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Thomas Jefferson University Hospital

Department of Emergency Medicine

November 2013

Originally from Cherry Hill, New Jersey, Kate now calls Voorhees her home. She attended Cherry Hill West High School and received her degree in European History and Nursing from the University of Pennsylvania, Kate went on to earn her Masters in Nursing Administration and Post Masters as a Clinical

Volume 2, Issue #11

Nurse Specialist from Penn. She began her career at Penn’s Department of Transplant and then at Presbyterian as a staff nurse and clinical specialist. She also worked at Atlanticare prior to joining Jefferson. Kate’s Mom and Dad still live in her child hood home and she has a younger brother. Franklin her dog, a mutt as Kate explains gets most of her attention. In her spare time Kate loves doing half marathons. She is a big fan of Amada restaurant in Old City and when she gets the opportunity likes to watch “How I Met Your Mother”. Kate is enjoying Jefferson and is in awe of how large the institution is and of the many resources that are provided. She is already in love with the staff and feeling like a member of the family.

Welcome Kate!!!!!

These Legs got the Miles! See page 10

Page 2 Birthdays & Announcements Page 3 Birthdays & Announcements Page 4 ROCS Page 5 Ray’s ‘n the Bar, ingrEDients Page 6 Grace Humanitarian Award Page 7 “Cradles to Crayons” Page 8 “In the Know” Page 9 WELCOME! Page 10 “A Little Wile” Page 11 Coffee Chat, HIV News, Page 12 411 on the 911 Read More about our “Grace Humanitarian” Recipient, Dr. Mohamed Bailor Barrie (below) on Page 6.

Happy Thanksgivinukkah


November

Ohhhh Tammy‌. We love ya! Congratulations to Mom mom Donna Ioquinto and her daughter Danielle on the birth of baby Leyla Alicea!

Many thanks to all of you who donated something special to Amy Mckee (pictured to the left). Please keep her in your prayers. Please Keep in your thoughts and prayers the family of Denah White, 9th Floor unit Clerk who suddenly passed away and let us remember our colleagues on the floor.

Tenille Petty 11/5 Keren Byrne 11/5 Joseph Gedraitis 11/7 Edward Clark 11/8 Sheriann Wilkins 11/11 Orvel Constantino 11/14 Maureen Roland 11/15 Rose Jaques 11/16 Geraldine Melone 11/17 Jen Meluskey 11/20 Beverly Thompson 11/25 Michael Gallo 11/25 Rolanda Coverson 11/29

December

Monica Peffley 12/1 Robert Bethea 12/5 Jaclyn Glazewski 12/10 Rosamaria Cornielle 12/13 Rita Malinowski 12/16 Carol berth Chromiak 12/23 Jacquelynn Gedraitis 12/24 Frank Miller 12/25 Toni Green 12/24 Mary Ann Carr 12/26 Thomas Donaghy 12/27 Danarra Cook 12/29 Medley Arevalo 12/30


The E.D. Families celebrate Halloween!

Facts You Can’t Dispute 1. You can’t wash your eyes with soap.

Pictured above are the many folks who came out to say “Farewell” to Michael Matonti. Many thanks to all our docs for making this happen!

2.

You can’t count your hair.

3.

You can’t breathe through your nose with your tongue out.

4.

You just tried Number 3.

6. When you did Number 3 you realized it’s possible only you look like a dog. 7. You’re smiling right now because you were fooled. 8. You skipped Number 5. 9. You just checked to see if there was a Number 5. th

Epilepsy Awareness Day – Friday November 15 E.D. Staff show their support by wearing PURPLE

10. Share this with your friends to have some friends too!


Chad Thomas, pictured to the left holding the balloon was part of last month’s team award. This month’s winner at the center City Campus was Girt Allerton who was nominated by Jeff Cook for his outstanding customer service with an upset patient. Other nominees included: Ms. Gloria from EVS; Candace Coppola;and Teresa Li-Follis.

Khalila Jones is a staff member of the TJUH Admissions Department and the E.D. is where she calls home. Khalila has been at the center city campus for 5 months but has worked for JHS for 7 years, formerly an ED Unit Secretary at Bryn Mawr. She lives in the Drexel Hill / Upper Darby section of Philly and graduated from South Philadelphia High School. Khalila has one son, Yul and a large family of 5 sisters and 3 brothers. In her spare time she loves writing, shopping and watching movies. “Bronx Tales” is her favorite. Khalila has a positive attitude about life; the glass is always half full! She is funny, caring and sensitive. She loves her co-workers and patient interaction. Hello Khalila!

