New Jersey Hospital Newspaper October 2013 ebook

HOSPITAL

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If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! See page 17

Fund-Ex Can Help you Consolidate Debt and Raise Working Capital p4

Ask An Expert Better Disaster Planning— Remembering and Learning from Hurricane Sandy p8

Breast Cancer Care

Hospital of the Month!

Bergen Regional Medical Center p12

St. Francis Medical Center

CHANGE SERVICE REQUESTED

Offers MRI of Breast p3 Hospital Newspaper 1 Ardmore Street New Windsor NY 12553

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PAGE 2

October, 2013

Hospital Newspaper - NJ

The best-dressed wounds in New Jersey.

That’s the beauty of Trinitas.

T

he Center for Wound Healing & Hyperbaric Medicine at Trinitas Regional Medical Center is New Jersey’s leading comprehensive wound care center. We utilize advanced wound care technologies such as Hyperbaric Oxygen (HBO) Therapy and Vacuum-Assisted Closure (VAC®) negative pressure wound therapy. And we were the first in the state to use Apligraf ® - a living, bi-layered skin substitute.

We enjoy healing rates that are consistently above 90%. That’s why so many area hospitals send their most difficult wounds to us. And why Diversified Clinical Services named us a Center of Excellence.

This is wound care that goes way beyond bandages. And it’s available right here, right now. Beautiful.

CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE 240 Williamson St., Suite 104, Elizabeth, NJ 07202 908-994-5480 • www.WoundHealingCenter.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 October, 2013

Page 3

St. Francis Medical Center offers MRI of breast St. Francis Medical Center (SFMC) has expanded its services and is now offering patients the ability to have an MRI examination of the breasts. In addition to the mammogram program, the MRI scanner is also accredited by the American College of Radiology.

The MRI is not a screening tool.

Patients need to have a mammogram first. If there is an abnormal result, the patient’s physician can then refer them for an MRI for further review before having a surgical biopsy.

Unlike using an X-ray machine, there is no ionizing radiation involved in an MRI, which uses magnetic and radio waves. If the MRI detects a problem, if appropriate, the MRI guidance may allow for a biopsy to be performed in a minimally invasive setting. If the biopsy comes back negative, there is likely no need for an invasive surgery procedure. The MRI may also be helpful when there are dense breasts on a mammogram, which are sometimes difficult to analyze.

What can patients expect?

A technologist will escort you into the MRI scanning room, where you’ll see a table and a large, donutshaped device called a gantry. The technologist will have you lie on the padded table and make sure you are comfortable, you’ll be asked to lie very still during the scan and hold your breath for a short time to minimize any body movement.

During the scan, you will hear a humming or buzzing noise. You will feel the table move while images are being taken at certain locations of your body. The technologist will monitor you during the entire exam through a window and will communicate with you through an intercom. The specific details of your upcoming examination will be explained fully by an MRI technologist or your physician.

For the breast MRI test, you will be positioned face down on a device – referred to as a “breast coil”— specifically designed to image the breast. The technologist will work with you to make sure that you’re comfortable but also positioned to optimally image the breast tissue.

Depending on the type of breast coil used, the technologist might make adjustments to limit movement of the breast during imaging.

However, unlike mammography, MRI does not use vigorous compression. The MRI takes about an hour and is coordinated by female technicians to make sure the patient is comfortable.

After your MRI exam, the radiologist will carefully analyze your MRI images and will send a report to your physician. Your physician will then discuss the results with you.

“It is critical to have the latest in technology to best serve our community,” stated Dr. Ethan Tarasov, Medical Director of Radiology at St. Francis Medical Center. He continued, “We are pleased to provide this MRI service as an alternative to invasive surgery to our patients.”

St. Francis Medical Center, a member of Catholic Health East/Trinity Inc., is an acute care

teaching hospital recently ranked

by Consumer Reports in the top five hospitals in NJ for safety and number one in Mercer County.

Most noted for its Cardiac Surgery program and the first accredited Stroke Center in the county, St. Francis features regional services including the Heart Hospital, a Regional Cancer Center, a Sleep Disorder Center and an extensive Community Outreach Program.

Partners in care include LIFE St. Francis (Living Independently For Elders) and LifeCare Physicians, PC, which includes Primary Care and Surgery throughout the region.

Whole-heartedly better.

Introducing HeartHealth, comprehensive cardiology services integrating the acclaimed services of RWJ Rahway with the worldclass expertise and state-of-the-art resources of the Robert Wood Johnson Health System.

From emergency services to advanced treatment, rehabilitation, diagnostics and preventative care, HeartHealth is a wholeheartedly better approach to care, dedicated to helping our community

GET BETTER. STAY BETTER.

865 S Stone tone S St. t. Q R Rahway, a ay, NJ Q RWJHear ahw RWJHeartHealth.com tHea alth.com

The Cardiovascular Center of Excellence at RWJ University Hospital Renowned academic medicine and advanced heart care:

Electrophysiology Q TAVR for aortic stenosis Q Atrial fibrillation ablation Minimally invasive robotic surgery Q Ventricular assist device Q Heart transplantation

PAGE 4

October, 2013

Hospital Newspaper - NJ

Consolidate Debt and Raise Working Capital

By Patrick Harrigan | Syracuse, NY

Today’s doctors face a myriad of challenges in their efforts to deliver high-quality care. Increased regulation, declining reimbursements and industry uncertainty add pressure to an already high-stress environment. On top of that, many physicians are faced with the added responsibility of owning and running a practice.

Saving

healthcare professionals an average of

$6,000 per month

Juggling numerous due dates and balances can be time consuming, not to mention costly. Fund-Ex can help you consolidate your debt into a single, affordable monthly payment, allowing you to free up time and cash.

The Funding Expert for Healthcare Professionals

One of the most challenging aspects of running a successful business is managing WKH ¿QDQFHV )LQDQFH FDQ EH GLI¿FXOW IRU someone with training doing it full-time, even more so for doctors focused on providing care, managing a staff and PDLQWDLQLQJ D VWHDG\ ÀRZ RI SDWLHQWV As a practice grows, commercial debt is a frequent by-product of that progress.

