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November, 2012

Hospital Newspaper - NJ

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

rinitas Regional Medical Center is the first healthcare institution in the nation to receive not one but two Center of Excellence designations from the National League for Nursing, the pre-eminent organization in the country for promoting quality nursing standards and initiatives.

The Trinitas School of Nursing is a repeat recipient of the NLN’s Center of Excellence designation in the category of “Creating Environments that Enhance Student Learning and Professional Development.” This honor was followed just recently by another accolade, Center of Excellence recognition of Trinitas in the category of “Creating Workplace Environments that Promote Academic Progression of Nurses.” Trinitas is one of three hospitals in the United States to attain this second honor, which recognizes our significant achievements in providing nursing staff with opportunities for academic advancement, enabling nurses to use their new knowledge to improve patient care and outcomes.

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

This dual honor means that Trinitas nurses – both those in basic nursing education as well as those established in their careers – can benefit from programs that have been recognized as the best in the field. And that is very good news for our patients!

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

Behavioral Health • Cancer Care • Cardiology • Diabetes Management Maternal & Child Health • Renal Services • School of Nursing • Senior Services Sleep Disorders • Women’s Services • Wound Healing & Hyperbaric Medicine

Trinitas Regional Medical Center is a Catholic teaching institution sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.

Hospital Newspaper - NJ November, 2012

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November, 2012

Hospital Newspaper - NJ

Martin Lectures at San Antonio Uniformed Services Health Education Consortium James Martin, MD, FACEP, presented “Professional Development for Military Career Officers” and participated in a panel discussion at the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) Emergency Medical Exercise (EMX) Program.

News in Emergency Medicine Dwyer Appointed Medical Director of Emergency Medical Associates’ Site Support Team

Larsen Appointed Medical Director of Emergency Medical Associates’ Site Support Team

Miller Appointed Medical Director of Emergency Department at Westchester Medical Center

Jim Dwyer, MD, has been appointed Medical Director of the Emergency Department at Northern Westchester Medical Center, Mount Kisco, N.Y.

L. Scott Larsen, MD, has been appointed Medical Director of Emergency Medical Associates’ Site Support Team.

Ivan Miller, MD, has been appointed Medical Director of the Emergency Department at Westchester Medical Center, Valhalla, N.Y.,

Dr. Dwyer received his medical degree from the State University of New York at Buffalo (N.Y.) School of Medicine, and completed his emergency medicine residency at University of Buffalo Medical/Dental Consortium. He is board-certified by the American Board of Emergency Medicine. Dr. Dwyer joined Emergency Medical Associates in 2004 as an emergency physician at Catskill Regional Medical Center, Harris, N.Y. Most recently, he was associate director of emergency services at Nyack (N.Y.) Hospital. Dr. Dwyer was a certified public accountant prior to his career in medicine. Dr. Dwyer is a fellow of the American College of Emergency Physicians and a diplomate of the American Board of Emergency Medicine. He served on the board of the Rockland Paramedics/Rockland Mobile Care organization and is involved with several EMS organizations in Rockland County. He is a partner of Emergency Medical Associates. About Emergency Medical Associates Emergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. 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, please visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.

Dr. Larsen received his medical degree from the University of Medical and Dentistry of New Jersey, Newark, and completed his emergency medicine residency at Overlook/Morristown, where he was chief resident. Dr. Larsen joined Emergency Medical Associates (EMA) in 1985 as associate director and clinical physician at Somerset Medical Center in Somerville, N.J. During his career with EMA, he also worked at St. Clare’s Hospital, Morristown Medical Center, eMedical Offices and Bayshore Community Hospital. While at Bayshore, Dr. Larsen served as director of the department of emergency medicine from 1991 to 2008. Most recently, Dr. Larsen served vice president of quality improvement and medical affairs at Bayshore. He is a former member of EMA’s Board of Directors. Dr. Larsen is a fellow of the American College of Emergency Physicians and a diplomate of the American Board of Emergency Medicine. He is a member of the Alpha Omega Alpha medical honor society, American College of Healthcare Executives and New Jersey Hospital Association. He is a partner of Emergency Medical Associates.

Dr. Miller received his medical degree from Albert Einstein College of Medicine, Bronx, N.Y. He completed a combined residency in emergency medicine and internal medicine at Long Island Jewish Medical Center and Albert Einstein College of Medicine, New Hyde Park, N.Y. He is board-certified by the American Board of Emergency Medicine and the American Board of Internal Medicine. Dr. Miller joined Emergency Medical Associates (EMA) in 2002 as an attending emergency physician at Saint Barnabas Medical Center in Livingston, N.J. During his career with EMA, he has worked at Hudson Valley Hospital Center, St. Vincent’s Hospital, Clara Maass Medical Center, Nyack Hospital and Richmond University Medical Center, where he was chair of the department of emergency medicine. Dr. Miller is a fellow of the American College of Emergency Physicians and a member the American College of Physicians and the American Academy of Emergency Medicine in India. About Newton Medical Center Newton Medical Center, part of Atlantic Health System, is a fully accredited, 148-bed acute care, not-for-profit hospital serving more than 250,000 people in Warren and Sussex counties in New Jersey, Pike County in Pennsylvania and southern Orange County in New York. Specialty service areas include cardiology, general and vascular surgery, orthopedics, gastroenterology, nephrology, oncology and neurology, mental health and sleep medicine.

