makes it what’s right for the hospital, and it’s a win for everyone.”

“This is a total collaborative effort,” D’Angelo adds. The team consists of EMS, Emergency Department Personnel — secretaries, nurses, technicians, doctors and the

leadership team—catheterization lab members, the interventional cardiologist and the intensive care team who receive the patient post-procedure. Our senior administrators, Trinitas’ President and Chief Executive Officer Gary Horan and Chief Nursing Executive Bernadette Countryman are committed to making Trinitas a leader in cardiovascular care.”

That Trinitas is served by a relatively small, concentrated paramedic unit ensured that training on the new procedure could run quickly and efficiently; since September, STEMI patients from Elizabeth and the surrounding area have seen the benefits. About three patients per month are expected to be transported to the cardiac lab under this new procedure, and that can translate into dozens of lives saved every year by shaving precious minutes off the front end of a response time.

“Reperfusion is the most important part of this process,” Reardon says. “The quicker you get patients on the table [in the lab], the more heart you can save. By saving more heart muscle, you’re decreasing recovery time and patients can spend less time in the hospital.”

In conjunction with the American Heart Association’s Mission: Lifeline initiative to

change the way STEMI patients are transported, received and treated,Trinitas Regional Medical Center is leading the way in providing more efficient, effective care when these types of coronary blockages threaten lives.

The AHA estimates that less than half of STEMI patients around the country receive treatment within their recommended timeframes; Trinitas is taking the lead among New Jersey hospitals in changing that life-ordeath trend.

About Trinitas Regional Medical Center Trinitas Regional Medical Center (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 Elizabeth in partnership with Elizabethtown Healthcare Foundation. With 10 Centers of Excellence across the continuum of care, Trinitas has distinguished itself in cardiology, cancer care, behavioral health, renal care, nursing education, diabetes management, wound healing and sleep medicine.

For more information on Trinitas Regional Medical Center, visit: www.TrinitasRMC.org or call (908) 994-5138.

Hospital Newspaper - NJ March, 2013

Page 19

Smartphone Technology for faster heart attack care Hunterdon Medical Center (HMC) is taking advantage of the latest smartphone technology to minimize the time it takes for heart attack patients to receive lifesaving treatment.

Paramedics with HMC’s Mobile Intensive Care Unit are using iPhones to send electrocardiogram (EKG) results directly from the field. These real-time results can help physicians diagnose a heart attack and activate the treatment team before a patient even arrives at the hospital. As a result, patients can be “fasttracked” for emergency angioplasty, the most effective procedure available to restore blood flow to the heart, according to Andrey Espinoza, MD, Medical Director of the Cardiac Catheterization Lab. “Everyone involved can respond much more quickly when we have EKG results in advance,” Dr. Espinoza says.

“In some cases, our team is literally sitting there waiting for paramedics to walk through the door.”

Prior to iPhone technology, transmitting EKGs via cellphone was slow and somewhat unreliable, says Martin Hogan, Director of the Mobile Intensive Care Unit. What’s more, results could only be sent to the hospital’s Emergency Department (ED).

Now, paramedics can send an iPhone photo of test results. The photo goes directly to iPads in the ED and Cardiac Catheterization Lab as well as to iPhones carried by the hospital’s interventional cardiologists.

Paramedics follow up with a call to ED doctors, who determine whether to activate the hospital’s heart attack treatment protocol.

“It’s not uncommon for a heart attack patient to arrive by ambulance in extreme distress, only to be resting comfortably 45 minutes later after emergency angioplasty,” Mr. Hogan explains. “It’s just unbelievable to see the science and the technology and the talent all converge to make a difference in a patient’s life—it’s the greatest thing in the world.”

To learn more about cardiac care at Hunterdon Medical Center, visit www.hunterdonhealthcare.org.

Left to right: Meghan Sheehan, RT, RCIS, Felicia Snyder, RN, BC, William Schafranek, MD, Kathy Morgan, RN, BSN, BC and Pam Moss, RN, BC.

Hunterdon Medical Center.

photos provided

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March, 2013

Hospital Newspaper - NJ

Two Families, Joined By One Heart, Are Connected After 19-Month Search CPR skills key to saving one life and giving life to six more Fifteen year old Washingtonville resident Brianna Barker doesn’t have to sit out of gym class anymore because of her heart condition. She says she can go hiking with her friends, she can climb waterfalls. She can be the person she wanted to be – because of a North Carolina family’s ultimate gift – their daughter’s heart.

It’s been 19 months of searching by Brianna’s mother, Veronica Barker, to finally find the heart donor’s family in Kinston, North Carolina. The two families’ previous attempts at corresponding had failed but now the two families have been connected by email. The Barkers hope to eventually travel to North Carolina to meet the donor family face-to-face to provide what they hope will be an ounce of healing for the Rouse family, who lost their 16-year old daughter, Kaitlyn Nicole Rouse, after a tragic battle with prescription drug addiction.

“I feel so blessed to have been able to find the donor family that saved Brianna's life, and further that our donor family warmly welcomed communication with us,” said Veronica Barker, “Brianna has her life back, there will never be enough words to thank them for the amazing gift of life that they gave us.