Carol O'Donovan was Methodist’s October This Employee ROCS recipient

Over at Methodist… September's ROC's award winner goes to Sean Haines, nominated by Paula so Solipaca! Congratulations!

Farewell and best wishes to Aldo Giannantonio! Aldo’s last day is Wednesday November 27th. Aldo is moving to sunny California where he will work at a community hospital North of LA. Thanks for all you have done! Farewell and best wishes to our own Ed Lawrence. He’s not going far though… Ed will call 14 Thompson his new home. We will miss you!


Via Ponte 13 Bridge Street Stockton, NJ 1.609.397.9397

Across the river from Point Pleasant, PA (you know the place where you go tubing down the Delaware) is the town of Stockton New Jersey. This yesteryear village with its galleries, quaint inns and Victorian architecture is home to Via Ponte Restaurant. It’s an authentic Sicilian kitchen boasting the god of all gods in brick ovens which creates masterpieces of pizza and bread. Our plates consisted of the homemade (ok, everything here is homemade by Chef Giuseppe Finazzo) gnocchi and the Margherita pizza. Stuffed with ricotta cheese and sautéed prosciutto, the gnocchi were rich in flavor. Each bite contained a hint of the pesto and sundried tomatoes added to create this special dish. Our forks never rested. Lookout Mama Angelina’s and Taconelli’s, Philly’s famous pizzerias have some serious competition. The pizza at Ponte’s was one of the best we have ever tasted. Fresh mozzarella combined with a sweet and tangy sauce and baked to perfection in the mouth of the god – simply out of this world. Bridge Street’s best has a relaxed atmosphere with a touch of class that definitely requires a reservation. Please don’t forget to stop at Phillip’s next door where you can purchase your vino – YES, Ponte’s is a BYOB! If you need a wine recommendation, Nearby Alba’s Vineyard’s Old Mill Red – it’s a medium bodied red with a velvety finish – it goes great with the brick oven pizza. Just like Alba’s blend, a taste of Via Ponte’s is inexpensive, now I didn’t say cheap. It is well worth the trip and will definitely have you coming back for more. I am hooked on both!

Ingredients: 1 Cup of butter 2 Eggs 2 Cups of sour cream 2 (8 ½ ounces) boxes jiffy corn bread mix 2 (14 ½ ounces) cans creamed corn 2 (14 ½ ounces) cans whole kennel corn, drained Directions: Melt Butter in a casserole dish (use a lasagna pan) Mix in egg and then all the remaining ingredients (mix right in the pan). Bake at 350 degrees for 1 hour. This recipe feeds approximately 16 people. Divide the ingredients in half for smaller portions. Happy Thanksgiving everyone – Enjoy!

Methodist’s Theme Third Thursday is Thanksgiving!

Monday, December 16th 12 Noon “A” side Kitchen

Everyone is invited to join! *Entrees must be homemade and you must bring in the recipe for everyone to share.


Dr. Mohamed Bailor Barrie is one of only five physicians serving the 450,000 people of Kono District, the epicenter of Sierra Leone's recent conflict and the most underserved region of country. The son of a village tailor, Dr. Barrie grew up in unimaginable poverty and hunger. Inspired by his neighbor, a hardworking and dedicated nurse, he defied all odds to achieve the second highest score in the country on his high school completion examination -- granting him a full scholarship to attend medical school in Freetown during the war. Each day he walked 14 miles to and from class. Unable to afford medical textbooks, he hand-copied his classmates' books by candlelight. During the war he lost his father to a preventable disease and his mother was kidnapped by rebel forces, presumed dead for years. When violence came to Freetown, Dr. Barrie was forced to escape by dugout canoe under the cover of darkness to a refugee camp in neighboring Guinea. While almost all of his medical school colleagues fled abroad to better lives and better opportunities, Dr. Barrie was the only graduate who chose to serve his country and people. As the co-founder and Executive Director of Wellbody Alliance, he has sacrificed everything for his commitment to social justice and wellbeing in what the UN has called "the least livable country in the world." In a context of extremely limited health and social services and with the scarcest of resources, he dedicates each day to the seemingly insurmountable challenge of bringing essential healthcare to Sierra Leone's poorest people. The Grace Humanitarian Award is presented each year by the Department of Emergency Medicine at Thomas Jefferson University Hospitals to an individual who exemplifies the humanitarian values of compassion, conscientiousness, and dedication, while providing altruistic emergency care to our patients and their families or to an individual who advocates for excellence in emergency healthcare with these values in mind. "Almost dying proved to be a very uplifting and life-changing experience," said Marina Grace, namesake of the award, and Director of Revenue Cycle Budgets and Finance in the Business Services Department. "I was a runner and coded after a race. Dr. Jasper of our Emergency Department performed CPR and that's why I'm still here today! It's a wonderful feeling to know people will help you whether they are trained to do so or not. To this day, I'm so very grateful to our ED and the Grace Humanitarian Award was established to honor people who live their lives dedicated to helping others." Marina also sees the award as way to honor her family members, who have been extremely supportive of her.