Business credit cards offer convenience and attractive rewards, while commercial ÂżQDQFLQJ LV RIWHQ QHFHVVDU\ ZKHQ SXUchasing expensive medical equipment and keeping the practice up to date. Managing numerous payment dates and balances can be time consuming, not to mention costly. Amidst the scramble of changing priorities and daily tasks, payments can get overlooked leading to fees, higher rates and ultimately more debt.

Consolidating debt can help doctors save time and money, leaving a single, more affordable monthly payment. Lower interest rates can yield substantial cost VDYLQJV HDVLQJ WKH ¿QDQFLDO VWUDLQ WKDW many practices experience. Managing just a single payment can also save time, allowing physicians to focus on more important matters. Whether it’s more time with patients, the practice, family or just some free time, consolidating debt can help conserve the most limited resource; time.

7KH LQFUHDVHG RSHUDWLRQDO FDVK ÀRZ can help jump-start stalled practice improvements. Increased marketing can attract new patients. Additional staff

can be hired to help manage the workload.

Even building a healthy cash reserve can help ease the stress during leaner times.

While a debt consolidation loan may seem like a no-brainer, not all solutions are created equal. Be sure to do your homework. In addition to your monthly payment, make sure that you are comfortable with the loan rate and terms.

Lower interest rates can yield substantial cost savings, easing WKH ĹľQDQFLDO VWUDLQ that many practices experience.

Be cautious of debt consolidation services that don’t actually consolidate your debt.

Instead of paying off the entire balance, these organizations simply take your payment and pay each of your creditors every month, charging a fee for the service.

It is also important to carefully select a lender. While a local bank is always a logical starting point, these institutions ODFN VSHFL¿F XQGHUVWDQGLQJ RI WKH KHDOWKcare industry and the challenges you face. Working with a traditional bank can also be time consuming. Look into niche lenders that work exclusively with healthcare professionals. Their indusWU\ VSHFL¿F NQRZOHGJH KHOSV WKHP WDLORU WKHLU VROXWLRQV DQG ¿QDQFLQJ SURFHVV around your needs as a doctor. The Better Business Bureau is a great way to learn more about a lender and ensure that they are trustworthy. The BBB’s Trustlink site provides real, unedited customer testimonials that can give you some insight on what to expect.

Hospital Newspaper - NJ October, 2013

Your healthy financial future is here.

At Fund-Ex, our specialty is you. As a lender that works exclusively with healthcare professionals, we take the time to understand your needs and determine the best solution for you and your business. Fund-Ex can help you improve operational cash flow, expand or relocate, upgrade equipment or just simplify and save by consolidating high-interest debt.

Call 877. 851.9405 or visit www.fund-ex.com/HNNJ to connect with one of our funding experts.

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Page 5

PAGE 6

October, 2013

Hospital Newspaper - NJ

OUR VIEW

ADVERTISER INDEX Company

Page

Bankers Healthcare Group, inc.

5

Bergen regional medical Center

13

EmA

7

GNYHA Services

9

icare

23

Less Stress instructional Services

14

matheny School and Hospital

15

NorthWest Seminars

19

PErCY Awards

16

Plymouth rock management Co of NJ

21

resource Directory

20, 22

rWJ rahway

3

Sun Home Loans

17

St. Peter’s University

11

Trinitas regional medical Center

H

Think Pink throughout October

24

AkrimAx / Nitromist

October is most-commonly associated with the changing of the leaves, comfy sweaters and a night dedicated to jack-o-lanterns and trick-or-treating. For many men and women, however, October means so much more–it represents a month of hope.

Formally created in 1985, Breast Cancer Awareness Month inspires millions of cancer survivors, family members and friends across the globe to get together to increase awareness and raise funds for the treatment, prevention and cure of breast cancer. With overwhelming support from the local community, Houlihan Lawrence raised $50,000 for the cause in 2011.

This year our company is sponsoring three major walks in the Hudson Valley. Help us honor the memory of those who lost their lives to breast cancer and support those who have valiantly fought or are fighting the disease–and remember, Think Pink throughout October.

Please e-mail your thoughts to news@hospitalnewspaper.com or write to Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553.

Jim Stankiewicz can be reached at 845-534-7500 ext. 219 and via email at jim@hospitalnewspaper.com.

2

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Ask An Expert p4

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Joseph P. Belsito (Joe@hospitalnewspaper.com)

Hospital of

••• GENERAL MANAGER

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the Month !

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Go to www.hospitalnewspaper.com click on Online Newspaper Subscription Form

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CORPORATE INFORMATION Hospital Newspaper - New Jersey edition - Vol. 11 No. 10is published monthly, 12 times a year for $36 per year by Belsito No. Communications, 1 Ardmore Street, New 1 - is publishedInc., monthly, 12 times a year for Windsor, NY 12553. Postage Paid at New Windsor, NY $ and additional mailing offices. Postmaster: Send address changes to Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.

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Hospital Newspaper - NJ October, 2013

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

Emergency Medical Associates named to Modern Healthcare’s Best Places to Work in Healthcare List for the third year Emergency Medical Associates is among 100 companies nationwide who have been named to the 2013 Best Places to Work in Healthcare list compiled by Modern Healthcare magazine.

The recognition program, now in its sixth year, honors workplaces that enable employees to perform at the optimum level to provide patients and customers with the best possible care, products and services. This is the third year that the company has been named to the list.

“Since 1977, our physicians, mid-level providers and support staff have enjoyed a work environment where quality and excellence in practice is the norm. We reward clinical acumen with competitive compensation and benefits, and opportunities for advancement,” explains Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “We’re honored to again be recognized by Modern Healthcare.”

Nearly 350 healthcare companies participated in this year’s program. The program surveyed employees and analyzed their responses in eight core areas:

• Leadership and planning • Culture and communications • Role satisfaction

•

35 yyears ears of expertise exper x tise

• Working environment

•

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

•

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

•

Recognized for Recognized for clinical e excellence, xcellence, quality quality service ser vice and high pa tient sa tisffaction patient satisfaction

• Relationship with supervisor • Training and development • Pay and benefits • Overall satisfaction

Modern Healthcare will reveal the ranked order of the 100 Best Places to Work in Healthcare Oct. 24 at a banquet in Atlanta.