Shannon Rouse, Kaitlyn’s mother, said she prayed for the little girl who received Kaitlyn’s heart but she never learned the outcome of the heart transplant surgery. When she received the Veronica Barker’s email, she said she dropped everything in her hands. “It’s so emotional to learn that Brianna is alive and is so much like Kaitlyn - so articulate, so smart. I am so proud and happy that she is that kind of child and that she’ll be a powerful impact on the world and other kids that she meets,” said Shannon Rouse, Kaitlyn’s mother.

Brianna’s Story: As a child, Brianna Barker suffered heart muscle deterioration, or cardiomyopathy, due to a virus that damaged her heart. She eventually had a defibrillator implanted to correct the irregular heartbeat caused by the scarred heart tissue.

But on the night of June 10, 2011, after the 8th grade school dance, she told her mother she was tired and didn’t feel well.

She collapsed suddenly from cardiac arrest (SCA) at home.

Her mother, Veronica Barker, called 911 and the dispatcher gave her CPR instructions by phone. She had learned CPR in high school and thanks to the 911 dispatcher Brad Dain’s instruction, her training came back to her. She continued CPR until the ambulance arrived.

Brianna survived, without brain damage, thanks to her mother’s immediate CPR. Her heart was severely damaged, however, and she went to top of transplant list. She was only 14 years old.

Kaitlyn’s Story: At the same time in Kinston, North Carolina, 16-year-old Kaitlyn Nicole Rouse, was home facing the challenges of being released too early from prescription drug rehab program. When an injury prevented her from participating in cheerleading, her social network diminished. Teenage pressures overcame her and she turned to illegally acquired prescription drugs. Her mother eventually entered her into a drug rehab program but there was a lack of funding for her to continue, local resources were not available.

On June 23, her mother’s birthday, she was pulled unconscious from her family pool by her brother. Her mother used CPR to revive her but despite multiple attempts by EMT’s and eventually hospital staff, she did not survive. She was pronounced dead at the hospital, from prescription drug overdose. Kaitlyn’s life ended tragically but thanks to her mother’s CPR and selflessness, it was possible to have save six more lives by donating her organs.

On June 24th, Brianna received Kaitlyn’s heart and was discharged after only ten days, on July 4th. She is now living a normal teenage girl’s life. She is an A-student and she gives

“I never thought that I would need to know how to use CPR. I don’t even know how I did it,” said Ms. Rouse, “After Kaitlyn’s death, I was afraid I didn’t do it right. No parent should ever have to feel that way.”

Kaitlyn’s family has since started the PEACE Foundation – PEACE stands for Prescription - Education - Abuse - Counseling and Empowerment. PEACE will be one of the few organizations in the east aimed specifically at prescription drug abuse. Ms. Rouse is a tireless advocate for preventing prescription drug abuse, serving on multiple councils and advocacy groups for teens.

Both families feel blessed that they found each other. They have connected on Facebook through the “In Memory of Kaitlyn Nicole Rouse” page. Her story there says that Kaitlyn wanted to be a cardiologist to make a difference and save lives. Because of CPR and her family’s selflessness through organ donation, Kaitlin saved six lives.

People can learn more about CPR or find a local CPR training class at www.heart.org/CPR . To show support for the CPR in Schools Bill, contact your representative through www.yourethecure.org. back to her community. She and her mom are advocates the American Heart Association. Last spring, they’ve traveled to the NY state capitol to speak out for the CPR in the Schools Bill. They will share their story at an upcoming Go Red For Women Luncheon in Poughkeepsie, NY to request support for AHA programs and research. They also speak out for organ donation, through Donate Life New York.

“Brianna is amazing and proof positive of the importance of CPR. Now she is trying to help give the gift of life to others.

The Barkers have worked tirelessly to spread the word that CPR can and will save lives. We hope others will join their crusade to turn the CPR in Schools Bill into law,” said Julianne Hart, AHA NYS Government Relations Director.

About the American Heart Association The American Heart Association is devoted to saving people from heart disease and stroke – America’s No. 1 and No. 4 killers. We team with millions of volunteers to fund innovative research, fight for stronger public health policies, and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit www.heart.org or call any of our offices around the country. The AHA is the leader in CPR education. Visit www.heart.org/CPR.

Would you like to be

Hospital of the Month?

Hospital Newspaper features one hospital per month as the centerfold.

Great way to get information about your facility to interested readers.

For more details contact: Jim Stankiewicz at 845-534-7500 ext. 219 jim@hospitalnewspaper.com

Hospital Newspaper - NJ March, 2013

Page 21

Meadowlands Hospital Medical Center announces new Orthopedic Surgery Residency Program Meadowlands Hospital Medical Center (MHMC) recently announced the accreditation of its new Orthopedic Surgery Residency Program, the hospital’s first medical residency.

“Orthopedic surgery is an exceptionally challenging and competitive specialty and we’re honored that our hospital has been selected as the training ground for new surgeons,” said Dr. Maurizio Miglietta, MHMC Chief of Surgery and Director of Medical Education. “This is the first of what will be several residency programs provided by Meadowlands Hospital Medical Center.”

The new residency program, accredited by the American Osteopathic Association, will commence on July 1, 2013. The five-year program is approved for twenty positions.

The MHMC program is unique in that it is designed to give participants a greater depth and breadth of experiences by exposing them to a variety of patient populations

found in Northern New Jersey. In addition to their rounds at Meadowlands Hospital, residents will have the opportunity to rotate through Palisades Medical Center, Englewood Hospital Medical Center and Hackensack University Medical Center for additional specialty training.