The EMX is the capstone training event for the SAUSHEC Emergency Residency Training Program. It is a requirement for all graduating residents (Army and Air Force) to successfully complete this event prior to matriculating from residency and leaving for their first assignments. The event took place at Brooke Army Medical Center, Fort Sam Houston, Texas, on June 11, 2012. Dr. Martin, a partner of Emergency Medical Associates, is an attending emergency physician at Monmouth Medical Center, Long Branch, N.J. Dr. Martin most recently served as a general medical officer in the United States Army Reserve and was an emergency medicine physician with the Special Operations Command (SOCOM). He is the recipient of two Bronze Star Medal and a Meritorious Service Medal.

Allegra and Eskin Present Research at the Society of Academic Emergency Medicine (SAEM) PJohn Allegra, MD, FACEP, and Barnet Eskin, MD, FACEP, presented four research posters at the 2012 Society of Academic Emergency Medicine (SAEM) Scientific Assembly, held May 5-10 in San Francisco. The presentations were entitled: • “The Detection Rate of Pulmonary Embolisms by Emergency Physicians Has Increased” • “Trends in Emergency Department Visits for Asthma from 1996 to 2010” • “The Diagnosis of Aortic Dissections by Emergency Physicians is Rare” • “Days Out of Work Do Not Correlate with Emergency Department Pain Scores for Patients with Musculoskeletal Back Pain” Drs. Allegra and Eskin are attending emergency physicians at Morristown (N.J.) Medical Center and are active in emergency medicine research and education. Both physicians are partners of Emergency Medical Associates.

Emergency Medical Associates to Provide Emergency Department Management Services to Newton Medical Center Emergency Medical Associates was selected by Newton Medical Center, a member of Atlantic Health System, to provide emergency care services. Emergency Medical Associates began staffing the emergency department June 1. “Emergency Medical Associates relationship with the facilities of Atlantic Health System spans more than 30 years,” said Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “We are excited to take that partnership to the next level to care for the residents of northwest New Jersey.” David Stuhlmiller, MD, FACEP, has been named medical director of the Emergency Department at Newton Medical Center. “Newton Medical Center is known for providing the best emergency medical care in the region,” explained Dr. Stuhlmiller. “The partnership between Emergency Medical Associates and the medical center will only enhance that reputation.” Emergency Medical Associates staffs two other Atlantic Health System hospitals: Morristown Medical Center and Emergency Services at Overlook Medical Center's Union Campus. Newton Medical Center’s state-ofthe-art, 22,000-square-foot emergency department sees an annual volume of 29,000 visits. It features 30 private treatment areas, as well as dedicated laboratory and radiology services. It is the only facility in Sussex County to receive state designation as a Primary Stroke Center, and has been the recipient of several VHA Leadership Awards for exceeding national performance standards.

Hospital Newspaper - NJ November, 2012

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Hospital Newspaper - NJ November, 2012

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November, 2012

Hospital Newspaper - NJ

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

An Open Letter to Supply Chain Professionals Healthcare supply chain is at a tipping point: sweeping healthcare reform—including significantly reduced reimbursements and new bundled payment policies—has created greater pressure to lower hospital costs while improving quality and patient outcomes. The supply chain must be a key player, and supply chain professionals must develop the skills and knowledge to lead their facilities strategically in order not just to survive, but to thrive under these growing challenges. In the past five years alone, the healthcare landscape has changed dramatically as a result of massive reform efforts and a turbulent economy. Thousands of articles and reports have been written about these changes and what they mean for doctors, patients, and insurers—even how reform might stifle innovation with respect to device manufacturers and other suppliers. But no one has really been talking about how reform will impact hospital operations, and certainly not how reduced revenues and bundled payment policies will impact supply chain management. Now more than ever, supply chain executives must own the intersection of cost, quality, and outcomes. Today’s supply chain professional should be fluent in complex analytics, payment policies, and procedures, as well as knowledgeable about legislation, regulation, and market and technology development. These leaders are relationship and consensus builders, agents of change for issues like clinical preference items. They are the first responders and problem solvers for such supply chain disruptions as drug shortages. They also understand the larger implications of medical supplies, devices, and pharmaceuticals on patient outcomes and reimbursement. As the 2013 board Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM), I am committed to creating robust educational programs in technology, analytics, value analysis, and other critical areas to ensure that hospital staff have the necessary tools to enhance the role that supply chain management plays in achieving overall institutional goals. While we build up current materials executives to be more strategic, we also need to start recruiting for the future. Together, we can create the necessary educational expectations and industry best practices to elevate the profession’s reputation from the basement to the boardroom—thereby attracting the next generation of supply chain executives. Supply chain professionals need to keep pace with the changes, challenges, and opportunities presented by health reform. By using the healthcare big picture to develop strategic responses that enhance hospital bottom lines and improve patient care, the materials managers of today can raise the supply chain executive to a C-suite profession. But not without owning the intersection of cost, quality, and outcomes. Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization, and Nexera, Inc., a healthcare consulting firm. He is also 2013 board Chair-Elect of AHRMM, the AHA’s premier membership group for healthcare supply chain professionals.