Methodist Hospital is holding the American Red Cross blood drive on Monday, December 2, 2013, from 7 a.m. until 10 p.m. in the Morgan Conference Center. All Jefferson/Methodist employees who donate or try to donate blood at this blood drive will be entitled to three (3) hours of extra Blood Donor vacation time, scheduled with your manager/supervisor's approval. Plus, those who donate will be entered into a drawing for a free Apple iPad!

Are You Compliant? Sunday is TJUH Flu Vaccination Policy Deadline

LiveWell@Jeff Update: Health Coverage Discount Still Available in 2014

The TJUH flu vaccination deadline is December 1. Protect yourself, our patients, and each other. The vaccine is available at University Health Services in the 833 Chestnut Street Building, Suite 205 (open every

For our second year of the program, employees may accumulate points from wellness activities from November 1, 2013 through September 30, 2014. If you did not complete the wellness program by 10/31/13, and are motivated to complete the second-year program requirements by 3/31/14, you will receive the 2014 wellness rates beginning with the 4/5 pay period.

weekday 7:30 p.m. to 4 p.m., closed Thursdays 12-1 p.m.).


Press Ganey Conference 2014

Terry Heavens rushes the stage for Clinton’s autograph!

We are looking for volunteers to donate their time to help assemble our “Cradle to Crayons” Care Bags on December 20th from 10am – 12pm. If anyone is interested and or/ if you would like to bring your child for a volunteer experience please let Jodi Schantz know ASAP. Thanks for all your efforts in this initiative.

Enjoying Orlando!!!!!


How the Turkey Got Its Name

Celebrating 2 Years! Many Thanks to all of you who have contributed and continue to do so…. and to our ED SEPSS Committees, KUDOS.

There are a number of explanations for the origin of the name of Thanksgiving's favorite dinner guest. Some believe Christopher Columbus thought that the land he discovered was connected to India, and believed the bird he discovered (the turkey) was a type of peacock. He therefore called it 'tuka,' which is 'peacock' in Tamil, an Indian language. Though the turkey is actually a type of pheasant, one can't blame the explorer for trying. The Native American name for turkey is 'firkee'; some say this is how turkeys got their name. Simple facts, however, sometimes produce the best answers—when a turkey is scared, it makes a "turk, turk, turk" noise. Turkey Facts At one time, the turkey and the bald eagle were each considered as the national symbol of America. Benjamin Franklin was one of those who argued passionately on behalf of the turkey. Franklin felt the turkey, although "vain and silly", was a better choice than the bald eagle, whom he felt was "a coward". According to the U.S. Department of Agriculture, more than 45 million turkeys are cooked and eaten in the U.S. at Thanksgiving— that's one sixth of all turkeys sold in the U.S. each year. American per capita consumption of turkeys has soared from 8.3 pounds in 1975 to 18.5 pounds in 1997. Ten years later, the number dropped in 2007 to 13.8 pounds. In 2011, more than 248 million turkeys were expected to be raised with an average liveweight per bird of 28 pounds with nearly 6 billion pounds of turkey processed. By contrast, in 1970, only 105 million birds were raised with an average liveweight of 17 pounds and 1.5 billion pounds processed. The turkeys produced in 2010 together weighed 7.11 billion pounds and were valued at $4.37 billion. In 2002, retail sales of turkey were approximately $3.6 billion. In 2010, sales reached $4.37 billion. Age is a determining factor in taste. Old, large males are preferable to young toms (males) as tom meat is stringy. The opposite is true for females: old hens are tougher birds. A turkey under sixteen weeks of age is called a fryer, while a young roaster is five to seven months old. Turkeys are the only breed of poultry native to the Western Hemisphere.

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Light the Night was a success with over 40 walkers. Team Methodist Mission: Remission raised over $5,000 doubling its goal of $2,500.00.