“There will always be a need for top notch physicians and surgeons to serve people living in the area,” said Lynn McVey, MHMC Acting CEO. “By bringing in physicians to this part of the state early in the beginning stages of their careers, we’ll create a pipeline of specialists who will be eager to live and work

in the Meadowlands region. We are thrilled to welcome an academic environment at the hospital.”

The hospital has also expanded its patient programs and services.

The MHMC Emergency Services launched a fleet of six ambulances and three support vehicles. The Outpatient Physician’s Center has increased the number of ambulatory services provided, providing patients with specialized care in one convenient location.

MHMC is accredited by DNV, the Joint Commission on Accreditation of Healthcare Organizations, the American Diabetes Association, the American College of Radiology, and the Medical Society of New Jersey. Memberships include the American Hospital Association, the New Jersey Hospital Association, and the Hudson Perinatal Consortium. Meadowlands Hospital is certified by the ACR with the highest ratings in Ultrasound, CT, MRI, and Mammography, making it one of only a few select hospitals with these four national certifications

and by the Clinical Laboratory Improvement Amendments.

Meadowlands Hospital Medical Center values the expression of its mission through open communication because we understand that the true power of healing lies not only in the excellence and professionalism of its staff, but in an environment of integrity and safety.

According to Hospital Compare, part of the Centers for Medicare & Medicaid Services (CMS) Hospital Quality Initiative, Meadowlands was the highest ranked hospital in Hudson County for physician communication, pain management, cleanliness, overall care and recommendations. MHMC also received a 5-star rating for gall bladder (cholecystectomy) surgery outcomes for the second consecutive year from Healthgrades, the leading provider of information to help consumers make an informed decision about a physician or hospital.

Healthgrades bases its objective measures solely on clinical performance.

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PAGE 22

March, 2013

Hospital Newspaper - NJ

Lou Scott Alta Bates Summit Medical Center Berkeley & Oakland, CA

Security Can Be the Best Kind of Care At AlliedBarton, we understand healthcare organizations face unique security challenges. From specially trained ambassadors like Lou Scott to Chairman and CEO Bill Whitmore, you can be assured AlliedBarton knows what it takes to meet these challenges and create a safe, secure facility.

Download the FREE eBook, Potential: Workplace Violence Prevention and Your Organizational Success, for insight into how healthcare facilities can reduce security risks and stay focused on their core mission.

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Hospital Newspaper - NJ March, 2013

PaGe 23

Atlantic Health System, honored for Security Program, receives Inaugural Cso40 Award Atlantic Health System has been selected as one of the inaugural 2013 CSO40 Award honorees by IDG’s CSO magazine.

The parent organization of Morristown, Overlook and Newton Medical Centers and Goryeb Children’s Hospital was selected for its “Red Cell” program, a method in which AHS’s security team finds ways to improve the hospital system’s security – by attempting to thwart it.

The prestigious honor is bestowed upon a select group of organizations that have demonstrated that their security projects/initiatives have created outstanding business value and thought leadership for their companies. Atlantic Health

System will accept its award at the CSO40 Security Confab + Awards conference held on April 2-3, 2013, just outside of Atlanta, Georgia.

Atlantic Health System was selected for its protection and security services department’s “Red Cell” program. “Red Cell,” which was also recognized by the Joint Commission in 2012 among a list of best practices in health care security, is among the examples of the department’s preparedness initiatives.

The program includes regular infiltration testing, in which undercover security agents attempt to gain unauthorized access to sensitive areas of Atlantic Health System facilities, in order to identify and prevent potential breaches. During

these surveys, the undercover, plainclothes agents test locks and access to equipment, as well as the ability of employees to question or challenge individuals as to whether they are authorized to be in a particular area.

“The best way to begin to fortify your security is to identify the potential risks,” said Alan Robinson, director of protection and security services and emergency management for Atlantic Health System. “Continually testing our system, especially our employees’ attention to security, is crucial to preventing these risks.”

CSO is the premier content and community resource for security decision-makers leading “business

SCVTS Health Occupation students acquire hands-on experience during Matheny visit Health occupation students from the Somerset County Vocational and Technical High School in Bridgewater, NJ, regularly rotate through the Matheny Medical and Educational Center in Peapack, NJ, to observe treatment sessions in occupational therapy, physical therapy, speech therapy, music therapy, recreation therapy, dietary services and pharmacy services. During the most recent visit in early January, the students, according to their instructor Kim Vasaturo, “were genuinely amazed at all the adaptive equipment and truly astonished at how, despite their disabilities, these young people (Matheny patients) are just like them.”

Among the activities the students experienced were: driving motorized wheelchairs, riding on adaptive bicycles and getting raised into a wheelchair by Matheny’s overhead lift system. Matheny is a special hospital and educational facility for children and adults with medically complex developmental disabilities. The SCVTS students are encouraged to connect conventional classroom instruction with work-linked experiences.

provided

Visiting with Matheny adult patient Rasheedah Mahali are, clockwise from lower left: Jocelyne Munoz (glasses) and Michaelle Pelaez of Bound Brook; NJ; Dayanna Mendoza, North Plainfield, NJ; Nancy Giamo, Bridgewater, NJ; Ina Geathers, Somerville; NJ; Daniela Lopez, Raritan, NJ; Sabrinna Miranda and Zoe Ledesma, North Plainfield; and Bethany Schultz, Hillsborough, NJ.

risk management” efforts within their organization. Starting in 2013, the CSO40 Awards recognizes 40 organizations for security projects and initiatives that demonstrate outstanding business value and thought leadership. The CSO40 Awards are scored according to a uniform set of criteria by a panel of judges that includes security leaders, industry experts, and academics.