Hospital Newspaper - NJ November, 2012

Page 9

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November, 2012

fo for n i t s Late s and

nursdeents stu

Hospital Newspaper - NJ

Nurseâ&#x20AC;&#x2122;s Viewpoint

By Alison Lazzaro

Hospital Newspaper Correspondent

Banned from Saving Lives? We hear it all the time. Ad campaigns and incentives to donate blood seem to be following us, especially in the winter months. Donating blood saves lives and is a rewarding experience when you know you are helping someone in need. Whether for a leukemic patient, hemophiliac, or victim of a motor vehicle crash, blood is needed at a faster rate than people are able to donate. Knowing this information, why has the United States government prohibited a group of people from saving lives since 1983? The United States is supposed to be a melting pot of people, free of discrimination. Yet, to this day, gay men are banned by the Food and Drug Administration (FDA) from donating blood. This may have been justifiable during the height of the AIDS epidemic because of the high risk of HIV transmission by men who have sex with men. Blood testing has gone a long way since the 1970s. Gay men in a monogamous relationship who have been tested for HIV cannot donate blood by U.S. law. Meanwhile, it is perfectly acceptable for a heterosexual individual with extremely risky sexual behavior to donate blood, no questions asked. The idea of banning a group of people from donating blood who have no history of HIV seems ridiculous. Why not alleviate the shortage of blood and stop the discrimination? Although the Senate has revisited the issue of the ban, there has not been progress about overturning the issue thus far in the United States. The F.D.A. routinely screens blood for HIV and infectious diseases to ensure that safeguards are in place to keep blood from becoming contaminated. The Senate should take time to reexamine the issue since more sensitive tests have been developed since the time of the ban and blood shortages continue. Nursing students who readily hold blood drives at their college campuses should be proactive about trying to change this ban. By informing other students, writing to your congressmen, and taking a stance, nursing students can be at the forefront of change. We are entering the profession with the goal of helping people. Why not start by reversing the ban and allowing gay men to donate blood to help save a life.

Hospital Newspaper - NJ November, 2012

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education College launches New Jersey's first online Master of Public Service Leadership Degree The John S. Watson School of Public Service and Continuing Studies has recently launched New Jerseyâ&#x20AC;&#x2122;s first online Master of Public Service Leadership program designed exclusively for working adults. â&#x20AC;&#x153;Our new program meets the accelerating demand for education and careers in public service, both here in New Jersey and across the country,â&#x20AC;? said Dr. Joseph Youngblood II, vice provost and dean of the John S. Watson School of Public Service and Continuing Studies. â&#x20AC;&#x153;This is a broadly defined sector that includes local municipalities, state and federal agencies as well as nonprofit, philanthropic and non-governmental organizations.â&#x20AC;? The 36-credit program was created to develop the next generation of leaders for nonprofit organizations, faith-based and community-based organizations and municipal, state and federal government. The program is offered completely online and has been developed in alignment with the National Association of Schools of Public Affairs and Administration (NASPAA) standards for accreditation. Students have the option of selecting one of seven areas of study, including: â&#x20AC;˘ Community and Economic Development â&#x20AC;˘ Environmental Policy/Environmental Justice â&#x20AC;˘ Information Technology Management for Public Service â&#x20AC;˘ Nonprofit Management â&#x20AC;˘ Public Finance â&#x20AC;˘ Public Health/Public Policy â&#x20AC;˘ Learner-Designed Area of Study

The program has a competencybased curriculum focusing on advancing the knowledge, research and practice of public affairs that emphasizes theory, research and application. â&#x20AC;&#x153;We have created a program that is aligned with the realities and needs of working professionals,â&#x20AC;? said Youngblood. â&#x20AC;&#x153;The program gives students an applied experience that provides both an opportunity to learn and grow and to apply what they learn to their actual work environments.â&#x20AC;? For more information on the program, contact the College at gradstudies@tesc.edu or visit www.tesc.edu/watson. about Thomas edison State College Thomas Edison State College provides flexible, high-quality, collegiate learning opportunities for self-directed adults. One of New Jerseyâ&#x20AC;&#x2122;s 12 senior public institutions of higher education, the College offers associate, bachelorâ&#x20AC;&#x2122;s and masterâ&#x20AC;&#x2122;s degrees in more than 100 areas of study. Students earn degrees through a wide variety of rigorous and high-quality academic methods that can be customized to meet their individual needs. Identified by Forbes magazine as one of the top 20 colleges and universities in the nation in the use of technology to create learning opportunities for adults, Thomas Edison State College is a national leader in the assessment of adult learning and a pioneer in the use of educational technologies. The College is home to The John S. Watson Institute for Public Policy. The New Jersey State Library is an affiliate of Thomas Edison State College. Further information about admission to the College may be obtained by calling (888) 442-8372, via e-mail at info@tesc.edu or by visiting the College website at www.tesc.edu.