About Emergency Medical Associates Emergency Medical Associates (EMA) is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.

(877) 692-4665 5

info@EMA.net

www.EMA.net www .EMA A.net

PAGE 8

October, 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.

Better Disaster Planning—Remembering and Learning from Hurricane Sandy This month marks a year since Superstorm Sandy made landfall on the East Coast, flooding parts of New York City, New Jersey, and other areas, damaging or destroying homes and businesses. But for the thousands still recovering from the storm, Sandy is not yet a distant memory. In fact, it should serve as an important preparedness reminder for everyone, especially hospital leaders.

The challenges of every new emergency situation impart valuable lessons as well as the opportunity to improve processes and services so that they better serve communities and patients in times of future disasters. Sandy did just that. Sandy punctuated the importance of backup generators, the need for stocks of critical supplies (such as non-perishable foods), and the essential role of disaster protocols. The New York region’s emergency protocol, with its hospital emergency command centers, contributed to the successful evacuation of almost 6,000 patients before, during, and after the storm.

Hurricane Sandy drove home a number of other emergency preparedness essentials for healthcare facilities: 1.

2.

3.

4.

A comprehensive communication plan (including anticipating suboptimal conditions, such as power outages) Regularly testing backup generators Strategic placement of equipment, including generators and fuel pumps, to avoid water and wind damage Access to emergency fuel for equipment and vehicles

Disaster planning involves a checklist of human and material resources. Naturally, the people responsible for the availability and functionality of supplies, equipment, and services—who have direct access to them—play key roles in determining the ultimate success of your emergency response. An engaged supply chain, facilities management, and group purchasing organization (GPO) are fundamental components of any emergency preparedness plan.

Acting as a resource for information and guidance during emergencies, GPOs ideally become hands-on players on your disaster team. With their access to and relationships with vendors across multiple facilities, GPOs can coordinate shipments or facilitate important alternatives in cases where suppliers cannot deliver. For instance, after the initial news of Sandy’s impending arrival, representatives from GNYHA Ventures, including GNYHA Services and its parent organization the Greater New York Hospital Association, convened at the New York City Office of Emergency Management Healthcare Evacuation Center. From there, we prepared and updated our members on storm conditions and changing directives. By staying in constant contact with our members, we were able to fulfill 100% of their supply requests despite sourcing, transportation, and delivery challenges.

Also crucial to an emergency master plan: the hospital supply chain staff. They should be tasked with maintaining supplies and should act as the primary point of contact for supply sourcing/deliveries. Further, involved facilities personnel can offer on-site solutions to critical equipment and infrastructure issues.

When it comes to emergency situations, the unexpected is the only certainty. But with intense pre-planning (including stakeholder engagement throughout the process), with collaboration and coordination as the foundation of your emergency response, navigating the uncertainties of hurricane season or any disaster can become manageable—the primary, most ambitious goal in a crisis.

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 October, 2013

Remembering Sandy and Our Healthcare Heroes October marks one year since Superstorm Sandy hit our shores.

Our thoughts remain with all of those who continue to recover and rebuild.

We salute the healthcare leaders, government officials, and community heroes who went above and beyond the call of duty to help those in need—and who stand at the ready each and every day.

We are forever grateful.

Page 9

PAGE 10

October, 2013

or nfo f i t s e Lat es and

nursdents stu

Hospital Newspaper - NJ

Nurse’s Viewpoint

By Alison Lazzaro, RN

Hospital Newspaper Correspondent

Comfort, Caring and Confusion Nursing school could never have prepared me for a patient to look me in the eye and tell me he was ready to pass away. Nothing could prepare me for his family's reaction. In nursing report, I was told the patient's code status was “DNR/DNI.� But, I was unaware of what that abbreviation truly expressed. Was it that CPR would not be performed? Was it that we stopped giving all medications aside from pain control? Did it encapsulate the family's wishes or the patient's desires? These questions warrant an explanation in nursing school and in the field.

Although hospital policies regarding code status can vary by state, Do Not Resuscitate directives can alert health care workers not to start an IV, provide respiratory assistance, insert an artificial airway, or other specified interventions. An advance directive can articulate a patient's medical end-of-life wishes in case the patient is unable to speak for himself. Having conversations and documentation about end-of-life care can prevent family members from having to speak on their loved one's behalf during an overwhelming time.

Palliative care does not necessarily have to signify a patient is dying.

Palliative care helps patients with pain control to alleviate symptoms.

This pain management gets confusing because some families interpret this as their loved one is dying, when in reality it just mollifies suffering for any type of patient. This occurs when a client is either fighting a disease and/or in the dying process. There are no time restrictions.

Palliative care can occur throughout medical treatment, however this treatment may get a bad reputation because it is generally started later in a person's hospital stay and may coincide with the dying process.

Hospice care can be for people in the dying process and provides support for the patient and respite care for families. Patients can receive symptom management medications at no cost through hospice care.

The setting for this treatment goes beyond the home. Inpatient hospice occurs in a bed of the hospital, skilled nursing facility or even an assisted living facility.

Comfort care generally occurs in the hospital after aggressive treatments have been deemed unsuccessful.

Putting a patient on comfort care may mean that there is nothing else that will make the patient's disease better, so an alternative is to keep the patient comfortable and relieve suffering. The patient may not be dying immediately, but further treatment will not change the outcome. The focus changes from trying to cure a patient to caring for the patient beyond the disease.

Nurses are advocates for patients. Pain is considered the fifth vital sign, so we are constantly striving to cure or care for our patient's pain. Educate patients, families, and other health care professionals on all the treatment options available from palliative care to hospice.

Make sure patient's wishes are respected. If nothing can take away pain and suffering of a dying loved one, having answers for patients and families can be a remarkable help during these difficult times.