“We would like to congratulate this inaugural class of CSO40 Award honorees,” said Derek Slater, editor in chief, CSO. “This year's honorees have created outstanding security projects and initiatives that have truly resulted in positive long-lasting outcomes for their organizations. We are pleased

to have these organizations as our first class of CSO40 Award honorees.”

Atlantic Health System’s security force oversees approximately nine million square feet of facilities throughout New Jersey. The department has a senior staff with 300plus combined years of experience in law enforcement, investigation, security, fire safety, regulatory compliance and emergency management, and utilizes state-of-the-art technology to keep staff, patients and visitors safe.

For more information about Atlantic Health System, please visit www.atlantichealth.org.

For more information about CSO magazine, visit www.csoonline.com.

PAGE 24

March, 2013

Hospital Newspaper - NJ

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• Sign Language Please contact Marie Buchanan at 800.563.6384 Ext. 249 mbuchanan@medexcelusa.com all inquiries are confidential

• ESL (Basic/Advanced) ...and more 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 1-888-554-8848 donna@languagedirections.com

Language D rect ons S

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LLC

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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

Online Directory available at www.hospitalnewspaper.com

HOME MORTGAGES Gateway Funding specializes in mortgage options to the healthcare industry.

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Hospital Newspaper - NJ March, 2013

PAGe 25

Chang Foundation makes gift of $250,000 to Children’s Specialized Hospital Foundation Funding to support renovation of Specialty Pediatric Care Center

New JJersey errsey Hospital al Gr Group oup Auto Ins surance Discount i count Insurance

provided

From left to right: Phil Salerno, president and chief development officer for Children's Specialized Hospital Foundation; Cyrene Foltz, Chang Foundation treasurer; Gweneth McNabola, Chang Foundation president and David Foltz, Chang Foundation legal counsel. The check was presented at the Children’s Specialized Hospital Ambulatory Care Center in Mountainside.

The Chang Foundation, based in Westfield, New Jersey, recently presented Children’s Specialized Hospital Foundation with a pledge for $250,000. The funding will support the renovation of the pediatric ambulatory care center which provides specialty physician services to children with a variety of special needs.

The support from the Chang Foundation will enable the hospital to renovate the unit and ultimately enhance the entire patient experience.

The origin of the Chang Foundation’s mission is to help young people who cannot afford much needed medical treatment on their own.

“When we considered Children's Specialized Hospital, we realized that we had a perfect fit,” said Michael Miller, Chang Foundation investment advisor. “We are glad to have been of assistance to Children's Specialized and know that our grant will help many deserving young people.”

As the largest pediatric rehabilitation hospital in the United States, Children’s Specialized Hospital offers highly experienced pediatric medical subspecialists who are leaders in their fields. The comprehensive range of medical subspecialists available at Children’s Specialized Hospital include those in the following disciplines: developmental pediatrics, pediatric physiatry (physical medicine and rehabilitation), pediatric neurology, orthopedics, urology, ophthalmology, otorhinolaryngology (ear, nose, and throat), orthotics and casting & splinting.

“The improvements will allow us to provide a more welcoming, family friendly environment,” said Dr. Uday Mehta, associate medical director and neuro-developmental pediatrician for Children’s Specialized Hospital in Mountainside. “We diagnose and treat children with conditions such as autism, ADHD, developmental delays, brain injuries, fetal alcohol syndrome and cerebral palsy.

The Chang Foundation’s very generous gift will undoubtedly change the way healthcare is given to this very special group of patients.”

Children’s Specialized Hospital is the preeminent provider of rehabilitation services for children with special needs. The hospital serves children affected by brain injury, spinal cord injury, premature birth, autism, developmental delays, and life-changing illnesses. Children’s Specialized Hospital has eight sites in New Jersey and treats 19,000 children each year, making it the largest pediatric rehabilitation system of its kind in the nation. Services include outpatient services, acute rehabilitation, and long-term care through its sites in Bayonne, Clifton, Mountainside, Toms River, Fanwood, Hamilton, New Brunswick and Roselle Park as well as outreach programs in many communities.

Children’s Specialized Hospital Foundation supports the programs and services of the hospital. The Foundation is ranked among the top six pediatric hospital foundations in the country. To help, or find more information, visit www.childrensspecialized.org.

Plymouth Rock Assurance proudly supports the New Jersey Hospital Group by offering all members a special 5% discount on auto insurance. On average, drivers who switch to Plymouth Rock using a group discount save $517 per year!

Visit us onlinee at NJHospitalQ NJHospitalQuote.com Quote.com or call 888-391-4910 888-391-49 910 today for your free quote quote..