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November, 2012

NLN

Hospital Newspaper - NJ

NEW JERSEY LEAGUE FOR NURSING An Affiliate of the National League for Nursing

Congratulations to All of the 2012 Nurse Recognition Award Winners 2012 NJLN PRESIDENT’S AWARD GEORGE M. STRANG Director, Business Development, The Wright Choice Agencies

2012 NJLN CORPORATE AWARD JFK MUHLENBERG – HAROLD B. & DOROTHY A. SNYDER SCHOOL OF NURSING

2012 NURSE RECOGNITION AWARD WINNERS MARISOL AROCHO-FELICIANO, RN Staff Nurse, Brain Trauma Unit, JFK Johnson Rehabilitation Institute MICHELE CISLO, MA, RN Associate Professor, Practical Nursing, Union County College BARBARA CHAMBERLAIN, PHD, APRN, MBA, CCRN, WCC President, BJC Consulting Services MARY ELLEN CVEK, RN, MSN, CNE, CPNP Nursing Faculty, Christ Hospital School of Nursing JOYCE HYATT, RN, CNM, DNP Assistant Professor, UMDNJ School of Nursing LAURA KELLY, PHD, APN Associate Professor, Monmouth University, Graduate Nursing Program Advance Practice Psychiatric Nurse, Monmouth County Dept. of Corrections CATHLEEN MULLINS, RN, CCM Senior Complex Case Manager, Horizon Blue Cross/Blue Shield NJ

T P NURSES of

New Jersey

GAYLE A. PEARSON, DRPH, RN Asst. Dean, Center for Professional Development, Rutgers, College of Nursing NORMA RODGERS, BSN, RN, CCRA President, Institute for Nursing – Fundraising Chair, Sylvia C. Edge Endowment Senior Clinical Research Associate, Ludwig Institute for Cancer Research ROSEMINDA SANTEE, MA, RN, NEA-BC, CNE Associate Dean, Trinitas School of Nursing PATRICIA ZAJAC, RN, MSN, APN Professor, JFK Muhlenberg Harold B. & Dorothy A. Snyder School of Nursing

All award winners will be honored at the 2012 NJLN Gala on November 2nd – Tickets are available at $80 each. Please make your reservations at 908-789-3398 or by email: NJLNurse@aol.com (www.NJLN.org)

Hospital Newspaper - NJ November, 2012

education Improving healthcare accessibility for people with disabilities

provided

Kenneth Robey, Ph.D, director of the Matheny Institute for Research.

Do people with disabilities receive the same quality of healthcare as people without disabilities? The answer is “no”, says Kenneth Robey, Ph.D., director of the Matheny Institute for Research. The reason, Dr. Robey says, is simply lack of training. “Healthcare training programs at medical schools, nursing schools, dental schools and pharmacy schools have done very little to prepare primary care healthcare professionals to serve people with disabilities.” Third-year medical students at UMDNJ-New Jersey Medical School currently rotate through the Matheny Medical and Educational Center here in attempt to educate future doctors about the need for understanding how to provide this care. But Matheny realized long ago that this isn’t enough. In 2007, Dr. Robey and Gary E. Eddey, MD, Matheny’s chief medical officer began exploring what else was being done around the country. That eventually resulted in the formation of the Alliance for Disability in Health Care Education, which has already raised visibility about this issue. A major goal of the organization, according to Dr. Robey, who served as president in 2010 and 2011, is to develop a set of competencies, “a list of things that healthcare professionals need to know or be able to do that is crossdisciplinary and cross-disability.” Long-term goal, which Dr. Robey admits is a stretch, “is to ensure that every medical school, nursing school and medical training program in the United States has some component to address disability-specific issues.” New president of the Alliance is Suzanne Smeltzer, Ed.D., RN, professor and director of nursing research at Villanova University’s College of Nursing. The Matheny Medical and Educational Center is a special hospital and educational facility for children and adults with medically complex developmental disabilities. The Institute for Research is Matheny’s research arm and has as its singular mission the research and dissemination of findings that might enhance the lives of those with severe disabilities, their families and the professionals who work with them.

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Hospital Newspaper - NJ

education College of New Jersey integrates mannequin to Nursing Simulation Laboratory There is a new resident in the Dr. Gladys M. Word Nursing Simulation Laboratory at the College of New Jersey in Ewing, New Jersey. He is SimKid, a medium fidelity mannequin made by Laerdal Corporation to represent a six year old. He/she comes with the newest control pad which is a SimPad. SimKid can have an asthma attack with significant wheezes and tachycardia which will require the students to manage his/her care as well as communicate with his/her family members. This is just one example of the many proposals that are being discussed as we plan on the integration of this mannequin into our curriculum in order to foster creative scenarios that promote critical thinking for our students. Welcome SimKid to the Loser basement and to plenty of caring!

provided

Matheny DSPs receive special recognition

UNIQUE RECRUITMENT OPPORTUNITY

provided

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.