Hospital Newspaper - NJ October, 2013

Page 11

education & careers Saint Peter’s to host symposium on ovarian cancer organized by 16-year-old Branchburg girl

- Student’s grandmother died of the disease; aunt is a 2-year survivor Kristin Gmunder of Branchburg is a 16-year-old junior at Villa Walsh Academy in Morristown, a cheerleader at her school, a member of its Spanish Honor Society, and – in her spare time – an expert on the scourge of ovarprovided ian cancer. That is what having a grandmother who died of the disease and an aunt who is a two-year survivor of ovarian cancer can do to a girl.

Those life-and-death lessons have taught Kristin much of what there is to know about ovarian cancer, what turns out to be enough of an education that Kristin has become an outspoken advocate of teaching “women of all ages to be aware of the symptoms of ovarian cancer so that, until a cure is found, at least the disease can be detected in its earliest stages at a time when there is the greatest chance of survival.”

Now her mission is about to take huge leap forward.

On Sunday, Sept. 29 – part of “Ovarian Cancer Awareness Month” – Saint Peter’s University Hospital in New Brunswick will partner with Kristin to host a three-hour-long program of information about ovarian cancer, complete with expert speakers, survivors’ stories, and other information women should know.

And Kristin is the organizer. She has pieced together a roster of speakers including Wilberto Nieves-Neira, MD, an expert in cancer research and an assistant professor at The Cancer Institute of New Jersey; Michelle Horner, MS, CGC, genetic counselor supervisor in the Department of Medical Genetics and Genomic Medicine at Saint Peter’s University Hospital; Teresa Grasso, RD, CDE, outpatient nutritionist at Saint Peter’s; Karen Herzog of Liberty, Ohio, and Dorinda Sparacio of Hightstown, each of whom is a survivor of ovarian cancer, and Janice Swierczek of Trenton, an advocate for government support.

Ovarian cancer claims the lives of more than 14,000 U.S. women every year. Signs and symptoms of ovarian cancer may include: abdominal pressure; pelvic discomfort or pain; persistent indigestion, gas or nausea; changes in bowel habits; changes in bladder habits; loss of appetite or quickly feeling full; increased abdominal girth; a persistent lack of energy, and lower back pain.

The free-to-the-public symposium will begin at 1 p.m. in the Sister Marie de Pazzi Conference Center at Saint Peter’s University Hospital. Doors will open at 12:45 p.m. Call 908-635-9107 or email OCAD.Sept29@gmail.com for more information and to RSVP. Please RSVP by Friday, Sept. 20. Refreshments will be provided.

Attendees are encouraged to wear teal – the color of the ovarian cancer fight.

Visit www.saintpetershcs.com for more info.

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PAGE 12

October, 2013

Hospital Newspaper - NJ

H HOSPITAL of the Month Bergen Regional Medical Center Three Divisions of Care...One Commitment to Excellence.

• Diversified Recreational Therapy activities for all functional levels including horticultural therapy in the BRMC • Greenhouse, arts and crafts, music programs, cooking programs, variety shows, dances, birthday parties, and many other dynamic interactions designed to allow our residents to enjoy life to its fullest • Regular community outings including trips to movie theaters, restaurants, shopping centers, parks, sporting events and museums • Flat Screen TV’s and Wii Entertainment Systems in dayroom areas • Greenhouse • Library • Game room • Kosher meals provided upon request • Dedicated Korean Program that meets the cultural needs of our Korean community With 323 beds, Bergen Regional is one of the largest medical resources providing a continuum of care for the behavioral health community. Behavioral Health Services at Bergen Regional Medical Center provides quality psychiatric and addictive disease treatment programs for children, adolescents, adults, and older adults. The full compliment of services includes:

Long Term Care | Behavioral Health Services | Acute & Ambulatory Care Located at 230 East Ridgewood Avenue in Paramus, NJ, Bergen Regional Medical Center provides a comprehensive set of quality services including Long Term Care, Behavioral Health Care and Acute Care to the Bergen County community. Bergen Regional is both the largest hospital with 1,070 beds and the largest licensed nursing home in New Jersey. It is also a safety net provider for the mentally impaired, elderly, uninsured or underinsured for the state of New Jersey.

The entire Medical Center, including its Long Term Care Division, is fully accredited by the Joint Commission. Less than 6% of Long Term Care facilities nationwide pursue and receive Joint Commission accreditation.

The Long Term Care Division of the Medical Center was named the 2012 NJ Biz HealthCare Heroes Nursing Home of the Year. The Division is known for the quality of life and quality of care it provides its residents and for more than 80 years, families have trusted Bergen Regional Medical Center to provide comprehensive, high-quality long term care services for their loved ones.

As a full service, accredited medical center, Bergen Regional provides nursing care, as well as access to specialized onsite physicians 24 hours a day, 365 days a year.

Because the facility has an on site acute care hospital, if residents experience medical emergencies day or night, the comprehensive medical care they need is always just an elevator ride away. Long Term Care specialty services include: • Rehabilitation services, including physical therapy, occupational therapy and speech therapy • In-house respiratory therapy services • 12-bed ventilator unit • Surgical care • Tracheostomy care • Professional dietitians and chefs who can accommodate most food preferences and therapeutic diets • Hospice services which, if elected, is provided in addition to the care offered by our professional nursing, social work and other staff • Several high medical acuity units are available. Intravenous therapies, gastrostomy tube feeding and advanced respiratory support services are available • A comprehensive wound care program • Respite program • Secure Alzheimer/Dementia units • Multi-faith pastoral care provided at bedside and in our interfaith chapel.

• A personal care salon on site. Services offered in the salon or in the privacy of a resident’s room

• • • • • •

Mental Health and Substance Abuse Assessments Acute Psychiatric Hospital Care Sub Acute/Intermediate Psychiatric Hospital Care Psychiatric Intensive Outpatient and Partial Hospital Programming Substance Abuse Intensive Outpatient and Partial Hospital Programming Outpatient Services

In addition to its long term care and behavioral health/substance abuse expertise, Bergen Regional also offers acute medical services including: 24/7 emergency department; surgical suites; physical rehabilitation; pharmacy; laboratory; radiologic services and more than 20 ambulatory specialties available through the BRMC Clinic.