Plymouth Rock Assur Assurance ance is a m marketing arketing name used by a group of separ separate companies that write and manage property and casualty insurance ance in multiple states states.. Insur Insurance ance in N New ew Jersey is offered by Plymouth Rock Management agement Company of New Jersey on behalff of High Point Point Property and Casualty Insur Insurance ance Compan Companyy and their affiliates. affiliates. Each company is financially cially responsible only for its own insur insurance ance products products.. Actual coverage cover age is subject to the language languaage of the policies as issued by each company company. ny. Group discounts apply to policies writtenn in High PPoint oint Property and Casualty Insur Insurance ance Compan Company. y. If the discount is not currently applied, it may m be added upon request. May not be combined mbined with any other group discounts discounts.. Offer av available ailable to t New Jersey residents only only..

Annual aver average age savings based oonn customers who switched to High PPoint oint Property operty and Casualty Insur Insurance ance Company using ng a group discount from JJanuary anuary 2010 to April 2012.

2. YYour our premium may vvary ary due to av available ailable ddiscounts, iscounts, eligibility requirements requirements,, driving record, ord, and other factors factors.. ©2013 Plymouth Rock Management ment Company of New Jersey Jersey.. All rights reserved. erved. 6679/012013

PAGE 26

March, 2013

Hospital Newspaper - NJ

NEW JERSEY LEAGUE FOR NURSING CONVENTION "Nursing: Issues of Our Times"

Professional Education Day – March 20, 2013 Convention – March 21 – 22, 2013 Tropicana Casino & Resort, Atlantic City, NJ

PROGRAM HIGHLIGHTS PROFESSIONAL EDUCATION DAY - WEDNESDAY, March 20, 2013 A REGIONAL WORKSHOP FOR NURSE EDUCATORS (Separate Registration Fee Required for This Program)

“State of Simulation Science: Where We Are and What’s Coming Next?”

Presented by

Dr. Susan (Suzie) Kardong-Edgren Dr. Kardong-Edgren is a recognized international and national thought leader in Simulation and Simulation Research. Dr. Edgren is a consultant for the National Council of State Boards of Nursing landmark study, investigating the substitution of up to 50% simulation for traditional clinical hours. She is a co-PI on a project for the NLN exploring the use of simulation for high stakes testing in nursing education. Register early to attend this knowledge-filled program!!

CONVENTION – DAY ONE Thursday, March 21

st

Keynote Session…

“Pride In The Profession…

What’s Great About Nursing” Liz Jazwiec, RN—Best selling author! **********

Continuing Education Sessions & Posters Exhibits of Products & Services **********

Convention Luncheon…

“Let’s Talk About Sex and the Older Woman” Dr. Gerti Heider—Woman’s Health Expert!

(Earn Contact Hours for All Programs & Posters)

CONVENTION – DAY TWO Friday, March 2nd

Keynote Session…

“Don’t Get Sick In July” Dr. Theresa Brown, writer for the New York Times **********

Continuing Education Sessions & Posters Exhibits of Products & Services **********

Convention Luncheon…

“Compassion Fatigue: The Price of Caring Too Much” Dr. Phyllis Quinlan— Coach of Energetic Healing ********** (Earn Contact Hours for All Programs & Posters)

FOR COMPLETE 2013 CONVENTION BROCHURE: Send email to NJLNurse@aol.com with your name & mailing address (or) visit our web site at www.NJLN.org

Hospital Newspaper - NJ March, 2013

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March, 2013

Hospital Newspaper - NJ

2013 NEW JERSEY LEAGUE FOR NURSING CONVENTION PROGRAM SPONSORS Assessment Technology Institute (ATI) The Wright Choice Agencies Kaplan Test Prep

Thursday, March 21, 2013 8:00 a.m. – 3:30 p.m.

8:00 a.m. – 8:45 a.m.

8:45 a.m. – 9:15 a.m.

Convention Registration Open GRAND EXHIBITION HALL OPEN (Free Morning Refreshments) New Jersey Nursing Convention’s Opening Ceremonies

9:15 a.m. – 10:15 a.m.

KEYNOTE SESSION (Contact Hours) Topic: “Pride In The Profession: What’s Great About Nursing” Speaker: Liz Jazweic, RN, President and Founder of Liz, Inc., Oak Lawn, II.

10:30 a.m. – 12:30 p.m.

Visit Exhibits & Poster Sessions (Contact Hours) There will be 18 Poster Presentations available for review that highlight current issues in health care.

11:15 a.m. – 12:15 p.m.

NEW JERSEY LEAGUE FOR NURSING - 2013 ANNUAL BUSINESS MEETING (Contact Hours)

12:30 p.m. – 2:00 p.m.

NEW JERSEY LEAGUE FOR NURSING CONVENTION LUNCHEON (Contact Hours) Topic: “Let’s Talk About Sex and the Older Woman” Speaker: Dr. Gerti Heider, Associate Professor, UMDNJ School of Nursing

1:00 p.m. – 2:00 p.m.

STUDENT TRACK ONLY -- CONTINUING EDUCATION SESSIONS

STU1 – TOPIC: SPEAKER: OBJECTIVES: STU2 – TOPIC: SPEAKER: OBJECTIVES:

Interviewing Techniques & Job Seeking Claudia Cotarelo, Talent Acquisition and Strategic Recruiter, Atlantic Health System Identify social media, interviewing techniques, searching for a job, and effective resume writing.

NCLEX Test Tips Laura Moskaluk , RN, MSN, CNE, Faculty, Middlesex County Vocational and Technical School Review of basis prioritization mnemonic; review of alternate form questions; sample NCLEX style questions

2:15 p.m. – 3:15 p.m.