Chris King, vice president, operations, far left, congratulates some of the DSPs. Front row, from left, Bridget Cottle, Brenda Hoagland, Zenash Melaku and Tinashe Maphosa; back row, from left, King, Andrea Singleton, Jana Ricketts, Weyatta Golafly, Simone Morgan and Nadine Thompson.

National Direct Support Professional Recognition Week was celebrated from September 9-15 to acknowledge the important work DSPs do to provide quality life-enhancing supports and services to individuals with developmental and intellectual disabilities. In New Jersey, 13 Matheny Medical and Educational Center personal care assistants received special recognition on September 11 at the New Jersey Law Center in New Brunswick for DSP professional training they have received from The College of Direct Support at the Elizabeth M. Boggs Center on Developmental Disabilities. In addition, Matheny PCA trainer Brenda Hoagland was honored as New Jersey’s first credentialed DSP. About 60 of Matheny’s employees have either completed or are enrolled in The College of Direct Support, more than any other facility in the state. Matheny is a special hospital and educational facility in Peapack, NJ, for children and adults with developmental disabilities. Safy Diedhou, one of Matheny’s PCAs enrolled in the program, says DSP training prepared her to handle difficult situations. “Without DSP training,” she points out, “there were tools I was missing. I didn’t know how to deal with emotions. I wasn’t comfortable dealing with certain challenges. When a patient was difficult, I didn’t know what was appropriate to make them comfortable. Now, anything that comes my way, I’m ready for it.”

This is your opportunity to display opportunities for: Faculty/Physician Nursing Administrative Support Positions Clinical Care Medical Assistants Counselors Medical Imaging Dieticians

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

Hospital Newspaper - NJ November, 2012

careers Chilton Hospital nurse provides care and shows compassion outside of the Emergency Department Anyone can learn how to be a nurse, but it takes a special kind of personality to truly become one. It requires a career-long commitment of compassion, patience and humility. For many nurses, a caring nature is not just part of their job, but a way of life that extends beyond the clinical setting. Maria Mavropoulos, RN, has been with Chilton Hospital’s Emergency Department for four years. She is the epitome of a nurse whose positive demeanor doesn’t change when it’s time to go home for the day. While many New Jerseyans were spending their summer vacations lounging at a beach, Mavropoulos was in rural Pennsylvania, selflessly volunteering at a Special Olympics event. The Antiochian Village in Ligonier, PA, hosts a state-wide Special Olympics event at its summer camp each August. Mavropoulos, who has fond memories of spending summers at the camp as a child, gives back by offering her time to help those in need. Mavropoulos employs her nursing knowledge and skills during the weeklong volunteering event. “I help the physicians take care of the participants because aside from their mental/physical disabilities, they could have diabetes, hypertension and other ailments,” she explained. “The athletes range in age from teenagers to people in their 60s, so there are a variety of possible medical conditions to attend to.” In addition, Mavropoulos assisted at the various sporting events each day and helped set up meals and fun evening events, including a luau. During the commencement of the weeklong event, each participant is represented by their respective Pennsylvania county. They are cheered on by the camp staff and volunteers during a celebratory event. Aside from county, athletes are divided into colors, indicating ability. “It wouldn’t be fair to have higher- and

lower-functioning players in the same competition,” Mavropoulos said. “Some individuals have walkers or canes and can’t do things that others can. With basketball, for example, we’ll use a hula hoop that hangs down instead of a regulation basketball net.” The following events take place at the Pennsylvania Special Olympics: aquatics, athletics, basketball, bocce, running, soccer, softball, tennis and volleyball. Athletes practice all week until the competition begins. Everyone cheers each other whether they win or lose and they all receive an award at the end. The Special Olympics’ motto is, “Let me win, but if I cannot win, let me be brave in the attempt.” Everyone lives up to this credo, according to Mavropoulos. “I believe I get more out of it than they do,” she said. “They’re so inspirational. Everyone is so supportive of each other and they’re so happy to be there, even if they lose. The athletes look forward to it every year and remember it and talk about it the rest of the year. They appreciate the slightest thing you do for them, including applauding them for simply kicking a soccer ball.” Mavropoulos returned to her Hoboken residence after the event concluded. Although her busy surroundings at home are quite the opposite of the Antiochian Village atmosphere, she brought home with her a cell phone full of photos to remind her of that memorable week. Mavropoulous began volunteering at the Antiochian Village in 2003 and 2004 and then took a seven-year hiatus to further her education. She returned to the Orthodox Christian-based summer camp in 2011 and again this year. In her absence, Mavropoulous attended Rutgers University and the Nursing program at Holy Name Medical Center. She completed her bachelor’s degree in Nursing at St. Peter’s University, where she is currently earning her master’s degree. provided