BRMC is certified as a Nurses Improving Care for Healthsystem Elders (NICHE) facility. Bergen Regional Medical Center is one of only two NICHE designated hospitals in Bergen County and one of 29 hospitals in New Jersey.

Whatever your medical or mental health needs, Bergen Regional Medical Center is committed to providing you or your loved one with compassionate and quality care.

Contact Bergen Regional • www.bergenregional.com Main Number Long Term Care Admissions Acute/Ambulatory Services Access Center for Mental Health and Addiction Services

201.967.4000 201.967.4073 201.225.7130 1.800.730.2762

Hospital Newspaper - NJ October, 2013

Page 13

Three Divisions of Care‌ One Commitment to Excellence In uncertain times, its good to know that Bergen County’s safety net hospital is here for you. If you are underinsured or uninsured, or if you have a need for long term care or behavioral health care, Bergen Regional Medical Center (BRMC) is your medical facility. Services available at BRMC include: %(+$9,25$/ +($/7+ &$5( ` Inpatient and Outpatient Mental Health Services ` Collaborative Medical and Behavioral Health Continuum of Care ` Addiction Services ` Adult, Geriatric, Child and Adolescent Services

/21* 7(50 &$5( ` Home Like Atmosphere with Quality Medical Care an Elevator Ride Away ` Wound Care Treatment ` Alzheimer’s/Dementia Care ` 24 Hour Skilled Nursing Care ` Respite Care ` Winner NJ Biz Healthcare Heros Nursing Home of the Year

$&87( &$5( ` More than 20 medical specialties ranging from allergy to podiatry all within the BRMC Clinic ` Full Service Pharmacy Department for Clinic Patients ` 24/7 Emergency Department ` Operating Suites and Surgical Services ` Physical Rehabilitation Department ` Imaging Services ` One of 2 Certified NICHE (Nurses Improving Care for Healthsystem Elders) facilities in Bergen County

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October, 2013

Hospital Newspaper - NJ

education & careers Holy Name Medical Center Nursing students graduate Thirty receive Licensed Practical Nursing diploma at commencement exercises Holy Name Medical Center’s School of Nursing celebrated the 41st Commencement Exercises for its Licensed Practical Nurse Program on August 21. Thirty students received their licensed practical nursing (LPN) credential in the hospital’s Marian Hall Conference Center, as family members, friends, Medical Center staff and School of Nursing faculty witnessed the event. Holy Name’s School of Nursing also offers a Registered Nurse Program, whose students graduated in June.

The 24 female and six male candidates, School of Nursing faculty, and members of Holy Name Medical Center’s administration proceeded into the conference center amid the strains of Pomp and Circumstance.

Amy Nieporent, BSN, RN, an instructor in the LPN program, issued a welcome, and Theresa Reilly, one of the soon-to-be graduates, delivered the invocation.

In her salutation, Sheryl Slonim, DNP, RN-BC, NEA-BC, Executive Vice President of Patient Care Services and Chief Nursing Officer at Holy Name Medical Center, told the graduating class that “the possibilities and diversity of choice are endless.” She reminded the graduates that, having completed the course of study in nursing, “you are

not the same person you were” and that as they assume their new roles, “remember that patients always come first.” She encouraged them to “learn and pursue greatness, but never forget the fundamentals,” noting that “respect for life and the human condition” are essential.

Gloria Moscatello, RN, a School of Nursing alumnus who is now Director of Nursing for Preferred Home Health Care and Nursing Service, gave the Commencement Address. Describing herself after high school as “a hot, hot mess” who was lacking direction, she recalled her inspirational meeting with the late and beloved Sister Claire Tynan. Sister Claire, who had directed the School of Nursing for 39 years, noted that while Ms. Moscatello’s record was “not the best,” she encouraged her to pursue a nursing education. “She gave me a chance,” said Ms. Moscatello.

“Now I get to give people a chance.” She advised, “Don’t lose your passion. Stay humble….Treat your patients the way you treat the people you love the most.”

Dr. Slonim presented the diplomas, with the assistance of Nancy Lyons, BSN, RN, and Jennifer Gazdick, MSN, RN, both instructors in the School’s Licensed Practical Nurse Program.

Members of the Class of 2013, Holy Name Medical Center School of Nursing LPN Program. listen as the Chief Nursing Officer at Holy Name Medical Center tells them, "Remember that patients always come first."

Melissa Lawrance, President of the School’s Class of 2013, delivered the Farewell Address; and Sister Breda Boyle, the Medical Center’s Director of Pastoral Care, said the closing prayer. Paul Daher, a pianist who has provided musical accompaniment for Holy Name’s

Unique Recruitment Opportunity Hospital Newspaper believes that high school students should be informed about potential healthcare careers. Special career sections will be placed in your local high schools, medical schools, colleges and nursing schools.

This is your opportunity to display opportunities for: Faculty/Physician Nursing Administrative Support Positions Clinical Care

Medical Assistants Counselors Medical Imaging Dieticians

Contact Jim Stankiewicz for more information. tel: 845-534-7500 x219 jim@hospitalnewspaper.com

commencement exercises for over 20 years, performed classical selections throughout the event.

The School of Nursing, founded in 1925 by the Sisters of St. Joseph of Peace, offers a two-year registered nurse (RN) program with the option of completion in three years,

and a one-year licensed practical nurse (LPN) program. For information about admission requirements for Holy Name Medical Center’s School of Nursing, please email school@holyname.org or visit www.schoolofnursing.info.

Hospital Newspaper - NJ October, 2013

PAgE 15

Centenary students take the ‘Plunge” at Matheny during College’s Community Service Day Every semester incoming students at Centenary College in Hackettstown, NJ, take part in a day-long community service project called the Community Plunge. The project is mandatory for all new students and offers them a selection of different sites at which they volunteer. This year’s Community Plunge was held on Monday, August 26, and the Matheny Medical and Educational Center in Peapack, NJ, was one of 18 different organizations that were included. Matheny is a special hospital and educational facility in Peapack, NJ, for children and adults with medically complex developmental disabilities.