STU3 – TOPIC: STU4 – TOPIC:

STUDENT TRACK ONLY -- CONTINUING EDUCATION SESSIONS Interviewing Techniques & Job Seeking -- (Repeat of STU-1 Topic) NCLEX Test Tips – (Repeat of STU-2 Topic)

2:15 p.m. – 3:15 p.m.

A1-TOPIC: SPEAKER: OBJECTIVES:

CONTINUING EDUCATION SESSIONS (Contact Hours) The Transgender Population: The “T” In LGBT Barbara Chamberlain, PhD, APRN, MBA, President, BJC Consultants Describe the history of the LGBT movement; Compare and contrast the unique needs of the transgender individual; State one victim of transgender hate crimes; Explore the myths surrounding the LGBT population.

A Nurse’s Role in Disasters Kathe M. Conlon, BSN,RN,CEM MSHS, Burn Disaster & Emergency Preparedness Education Coordinator, St. Barnabas Identify disaster types and implement appropriate nursing interventions for pt. care; Understand evolution of disaster nursing and its role in modern times; Understand the impact of disasters on nursing practice.

Dealing With Difficult Student Situations Patricia A. Castaldi, DNP, RN, ANEF, Director, Practical Nursing Program, Union County College Recognize difficult situations that may occur in nursing education setting; Identify effective strategies for dealing with difficult students; Incorporate principles for the revision and/or development of program policies.

Care Transitions – Partnerships That Work for Patients Alyce Brophy, RN, BSN, MPH, President/CEO, Community Visiting Nurses, and Alyssa Kizun, MSW, LCSW, CCM, Director of Care Management, Somerset Medical Center Identify and discuss the formation, implementation and results of a community collaborative for Care Transitions utilizing the Coleman Transitions Care Model; Discuss formation of community provider collaborations and the implementation of evidenced based models of care.

A2 – TOPIC: SPEAKER: OBJECTIVES: A3 – TOPIC: SPEAKER: OBJECTIVES: A4 – TOPIC: SPEAKERS: OBJECTIVES:

3:15 p.m. – 4:15 p.m.

CONVENTION WELCOME CELEBRATION (NJLN Scholarship Drawing, Attendee Prize Drawing)

4:15 p.m. – 5:15 p.m.

B1 - TOPIC: SPEAKER: OBJECTIVES:

CONTINUING EDUCATION SESSIONS (Contact Hours) S.O.S. – Support Our Staff and Stop The “Suffering in Silence” Susan Fisher Brown, RN, Owner of CISM company called S.O.S. Crew Rescue, LLC Describe Critical Incident Stress Management (CISM) and explain the significance of the implementation of CISM teams within the health care system; Recognize warning signs of Critical Incident Stress that staff might exhibit; Describe the importance and necessity in pre-incident training.

Hospital Newspaper - NJ March, 2013

2013 NEW JERSEY LEAGUE FOR NURSING CONVENTION PROGRAM B2 – TOPIC: SPEAKER: OBJECTIVES: B3 – TOPIC: SPEAKER: OBJECTIVES: B4 – TOPIC SPEAKERS: OBJECTIVES: 5:30 p.m. – 7:00 p.m.

Understanding Cultural Diversity – Improving Patient Outcomes: Keys to Providing Culturally Competent, Congruent, and Sensitive Care V. Alexandra Hascup, PhD, MSN, RN, CTN, CCES, Asst. Professor, Kean University, College of Nursing Define cultural terms including cultural sensitivity and competency; Develop knowledge of culturally competent care and behavior strategies that lead to improved patient outcomes; The Walking Wounded: Consequences of Recurrent Sports Related Head Injuries Christine Wade, RN, BSN, CRRN, Nurse Manager, Brain Trauma Unit, JFK Johnson Rehabilitation Institute Discuss the effects of head injuries for all ages in sports and repeated injuries; Review how brain injury can be very subtle and complex at the same time.

Everything We Learned in Kindergarten: Arts and Crafts for Simulation Pamela J. Hicks, MSN, RN, Skills Laboratory Coordinator, Raritan Bay Medical Ctr./Middlesex County College Susan Ellison, MSN, RNC, CNE, Course Coordinator, Raritan Bay Medical Ctr./Middlesex County College Discuss the creation of environmental props to enhance the realism of the simulation; Demonstrate how to create a variety of moulage techniques; Identify strategies to integrate moulage into simulation.

Sylvia C. Edge Endowment Campaign Reception Hosted by the Sylvia C. Edge Endowment Board and the New Jersey League for Nursing

Friday, March 22, 2013 8:00 a.m. – 1:00 p.m.

8:00 a.m. – 9:30 a.m.

8:00 a.m. – 12:00 p.m.

8:00 a.m. – 12:00 p.m.

Convention Registration Open Grand Exhibition Hall Open (Free Morning Refreshments ) EXHIBIT HALL OPEN POSTER SESSION (Contact Hours)

9:00 a.m. – 10:00 a.m.

KEYNOTE SESSION (Contact Hours) Topic: “Don’t Get Sick In July” Speaker: Theresa Brown, BSN, RN,OCN, Writer and national lecturer, Pittsburgh, PA.

10:15 a.m. – 11:30 a.m.

11:00 a.m. – 12:00 p.m.