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HOSPITAL

H of the Month

Still Going Strong and Celebrating 100 years of Quality Care RUNNELLS Specialized Hospital Has Array of Services Today’s RUNNELLS Specialized Hospital is a unique state-of-the-art facility with personalized services to meet each patient’s needs. One of the most important distinctions as a nursing care facility is the fact that RUNNELLS is staffed daily by physicians and a full complement of professional nurses. The medical team also includes advanced practice nurses certified in geriatrics, psychiatrists, psychologists and professional social workers who are on staff and attend daily to residents’ needs. The location is easily accessible from Routes 22, 24, and 78. The facility offers the following specialized types of care: The Nursing Care units (300 beds) provide compassionate care for patients in need of long or sub-acute (short) stays. Full time occupational, physical and activities therapists design individualized programs for residents to strengthen interpersonal skills, build greater self-reliance and improve physical abilities. In particular, RUNNELLS is known throughout the region for providing compassionate care for those with dementia such as that caused by Alzheimer’s. Also available are palliative and hospice types of care for those in the final stages of life. An active Resident Council provides a forum through which residents can express their joys and concerns. Sub-acute Rehabilitative nursing care is available at RUNNELLS. This service is designed to meet today’s need for an integrated program that can serve patients who are categorized as sub-acute or post-acute. The professional staff utilizes an interdisciplinary approach, providing short term therapy to develop skills that will promote as high a degree of self-reliance as each individual can achieve. Appropriate patients are those who have recovered to a point where they no longer require the level of care offered in an acute care hospital, neither are they well enough to return home.

Patients in RUNNELLS’ Sub acute Rehabilitation care enjoy all the benefits and amenities already in place at the facility, including a staff that prides itself in maintaining an atmosphere of warmth and friendliness combined with the highest quality of professional care. Many people find themselves caring for a loved one in their home whether it’s a parent, a grandparent or a spouse who no longer has the ability to function on their own on a fulltime basis. This makes it difficult, if not impossible for the caregiver to leave - even for a few days. They’re not able to travel to attend important events with family and friends such as vacations, weddings or family reunions. Some just can’t seem to get any time for themselves. These caregivers need to feel secure that their loved one is in a safe, healthy and caring environment while they take some time off. To meet this need, RUNNELLS offers Respite Care in the Nursing Care area. Included are those things that make for the quality care RUNNELLS is known for: physician and RN’s in-house; a wide variety of events and activities, semi-private rooms with basic cable TV and meals and snacks. The minimum stay is five days. For those who have qualified for Medicaid there is some coverage available. Cornerstone (44 beds), RUNNELLS’ behavioral health program, offers patients a rehabilitative environment and an integrated therapeutic approach including group and family therapy, social services and round-the-clock professional nursing care. This critical service offers a place where patients can recover from the stresses of mental and emotional problems while remaining close to home, facilitating family support programs.

photos provided

The hospital has a number of features that are "state of the art" and extraordinary for this type of facility that include: on-site dental care, beautician and barber services, a nondenominational chapel and pastoral offices, as well as an auditorium and meeting rooms. The building has been constructed with private, landscaped courtyards for patient use that are handicapped accessible and offer privacy for family visits. While some area residents may still remember the old RUNNELLS location on Bonnie Burn Road in Berkeley Heights, many know that the Freeholders relocated the facility in 1990 to a new, modern 178,000 sq. ft. building. Re-named RUNNELLS Specialized Hospital of Union County in the 1980’s, it now occupies a 45-acre mountain top tract of land in Berkeley Heights. This is just north of the old site; off Horseshoe Road – a location that offers breathtaking, panoramic views of the Watchung Mountains. “Since 1912, RUNNELLS Specialized Hospital has had a proud history of providing for the changing health care needs of our community,” according to Freeholder Vernell Wright, who serves as the Freeholder Board’s liaison to the facility. “What makes RUNNELLS so special is its incomparable spirit. Guided by experienced administrators totally committed to the success of the programs; a legion of dedicated and supportive staff anxious to serve the needs of the patients; and a sometimes seemingly endless multitude of selfless volunteers whose primary goal is to make RUNNELLS residents lives more pleasurable, RUNNELLS is one of Union County Government’s proudest assets.” The hospital can be reached by calling (908) 771-5700. For admissions information, call (908) 771-5901.

A Brief History of RUNNELLS In 1910, New Jersey enacted a law authorizing county governments to establish hospitals for the care and treatment of tuberculosis patients. Union County was one of the first to respond, purchasing acreage in rural Berkeley Heights and establishing Bonnie Burn Sanatorium. The thinking of the day was that the location 350 feet above sea level would be perfect for treating people with lung trouble. Adding to the appeal of the site were the presence of natural springs and a very reasonable price of $100 per acre. On October 12, 1912 the American flag was raised in front of the original administration building. By the 1950’s and 60’s, as treatment for tuberculosis improved, the facility evolved to better meet the needs of residents. General medical and surgical services were added and the name was changed to honor Dr. John E. Runnells, the first Superintendent. By the early 1980’s, the sprawling campus was bisected by Route 78. There were more than 20 separate buildings which were inefficient and in need of significant repairs. It was decided to sell the southern half the acreage and build a new facility on the top ridge north of Route 78. The proceeds of the sale of the lower half of the property were used to help fund a replacement facility. Towards the end of 1991, the closing of the old site, construction of the new facility and transfer of all patients to the new, current RUNNELLS Specialized Hospital of Union County, had been accomplished. Much has changed but one guiding mission remains: We are committed to the delivery of services in a caring and compassionate manner that promotes individual well-being and the celebration of life.