The students spent the entire day participating in a variety of recreation therapy activities including relay races and adapted sports. Recreation therapy at Matheny provides students and patients with a variety of recreation opportunities and resources to improve their physical, emotional, cognitive and social well-being.

Volunteers to help out in recreation therapy activities are needed days, evenings and weekends. They can serve as recreation assistants, classroom aides, tutors or just friendly visitors. For more information, call Gail Cunningham, at (908) 234-0011, ext. 282; or email her at volunteers@matheny.org. photos provided

Rebecca Raymond, a Centenary student from Long Valley, NJ, and Matheny student Mohamed El Yamany won the egg toss competition. At right is Sean Bielefeldt, Matheny director of recreation therapy.

Anthony Pare, a Centenary student from Stewartsville, NJ, shared a humorous moment with Matheny student Mark O’Connell.

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

2013 PERCY AWARDS

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presentation

of the new

The 6th annual PERCy Awards take place on

December 5, 2013 at the HPMSNJ’s 34th Annual Meeting held at

National Conference Center, Monmouth, New Jersey.

be presented in the following categories:

Awards will

BEST HOSPITAL MARKETING CAMPAIGN – A Marketing Program used to promote a hospital service or program. written

of the program.

Include a discussion of the impact the program had on the market, Include photos or video and description community and resulting

patient volume.

PROGRAM

– A Planning

program

resulted

being implemented.

BEST HOSPTIAL PLANNING that in a new service/program Outline goals, process program.

Description using a video and results to describe

or content presented with a short PowerPoint.

BEST HOSPITAL PUBLIC RELATIONS/MEDIA PLACEMENT PROGRAM – Any PR program or media placement used to promote a hospital service program. of program or placement Include samples

as well as written description of the program

and impact on the market and results.

BEST USE OF SOCIAL MEDIA IN HEALTHCARE YouTube,

– Facebook,

Twitter, Blogging,

Podcasting

or Pinterest can have a major impact on how you market your hospital. Provide a video or written description of what you have used. Tell us about the impact of social media for the staff, patients and your market. Include the links.

BEST HOSPITAL OUTDOOR ADVERTISING – Judging of a billboard of outdoor ad will be based on a design which was used to

or program. Include

promote a hospital services a photograph of the billboard or original design, location(s) and written or video description of impact it had on market or hospital service.

submission

is October

11, 2013

• Deadline for ADDITIONAL INFORMATION

• Entry Fee is $100 per submission

• Each submission should be placed on one CD. A written outline of each entry should accompany each form.

• Work must have been produced between November 2012 and September 2013. be conducted

independent panel of judges selected for their expertise in communication, planning, advertising • Judging will by an and marketing.

Decisions website: www.hpmsnj.org

of the judges are final.

Criteria for judging is available on the HPMSNJ

• Awards will be presented at the annual HPMSNJ meeting on December 5, 2013 aspect of the PeRCy Awards will be answered

by Norman

FACHE Chair,

• Questions regarding any Tessell, PERCY Award Committee or by calling 215-840-6636

at normantessell@gmail.com

• PERCY Award winners will provide a brief review of their program at the Annual Meeting.

Hospital Newspaper - NJ October, 2013

HELP Program continues to flourish It seemed like a natural, a winner, a great product for even greater people.

Last year, Sun Home Loans and Hospital Newspaper teamed up to create the Hospital Employee Loan Program (H.E.L.P.), which provides discounted mortgage rates designed for hospital employees and pre-qualifications for their next home or refinance. Indeed, it’s been a hit.

Clients, from doctors to nurses and support staff, have been satisfied with the innovative program. Of course, these heroes deserve nothing but the best customer service, which sets Sun Home Loans apart.

After all, haven’t we all been touched by a caring doctor or nurse that has taken care of us, or an ailing family member. It’s just what they do.

In part, the H.E.L.P. program was created in honor of these men and women.

“To see the program succeed has been exciting for all of us,” said Steven Testa, a Vice President with Sun Home Loans. “What makes this mean so much more to all of us at Sun Home Loans, is that we get to work with these special people.

They are a caring and tireless group, that’s for sure. I can’t tell you how proud we are of the H.E.L.P. program.”

Whether purchasing a new home or refinancing an existing one, the Sun Home Loans H.E.L.P. program is offered to members of the hospital community and their families. So why has the H.E.L.P. program been such a success?

Where do we start?

H.E.L.P. sets itself apart with unmatched customer service and some of the best mortgage rates in the country. Sun National Bank’s renowned staff tirelessly works with clients – from initial inquiry, through paperwork and phone calls, up to closing. That will never change as H.E.L.P. continues to expand and gain popularity.

The H.E.L.P. program provides discounted mortgage rates designed for hospital employees and pre-qualifications to shop for your next home or refinance. A H.E.L.P. program representative will assist you in making sure the process is costeffective and works for you and your family.

In addition, Sun National Bank provides a fullrange of banking products and services, delivered by experienced bankers.

The doctors, nurses and support staff we created the program don’t deserve anything else.

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.

Page 17

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

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

Hospital Employee Loan Program

Sun Home Loans, a division of Sun National Bank,

PROGRAM INFORMATION

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.

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

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

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

Learn 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

PAGE 18

October, 2013

Hospital Newspaper - NJ

270 miles away, Hunterdon Healthcare shows support for Boston bombing victims Hunterdon Healthcare and the Hunterdon Health and Wellness Centers raised over $3,000 for Massachusetts General Hospital to help the victims of the Boston Marathon tragedy.

The Hunterdon Health and Wellness Centers held two spin challenges in which staff of the Hunterdon Health and Wellness Centers and administration of Hunterdon Healthcare rode a spin bike for an hour from the time the facility opened until it closed, about twelve hours. Visitors of the Wellness Centers supported each rider with a monetary donation. The Hunterdon Health and Wellness Centers also held a member challenge, ‘270 Miles for Boston’ – the distance from Hunterdon to Boston. Members who participated completed 270

minutes of exercise. Additional funds were raised through the Festival of Ballooning 5K run, which Hunterdon Healthcare sponsored.