Turkeys have great hearing, but no external ears. They can also see in color, and have excellent visual acuity and a wide field of vision (about 270 degrees), which makes sneaking up on them difficult. However, turkeys have a poor sense of smell (what's cooking?), but an excellent sense of taste. Domesticated turkeys cannot fly. Wild turkeys, however, can fly for short distances at speeds up to 55 miles per hour. They can also reach speeds of 25 miles per hour on the ground. Turkeys sometimes spend the night in trees. Turkeys can have heart attacks: turkeys in fields near the Air Force test areas over which the sound barrier was broken were known to drop dead from the shock of passing jets The ballroom dance known as the Turkey Trot was named for the short, jerky steps a turkey makes.

Help Us Help Those In Desperate Need! We are collecting the following for personal Hygiene Bags: Bars of soap; Shampoo; Tooth Brushes and Toothpaste; Face Rags; Brushes and Combs, Floss; Nail Clippers; Shavers; Shaving Cream; Zip Loc bags / Large. Please drop your donation off to Ray Wisniewski’s office 1st floor Main /ED. Deadline December 20, 2013. Thanks InAdvance for all your support

Welcome to all our new staff and E.D. family! Pictured above (first row, left to right): Mike McBride, EDT; Caitlin May, RN; Mike Boyle, RN. (second row left to right: Dawn Hilgert, RN; Jeff DiGiovanni, RN; Sue Cissone, RN Administrative Supervisor.


By Leora Wile BSN, RN, CEN President Elect PaENA

Wow, it has been a busy few months. Time is seems to being going faster and faster as we come to the end of 2013. September was busy with the Emergency Nurses’ Association (ENA) General Assembly in Nashville. This was my 23rd time as a Delegate representing Pa ENA as one of 30 delegates from Pennsylvania. It was great having Joe, Steve and Kate there as first time Delegates. Just ask them what they thought about the process. General Assembly Delegates are the representatives for all the members of ENA to voice issues and concerns that are occurring in our practice. The General Assembly provides direction for the ENA Board of Directors for the upcoming years. This General Assembly was quite lively. Just like any organization there are issues about goals, hidden agendas and changes. There was a Memorandum of Concern that was brought to the Delegates. There were some who didn't want this item put on the agenda. However, the Delegates voted to discuss this issue. It was great! Why, you ask? Well, all the undertones and concerns were put out there for all to see and discuss. Ideas and concerns were voiced and now the Board of ENA has much to discuss and address to the members. I am so proud to be part of ENA. Issues can't be addressed if you don't know what they are; whether actual or perceived. On Sept 27th, I received notification that I was appointed to the Advocacy Advisory Council (formally the Government Affairs Committee) for a two-year term beginning on Jan 1, 2014. I feel being on this committee is important. Nursing needs to be at the table making changes and not doing damage control after the changes are enacted. Soon I will be taking over as Pennsylvania State President. Where has all the time gone? I have been busy picking my dates for the meetings dates for 2014. This has been a fun time dealing with the hotel's events coordinator. Reviewing the contract and revising to meet the needs for Pa ENA meeting; and then selecting members to take chair positions on the State Council. On November 15th, I will be sworn in as Pa. ENA President for 2014. I am both nervous and excited. So many challenges lie ahead, but I know that I am not in this alone. I am blessed to have so many friends – friends who can be counted on to assist me in this journey. November to me is a time to be thankful for all of the blessings that have occurred this year. It is so easy to look at disappointments, frustrations and hurts. Take in a breath, let it out slowly, and look at the trees with their beautiful leaves. Remember, to thank your family for giving up time with you when you work the holidays. Thank your colleagues for helping you at work.

In 2007 she got the fever! Dragon Boat Fever that is… having paddled for the E.D. River Rats for the first time, Megan Heyer found a new hobby. Since then Megan started a community craze for the neighborhood ladies. Participating with 1 boat in their first year, Megan’s “Witches of East Greenwich” will compete in 2014 and their th 6 consecutive year with 9 boats! Mothers’ Matter and the Lauren Rose Foundation are just two of the non-profit foundations benefiting from the Witches Works. Megan who was born and raised in Northeast Philly now lives in South Jersey with her husband Scott and 3 kids: Andrew; Olivia and Kevin. She has been a Jefferson E.D. nurse since 1997. We congratulate Megan on her most recent nomination and for receiving Honorable Mention as a Miles Mack Award Recipient. “I knew and loved Miles. He was an incredible person it is such an honor to be considered for this award in his name. It makes me so happy!”