Hospital Newspaper - NJ November, 2012

Page 17

Sub-acute Sub-ac cute Care One of the area O area’s a’’ss most respected a respected p pro viders of Re ehabilitation and providers Rehabilitation Post P ost Acute Ca Care. are.

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40 W Watchung atchu ung Wa W Way ay B Ber Berkeley keley Heigh Heights, hts, NJ 07922 Easily reached from Routes R 22, 24 & 78. Just exit 41 off I-78. Ju st 1 mile from e service Freeholders. A ser vice of the e Union County Board B of Chosen nF reeholders.

Call Ca all 908-7 908-771-5901 71-5 5901

www.ucnj.org/RUNNELLS w www .ucnj.org/ g/RUNNELLS

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November, 2012

Hospital Newspaper - NJ

St. Joseph’s Healthcare System (SJHS)

2012 f o s spital o H t Bes

St. Joseph’s: Fast Forward for IT in Healthcare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Hospital Newspaper - NJ November, 2012

Where healing reaches new heights. St. Joseph’s new Critical Care Tower is now open. Our new Critical Care Tower is revolutionizing the way emergency, trauma, surgical and critical care are delivered. Our innovative, state-of-the art facility creates an advanced healing environment that enables our medical experts to deliver exceptional care. This new patient tower stands as a firm testament to our commitment to be the healthcare resource of choice for patients and families throughout the Tri-State Region and beyond.

www.StJosephsHealth.org • 877.757.SJHS (7547)

St. Joseph’s Healthcare System • St. Joseph’s Regional Medical Center, Paterson, NJ • St. Joseph’s Wayne Hospital, Wayne, NJ • St. Joseph’s Children’s Hospital, Paterson, NJ St. Vincent’s Nursing Home, Cedar Grove, NJ • Visiting Health Services of NJ, Inc., Totowa, NJ • Sponsored by the Sisters of Charity of Saint Elizabeth

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November, 2012

Hospital Newspaper - NJ

Trinitas Regional Medical Center

2012 f o s l ita Hosp t s e B

Trinitas Regional Medical Center:

New Generation daVinci Robotics: The Art of Surgical Teamwork

As one of the busiest surgeons in the Northeast, Labib E. Riachi, MD, Chairman of OB/GYN at Trinitas, has completed more than 250 surgeries in the last two years using the daVinci robotic surgical system. Trinitas Regional Medical Center has added the da Vinci® Si™ Surgical System to its already enhanced ability to perform less-invasive surgeries. In Trinitas operating rooms since early 2009, the da Vinci system has been used in general surgery as well as gynecological and urological procedures. In 2011, the first robotic bariatric surgery in New Jersey was performed at Trinitas. This latest version of the da Vinci® Surgical System now puts surgeons’ hands at dual controls of a state-ofthe-art robotic platform, giving them an alternative to both traditional open surgery and conventional laparoscopy surgical procedures. “We believe that the new features of the da Vinci® Si™ System will help us provide the best possible outcomes and is proof of our commitment to provide our community access to the latest advancements in minimally invasive surgery,”

explained Gary S. Horan, FACHE, President and Chief Executive Officer at Trinitas Regional Medical Center. Trinitas is currently one of the busiest medical centers on the East Coast in the performance of gynecological surgeries using the daVinci system. It is also identified as one of the leading daVinci teaching facilities for surgeons in the New York/New Jersey metropolitan area. “We have realized that the two consoles enable us to schedule ‘hybrid’ procedures, where two surgeons work together at once,” says Dr. Labib Riachi, Chairman of the OB/GYN Department at Trinitas. “With a single console, one surgeon would have to step away to allow another surgeon to step in. With two, this is not an issue. The benefit to the patient is immeasurable.” Another advantage of having two consoles is in training doctors in robotic applications. “While one surgeon performs a procedure,” Dr. Riachi explains, “the other can appreciate

both visually and manually what we are doing. There is also amazing simulator software that enables trainees to teach themselves on a ‘virtual’ patient.” All of this happens in three dimensions—with 10X magnification and 360-degree rotation. This enables doctors to identify structures (such as small blood vessels and nerves) they couldn’t fully appreciate with traditional laparoscopic methods, and also perform suturing more efficiently. The movement of the robotic instruments perfectly mimic the surgeon’s hand movements. This allows the surgeon to perform complex procedures through tiny incisions which, in the past, would have necessitated large, painful incisions. These tiny incisions make for a shorter and more comfortable recovery process. For example, a typical hysterectomy patient might be able to return to work in one week, versus an eight week recovery after the classic incision procedure.