“The Mass General community was deeply moved by the tragic events that occurred at the Boston Marathon. We are deeply grateful for the outpouring of support from the Hunterdon Healthcare community from Flemington, New Jersey.

Gifts to our MGH Emergency Response Fund will enable Mass General’s clinicians to continue their training to be even better prepared for a natural disaster or a terrible event, like the Boston Marathon bombings, and provide vital assistance to the individuals affected.” Stated, James E. Thompson, Vice President, Development.

Pictured: Tamra Campanella, Administrative Director, Hunterdon Health and Wellness Centers in Whitehouse Station and Clinton, Jennifer Exley, Front Desk Coordinator and Lifeguard at the Hunterdon Health and Wellness Centers and Robert Wise, President and CEO of Hunterdon Healthcare. Ms. Exley created the idea to hold the spin marathon at the facilities to help raise the funds for Massachusetts General. provided

Barnabas Health honored for participation in American Cancer Society’s nationwide study

provided

NEXT MONTH… Best Hospitals!

Pictured, from left to right, are Frank Mascia, Executive Vice President, Eastern Division of the American Cancer Society (ACS); Connie Greene, Vice President, Barnabas Health Institute for Prevention; and Tom Biga, Executive Vice President for Operations, Barnabas Health, at a breakfast honoring Barnabas Health facilities for their participation in the ACS’s nationwide research study, Cancer Prevention Study – 3 (CPS-3). From October 2012 to June, the health care system assisted in encouraging more than 800 individuals to enroll in this long-term study aimed at better understanding the factors that cause or prevent cancer, making Barnabas Health the largest CPS-3 enrollment effort in New Jersey.

For more information about Barnabas Health, visit barnabashealth.org.

For more information about CPS-3, visit cancer.org.

Boomers & Beyond Alzheimers facilites and care For more details contact: Jim Stankiewicz at 845-534-7500 ext. 219 jim@hospitalnewspaper.com

Hospital Newspaper - NJ October, 2013

PAge 19

St. Joseph’s Healthcare System named 2013 MOST WIRED Nation’s Most Wired hospitals demonstrate progress through innovation St. Joseph's Healthcare System, Paterson, NJ, has been recognized as one of the Nation's MOST WIRED for the third consecutive year, according to the results of the 2013 Most Wired Survey released in the July issue of Hospitals & Health Networks magazine, the journal of the American Hospital Association.

This year marks the 15th anniversary of Health Care’s Most Wired Survey. In that time, hospitals and health care systems have made great strides in establishing the basic building blocks for creating robust clinical information systems aimed at improving patient care. This includes adopting technologies to improve patient documentation, advance clinical decision support and evidence-based protocols, reduce the likelihood of medication errors, and rapidly restore access to data in the case of a disaster or outage.

“St. Joseph's Healthcare System is proud to be among the nation’s Most Wired healthcare organizations.

This recognition acknowledges the efforts of our multidisciplinary

team which continuously strives to provide much needed efficiencies to streamline our health delivery system while enabling a culture of compliance and best-practices,” states William A. McDonald, president and chief executive officer at St. Joseph's Healthcare System.

“This year’s Most Wired organizations exemplify progress through innovation” says Rich Umbdenstock, president and CEO of the American Hospital Association. “The hospital field can learn from these outstanding organizations ways that IT can help to improve efficiency.”

Among some of the key findings this year: • Sixty-nine percent of Most Wired hospitals and 60 percent of all surveyed hospitals report that medication orders are entered electronically by physicians. This represents a significant increase from 2004 results when only 27 percent of Most Wired hospitals and 12 percent of all hospitals responded, “Yes.”

• Seventy-one percent of Most Wired hospitals have an electronic disease registry to identify and manage gaps in care across a population compared with 51 percent of total responders.

• Sixty-six percent of Most Wired hospitals share patient discharge data with affiliated hospitals, in comparison to 49 percent of the total responders. Thirty-seven percent of Most Wired hospitals do so with non-affiliated hospitals versus 24 percent of total responders.

“Meaningful use has been a top priority for CIOs and hospital executives, but understanding all of the data will be critical as new relationships continue to evolve,” says Rose Higgins, vice president, strategic solutions, RelayHealth, McKesson’s connectivity business unit. “Data analytics will be essential to helping hospitals balance quality of care and cost requirements in a new environment of risk-based reimbursement and evidence-based medicine.”

Health Care’s Most Wired Survey, conducted between Jan. 15 and March 15, asked hospitals and health systems nationwide to answer questions regarding their IT initiatives. Respondents completed 659 surveys, representing 1,713 hospitals, or roughly 30 percent of all U.S. hospitals.

The July H&HN cover story detailing results is available at www.hhnmag.com.

More information about the Most Wired survey is available at: http://www.hhnmostwired.com/ aboutus/index.dthml

About SJHS With a tradition of excellence that spans more than 145 years, nationally-recognized St. Joseph’s Healthcare System is an integrated multidisciplinary comprehensive health care organization renowned for the expertise of its clinical and professional staff, leading edge technology and ‘patients first’ approach to service excellence. St. Joseph’s Healthcare System is sponsored by the Sisters of Charity of Saint Elizabeth. To learn more, visit www.StJosephsHealth.org or call 877.757.SJHS (7547).

EMERGENCY MEDICINE UPDATE CME 2013 Conferences 9/23-26 Las Vegas, Nevada

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4/12-19 7-Day Caribbean Cruise

5/19-22 New Orleans, Louisiana

7/5-12 7-Day Alaskan Cruise

7/21-25 Yosemite, California

8/25-29 Whitefish, Montana

9/15-18 Las Vegas, Nevada

11/13-16 Key West, Florida

12/9-12 Paradise Island, Bahamas

2014 Ultrasound in Emergency Medicine 3/20-21 Las Vegas, Nevada

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2015 Tentative Conferences 3/16-19 Las Vegas, Nevada

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2016 Tentative Conferences 3/14-18 Las Vegas, Nevada

north west S E M I N A R S

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PAGE 20

October, 2013

Hospital Newspaper - NJ

RESOURCE DIRECTORY ARCHITECTURE

FAST & COMFORTABLE PELVIC EXAMS TSk PRODUCTS

Bernstein & Associates, Architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities.