For our inaugural column, the ED Social Work department is very pleased to officially introduce our newest intern, Noel Mitchell. Noel arrived at Jefferson ED in September brighteyed (literally) and bushy-tailed (not literally). She is a second year MSW student from Temple University who loves to cook and shop. She will be with us learning the day-to-day operations of medical social work. Noel will be here until May 2014, so please join us in welcoming her to our ED team! Secondly, the social work department would like to invite everyone to join us in Winter Clothing Drive! Have extra clothes in your closet? Want to do some winter cleaning? The social work department is asking everyone to bring in any extra clothing items you no longer wear. We especially need shoes, socks, hats, gloves/mittens, shirts, pants and coats. No donation is too small. Clothing can be dropped off to the social work office or employee lounge. Our mission is to help the less fortunate, remember one man’s trash can be another person’s treasure.

JS: Hey Carol would you like to coffee chat with me? CF: Yes sure! JS: Great! So your full name is Carolina right? CF: Yes but I have always gone by Carol. JS: And where are you from? CF: All over! I was born in Brasilia, Brazil. When I was 8 I moved to Fremont. I attended undergrad at UC San Diego and med school at the University of Illinois. JS: Oh that's interesting!! And what made you want to come to Philadelphia? CF: I always wanted to come to an Urban setting. I love that there are so many great places to eat and the weather is not as bad as Chicago! My fiance Dana is always telling me to check the weather before I leave. He knows I am just not used to doing that! JS: oooohh fiancé! How did you meet him? CF: We met through a friend of a friend in Chicago. JS: What does he do? CF: He is a software engineer. He has his PhD in chemistry. He moved here with me from Chicago and his company now lets him work from home. So he is always hanging out with his cat (Mr. Kitty) while I am here! JS: Must be nice working from home... what are the wedding plans? Where's the ring?? CF: Well... I am a mess. No plans yet and I lost my ring!! JS: What!? Where did you lose it? CF: Actually here in the hospital. I was trying to hide it from Dana but he knows... It was on the b-side!! Look out for it. It is simple and silver!!

By Laura Kelly In July, a patient came to Methodist ED with complaints of chest cold and was diagnosed with a viral URI. In August, he returned to the ED with no relief of symptoms; an x-ray showed pneumonia. In September, the patient returned for a follow-up x-ray and Dr. Harsh Sule recommended an HIV test. The patient had never been tested for HIV before. The result of the oral screening was reactive. Later, results showed that at the time of diagnosis the patient's CD4 count was 10 and his viral load was over 600,000. Since getting treatment with Jefferson Division of Infectious Diseases, his CD4 count has increased slightly and his viral load is decreasing. However, this is a late diagnosis. Late diagnoses, still common in the United States, are one of the reasons that the CDC has recommended routine HIV screenings for patients ages 13-64 in healthcare settings (including the ED) since 2006. Promoting routine screenings helps people learn their status early, get treatment before the disease progresses to AIDS, and hopefully adopt safer behaviors to prevent transmission. In November and December, we will be offering staff trainings in oral rapid HIV testing for nurses and technicians. Please contact Laura Kelly or Masashi Rotte for more details. BIG THANKS to ED tech Ed Lawrence for his enthusiastic support of HIV testing over the past couple years. Ed volunteered to be trained in 2012 and has tested over 85 patients (all negative). We will miss him and wish him good luck on the Psych unit!! JS: We definitely will... So if you're not planning your wedding what do you do on your spare time? CF: I love going out to eat in Passyunk. I saw Catching Fire yesterday with Dana and it was great!! I really want to get back into scuba diving... I used to do it and eventually I want to be an instructor! JS: That's awesome! I have always been too afraid to do that! What are your plans after Philadelphia? Do you think you'll ever go back to Brazil? CF: Well my Dad's in Brazil and my cousin just had a baby there. I am going to see them in February and I can't wait! But, I don't think I will ever go back for good. It's hard adjusting. After Philadelphia I definitely will go somewhere warm, and maybe a little more urban! JS: Yeah... right now I would love to be somewhere warm! Thanks so much for chatting with my Carol! It was fun learning more about you! And hopefully this coffee chat will help you find your ring (B SIDE SILVER RING!!) CF: Ha! Yes, I hope so! Thank Jodi!

By Jodi Schantz


Are you prepared for the Joint Commission continuous compliance survey that will take place from December 17-20

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Roy has been an EMT for 16 years and is currently with Medic Unit 11 at 13th and Shunk. Prior to the fire department he worked in construction and as a mechanic. Originally from Delaware County, Roy calls South Philly his home. Roy’s hobbies include biking and home brewing, but his biggest love is his 2 year old daughter Rosalee. Roy truly likes his job and sees it as a perfect fit for him. “What make my job even better are my co-workers, and not just my colleagues at the firehouse but the nurses, doctors and all the support staff at Methodist and Jefferson Hospital (where we usually go). Thanks for all you do Roy!!!

November 2013 scor board