Visit Exhibits & Poster Sessions (Contact Hours) CONTINUING EDUCATION SESSIONS (Contact Hours)

C1 – TOPIC: SPEAKER: OBJECTIVES: C2 – TOPIC: SPEAKER: OBJECTIVES: C3 – TOPIC: SPEAKER: OBJECTIVES:

Adjunct Orientation: The Key To A Successful Academic Year Nancy Berger, RN, MSN,CNE, Director of Nursing Education, Middlesex County College Nursing Discuss research regarding importance of adjunct orientation in the college/nursing education realm; Making a Difference in Ghana Through Community Nursing Michelle L. Foley, MA, RN, CNE, (retired nurse educator) Provide overview of Ghanaian culture; Describe village experiences and its impact on nursing and health care; Wound Management: Past, Present and Future Tracey Siegel, MSN, RN, CWOCN, CNE, EdD (c), Program Coordinator, Middlesex County College Nursing Discuss wound healing research and its impact upon nursing practice; Identify factors that affect wound healing; Review topical therapies and describe appropriate topical therapy based upon wound assessment.

Diabetes: Improving Outcomes, How Sweet It Is Dawn Gallagher, RN, CDE, Diabetes Nurse Educator, Somerset Diabetes Ctr, Somerset Medical Ctr. Jackie Plick, RN,BSN,MA,ANP-C,CDE, Diabetes Nurse Educator, Somerset Diabetes Ctr, Somerset Medical Ctr. Review how Diabetes is managed today, including new therapies and education techniques; Discuss Diabetes Education for the hospitalized patient and preparing them for discharge; Explore the role of the Certified Diabetes Educator as a partner in improving outcomes and wellness.

C4 - TOPIC: SPEAKERS: OBJECTIVES:

12:15 p.m. – 1:45 p.m.

NEW JERSEY LEAGUE FOR NURSING CONVENTION LUNCHEON (Contact Hours) Topic: “Finding Balance As You Care For Others: Putting Your Oxygen On First” Speaker: Phyllis S. Quinlan, RN-Bc, PhD, Founder, MFW Consultants, Queens County, NY

2:00 p.m. – 3:00 p.m D1 - TOPIC: SPEAKERS:

CONTINUING EDUCATION SESSIONS (Contact Hours) Learning Is Fun: It’s Not Death By Powerpoint and Lecture Mary Ann Balut, RN, MSN, APN-C, Raritan Valley Community College; Donna Gray, RN, MSN, CNE, and Kimberly Seaman, RN, MSN, CNE, JFK Muhlenberg School of Nursing Demonstrate active learning pedagogies including audience participation of nurse educators; Evaluation of the learning process will be provided and remediation strategies discussed; Learner participation in the classroom provides teacher assessment of learning outcomes and prompt feedback for learner.

Opportunities in Nursing: Beyond the Bedside Jennifer Lerner, RN, BA, Staff Nurse, Oncology Unit, St. Barnabas Medical Center Discuss many opportunities that exist away from the bedside; Provide current and future nurses with a deeper knowledge of the healthcare industry and the wide variety of career alternatives.

OBJECTIVES: D2 - TOPIC: SPEAKER: OBJECTIVES:

New Jersey League for Nursing is an approved provider of continuing nursing education by the New Jersey State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.P250-9/11-14.

Speakers have declared that he/she has nothing to disclose. There is no commercial support for this activity.

Accredited status does not imply endorsement by NJLN, NJSNA or ANCC of any commercial products or services.

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March, 2013

Hospital Newspaper - NJ

RESOURCE DIRECTORY ExtEndEd cARE & ASSiStEd livinG dAUGHtERS oF iSRAEl Daughters of Israel is a multi-faceted, stateof-the-art skilled nursing facility offering the most modern and comprehensive services available 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 professional staff deliver the highest quality of care for our 300+ residents. Services provided include: round-the-clock professional nursing care; 24hour medical coverage by board-certified geriatricians; on-site synagogue with full-time rabbinical services; a full range of stimulating and innovative recreational activities; on-site beauty 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, which functions as a separate unit within the Home, features a spacious gym with state-of-the-art equipment and comfortable recovery suites with luxury amenities.

Semi-private and private rooms are available at Daughters of Israel. The facility is covered

by Medicare, Medicaid, commercial insurances and private payment. Daughters of Israel is a beneficiary agency of United Jewish Communities of 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 atwersky@doigc.org

HoSPitAlS BERGEn REGionAl MEdicAl cEntER, l.P. Located in Paramus, Bergen Regional Medical Center is the largest hospital in New Jersey dedicated to serving the residents of Bergen County and surrounding communities. With 1000+ beds and 1,500 staff members, the hospital specializes in Behavioral Health Services, which include child and adolescent, adult and geriatric psychiatric treatment. Long Term Care Services provides a scope of services, which far exceeds that offered in a standard nursing home. As a full service accredited medical center, we provide wound care, surgical care, cardiac care, rehabilitation services, respiratory care unit which includes ventilator dependent residents, Korean care services and an acute care unit all under one roof for our residents. The hospital excels in the treatment of substance abuse.

The hospital offers detoxification, 21-day rehabilitation program, outpatient services, and treatment for the mentally ill and chemically addicted. Our Acute and Ambulatory Services offers same day surgery, medical and specialty clinics and state-of -the-art operating suites. www.bergenregional.com Tel. 201-967-4000

MEdicAl BillinG Cape Medical Billing (CMB) is your single source billing provider for curing undetected “revenue leakage” that plagues today's healthcare practices. CMB has been in business for 22 years and is uniquely qualified to help your medical practice reverse “revenue leakage” with fast, efficient, innovative and customized billing programs.