Our focus: high-quality design, excellent service, and client satisfaction.

We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States. Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services.

The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper.

Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration.

The firm also offers sustainable or “green” healthcare design. The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”.

Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com).

Bernstein & Associates, Architects - PLLC 1201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 609-309-7005 Fax: 609-309-7006 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON

The Wedgie Pelvic Exam Wedge provides fast, comfortable pelvic exams in the ER, Radiology, SANE and Women’s Health. It is a much more comfortable than using a hard bedpan. The 6" height of the Wedgie lifts the patient's pelvis significantly higher then a bedpan, thus allowing physicians to perform a better exam. The Wedgie’s unique cutout design allows the physicians to maneuver their speculum in all directions without interference.

The Wedgie support patients weighing up to 350 lb. It is made of a medical grade foam and an anti-microbial, anti-bacterial, and stain resistant medical grade vinyl cover. It can be cleaned with standard disinfectant products. Optional: disposable one-time use protective covers and room wall holders are available.

COMMUNICATION SkILLS Aspirin for Your Language Headache!

When nurses, administrative staff and technicians speak a different language than patients and their families: •

Patients may not be able to understand simple questions or directions.

• Hospital staff may not be able to give or get important information from caregivers or family members.

• Employees may not understand proper protocol and procedures.

On your site on your schedule: • Spanish for Healthcare

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Join BlueSteps today to put your resume and confidential careerprofile at the finger tips of over 8,000 of the world’s top executive recruiters, including hundreds who specialize in healthcare and life sciences recruiting. In addition to a unique connection to the executive search community, BlueSteps also provides a suite of proactive career management tools including: • a free resume review and career consultation • access to the International Executive Search Firm Directory • exclusive information on hundreds of active executive searches • online brand management tools • career management content and events specifically for senior-level executives As a service of the Association of Executive Search Consultants, you can rest assured that your career details will be confidentially and securely managed within BlueSteps. Unlike other mass job boards, only the highest caliber executive search consultants (all members of the AESC) will have access to your BlueSteps profile. Each year, AESC members recruit for over 70,000 of the highest level executive positions globally, many of which are never advertised publically.

CONTRACT/PRACTICE MANAGEMENT SERVICES

...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

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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 October, 2013

Trinitas Regional Medical Center enhances staff safety with location-aware call buttons Trinitas Regional Medical Center, the premier, full-service healthcare facility serving Central New Jersey, is taking a novel approach to protecting its staff from combative patients, utilizing a Real-time Locating System (RTLS) from Versus Technology, Inc. (OTCPink: VSTI).

RTLS, commonly used for asset and patient tracking in hospitals, was selected by Trinitas first and foremost to enhance their safety protocols, according to Security Director John Dougherty. “Our main goal and objective was to improve the security and safety of our staff.”

Versus’ Visibility[TM] Staff Assist solution, provided through Maffey’s Security Group, the local Versus Certified System Integrator and Trinitas’ security vendor of more than 50 years, provides location-aware badges for caregivers.

By pressing the badge button, staff can immediately summon help to their location.

The need for enhanced security in healthcare is made plain by the U.S. Department of Justice's National Crime Victimization Survey.

It found 10 percent of all workplace violence victims worked in medical occupations, behind only law enforcement and retail. Further, a 2011 survey by the Emergency Nurses Association found 55 percent of nurses experienced physical or verbal abuse during a seven-day period.

According to Dougherty, “Many of our staff work in areas where they are sometimes alone with volatile patients. Previously, if a nurse needed help, she wouldn’t be able to get it right way. But by pushing their badge button, not only does it alert other people, but it also shows the nurse’s location.”

Trinitas first implemented the Staff Assist system in its Emergency Department in February of 2013. ED staff can push their badge buttons to summon help for medical emergencies (for example, to help with a patient in cardiac arrest), or to request a Code Gray (combative patient or visitor).

Trinitas has since expanded the system into its inpatient and outpatient psychiatric units, as well as its drug abuse counseling facility. A button-push in these areas

immediately triggers a Code Gray response. Implementation in the Med/Surg unit, which sometimes houses psychiatric patients, is on the horizon.

Combined, more than 200 Trinitas physicians, RNs, LPNs, and technicians wear Versus badges.

Denise Loneker, RN, CEN, Nurse Manager in Trinitas’ emergency department appreciates the security Staff Assist provides. “Before, I had nothing to alert my coworkers if I was in trouble, but now I have this badge. It helps improve morale in the ED, knowing that help is just a button-push away.”

Dougherty suspects the Staff Assist system may also show a certain amount of hard ROI. “We’re always going to have our Code Grays, but Staff Assist may cut down on actual physical assault, because of improved response times.” Dougherty indicates comparing lost time from work due to violent assault before and after implementing Staff Assist might be one way to determine a return on investment.

“But quite frankly,” Dougherty says, “This is about providing peace of mind to our staff.”

To learn more about Staff Assist and other uses for RTLS in the clinical environment, such as patient flow, EMR automation, hand hygiene and more, visit Versus’ website at versustech.com or see Versus at one of several upcoming healthcare conferences listed at versustech.com/events.

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.

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If you’d like to reach the health and hospital communities of New Jersey each month, there is no more cost-effective way than the Hospital Newspaper.

Call Jim Stankiewicz to place your advertisement: 845-534-7500 *219

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New Jersey Hospital Group has partnered with Plymouth Rock Assurance because of our shared commitment to service and value for our customers. We protect you with outstanding service and coverage that you can always count on. You deserve a company that treats you like a person, not a policy—that’s what separates us fr om m other auto insurance companies. mpanies. from

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page 22

October, 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?

NO Calibration & NO Drops Icare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air. Quick, easy to use and patient friendly. The technology requires no calibration. From beginning to end the test takes under 60 seconds. Icare® has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher (609) 412-2134 bob@visioninstruments.net

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

www.bagoliefriedman.com

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 October, 2013

PaGe 23

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

bob@visioninstruments.net

PAGE 24

October, 2013

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-

Not Actual Size

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