We offer personalized and cost effective service with 92.9% of charges paid upon the first submission! We accomplish this everyday by utilizing our “state of the art” billing software and paying close attention to critical detail used to match and process data. We also pride ourselves on significantly reducing days in accounts receivable by deploying aggressive and consistent follow-up procedures. Our technology, expertise and personal approach drive our billing practices and produce unparalleled results for our clients.

Are you currently doing billing in house and considering outsourcing? No problem, we can integrate our technology with your current EMR software package and help you convert your medical services to consistent cash flow! Our billing specialties: Cardiology, Internal Medicine, Podiatry, Family Practice, General Surgery, Pathology, Infectious Disease, Gastroenterology, OB/GYN, Neurosurgery, Urology, Trauma Surgery, PT/OT, Mental Health and Ambulance.

We're the experts...STOP risking your money and profit by collecting it yourself, or utilizing a billing company with less experience. We collect the HARD Stuff and we do it every day!

Call for a FREE Billing Analysis to detect and solve your revenue leakage!

Contact: Richard Papperman, CEO/President of Cape Medical Billing Office: 609-465-8900 rich@capebilling.com or Sherrii Brentari Director of Sales and Marketing Cape Medical Billing sherrii@capebilling.com 609-465-8900

nEW PRodUct tEcHnoloGY

WoRKERS’ coMPEnSAtion HoSPitAl WoRKERS HAvE YoU BEEn inJUREd on tHE JoB?

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Contact: Bob Goldbacher (609) 412-2134 www.icare-usa.com

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

Online Directory available at www.hospitalnewspaper.com

Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights!

Do Not Make These Mistakes That Can Cost You Benefits

1. You must report the accident or injury as soon as possible, even if you might not lose time from work or need immediate medical care.

2. Report all injuries to all body parts, no matter how minor they may seem. If you do not report it and the injury gets worse over time, the job may deny benefits.

3. Remember, you are entitled to treatment and benefits even if you have previously injured the same body part in a prior accident.

Do not let the job tell you different.

4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the experienced attorneys at BAGOLIE FRIEDMAN can fight to get it approved at no cost to you.

5. When you are released from treatment, you may be entitled to money for your injury and disability. You may also collect for repetitive stress, cumulative trauma, cancer, hearing loss & hepatitis.

6. Contact Attorneys Ricky Bagolie or Alan Friedman now for a confidential and free consultation and to discuss your workers' compensation and disability rights. There is no fee if there is no recovery cAll toll FREE 1-866-333-3529 (After Hours / Emergency Number 201-618-0508) BAGoliE FRiEdMAn, llc Workers' compensation & disability Attorneys The Five Corners Building 660 Newark Avenue - Jersey City, NJ 07306 (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414

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HQ Location: Cape Medical Billing 5 Locust Lane P.O. Box 670 Cape May Court House, NJ 08210 Office: 609-465-8900 Fax: 609-463-8106 www.capebilling.com

apparatus Campbell Supply company www.campbellsupplyco.com expositions Abilities Expo www.abilitiesexpo.com financial Institutions Healthcare Employees Federal Credit Union www.hefcu.com home care specialists Comprehensive Home Care www.homecarenj.com hospitals Children’s Specialized Hospital www.childrens-specialized.org Matheny Medical & Educational Center www.matheny.org

internet address directory Meridian Health www.meridianhealth.com medical equipment & products TSK Products, Inc. www.tskproducts.com

Hospital Newspaper - NJ March, 2013

NO Calibration & NO Drops Icare速 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速 has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher

(609) 412-2134

www.icare-usa.com

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Hospital Newspaper - NJ

Calling All Emergency Responders

When every second 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.

For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.com Now covered on UnitedHealthcare.

Check with your GPO for low contract pricing. For additional information, please contact us at info@akrimax.com BRIEF SUMMARY NitroMist® (nitroglycerin) lingual aerosol Rx Only INDICATIONS 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 guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil 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. WARNINGS 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 benefits 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)-specific phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil 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 myocardial 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 reflex 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: Coadministration 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. Tissuetype 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 first-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 ossification were seen. The latter finding probably reflects 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 sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-

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orted clinical experience has not identified 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, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamic effects: 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 even bloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either flushed or cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specific 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 nitroglycerin overdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fluid volume.

Passive elevation of the patient’s legs may be sufficient, but intravenous infusion of normal saline or similar fluid may also be necessary. The use of epinephrine or 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 difficult, and invasive monitoring may be required. 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 change on 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 fibrotic 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 in an 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 body weight gain in both sexes at all matings. No specific 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 sildenafil, vardenafil, and tadalafil.

These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructed that 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 or dizziness. 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 flammable propellant (butane), do not have the container burned after use and do not spray directly towards flames. 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 E Cranford, NJ 07016

by Dynamit Nobel GmbH, Leverkusen, Germany E Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USA NitroMist is a registered trademark of NovaDel Pharma Inc., used by permission.

141B002 10/2012

*Priming NitroMist: After receiving a new prescription or refill, patients should remove the plastic cap, place forefinger 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).

NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.

©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T