Hospital Newspaper - NJ November, 2012

Best

2012 f o s ital Hosp

Page 21

The Matheny Medical and Educational Center

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November, 2012

Hospital Newspaper - NJ

Bergen Regional Medical Center

Ho Best

LONG TERM CARE AT BERGEN REGIONAL MEDICAL CENTER

Quality of Care and Quality of Life Everything your loved one needs in one award winning facility. 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. Access to specialized on-site physicians 24 hours a day, 365 days a year. Because our facility has an on-site acute care hospital, if our residents experience medical emergencies day or night, comprehensive medical care is always just an elevator ride away. Our Long Term Care Division is accredited by the Joint Commission. Less than 6% of LTC facilities nationwide pursue and receive Joint Commission accreditation. No other nursing home offers more specialty services including: Rehabilitation Horticultural Therapy Multi-Faith Pastoral Care Pet Therapy Diversified Recreational Therapy Respite Care Behavioral Health Care On-Site Pharmacy and Acute Hospital Kosher Meals upon request Dedicated Korean program For more information about a tour or admission process, please call 201.967.4073

! r e n n i W

2012 me o H g n i Nurs ea r of the Y

Congratulations! BRMC’s Long Term Care Division named 2012 NJ BIZ Healthcare Heroes Nursing Home of the Year.

230 East Ridgewood Avenue Paramus, New Jersey, 07652

www.bergenregional.com

s of 2 spital

012

Hospital Newspaper - NJ November, 2012

2012 f o s l ospita H t s Be

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Deborah Heart and Lung Center

DEBORAH

Heart and Lung Center

The World of Deborah Welcome to the world of Deborah Heart and Lung Center — a unique hospital in which the pursuit of medical excellence, scientific solutions, and philanthropy meet to provide the region’s most comprehensive and outstanding specialized medical care. Deborah Heart and Lung Center in Browns Mills is Burlington County’s only licensed cardiac center, an 89-bed teaching hospital specializing in the diagnosis and treatment of congenital and acquired heart, lung, and vascular disease in adults, as well as providing outpatient cardiology services for children. Deborah boasts a program of unparalleled expertise and one of the highest-volume open heart surgery and cardiac catheterization programs in the tri-state area, with excellent quality outcomes and low mortality. Deborah holds a sterling national and state reputation for top-quality services. Its recent recognitions include: *Ranked #1 hospital in New Jersey by a Federal Government survey taken from data by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Impact Report – National Percentile Rank. *Named one of the nation’s Top 50 Cardiac Centers for 2012 by Thomson Reuters, an internationally-recognized healthcare research firm, from an extensive analysis of almost 4,000 US hospitals. *National recognition by HealthStream Research with an Excellence Through Insight Award as top 1% in the country for HCAHPS patient satisfaction in the medium hospital category. *4 Lesser Unit was recognized for seven consecutive quarters in the 99th percentile in HCAHPS, one of only two inpatient units in the country to meet this achievement. Although Deborah consistently ranks at the top by many rating agencies, it is Deborah’s drive for quality and cutting-edge technology and procedures that have made it such a well-respected hospital. *The Clinical Research Department received two awards. Bard Medical and Lutonix awarded Deborah the “Excellence in Overall Trial Execution.” Deborah was 1 of 5 research sites to receive this award, out of 42 U.S. participating research centers and the “Data Quality Award” for outstanding work in research data completion, execution and quality for participation in the ECHO CRT EP study. The awards were presented by Biotronik. *Offering radial artery (or wrist) catheterizations, a truly new, innovative approach. *Offering alcohol septal ablations for patients with hypertropic obstructive cardiomyopathy, as well as catheter ablations for patients with ventricular tachycardia. These are all just a few ways that Deborah is keeping abreast of the ever-changing treatments for cardiac, pulmonary, and vascular patients. But most importantly, Deborah remains the hospital of choice for so many patients in the tri-state area, because of the world-renowned compassionate and caring staff at the hospital. Patients know that when they come to Deborah, they will receive not only the very best of medical care, but the very best of personal care – the most important ingredients of any hospital stay. Patients at Deborah know that while here, they are treated with kindness, dignity, and professionalism – making each and every patient a partner in their own care. For more information, visit www.deborah.org, call 1-800-555-1990, or find us on Facebook.

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November, 2012

Hospital Newspaper - NJ

Raritan Bay Medical Center

2012 f o s l ospita H t s Be

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Hospital Newspaper - NJ November, 2012

Page 25

Hackensack University Medical Center

2012 f o s l $ ospita H t s Be

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November, 2012

Hospital Newspaper - NJ

We’re Taking Critical Care to New Heights.

When minutes count on patient survival, you can count on AirMed One HackensackUMC’s new air medical program “AirMed One,” provides emergent air medical lifesaving transportation of the critical and injured in our community. In addition to providing rapid scene response for trauma, stoke and cardiac events, AirMed One specialize in interfacility transports between hospitals. AirMed One expands the footprint of HackensackUMC’s capabilities and access. Staffed 24/7 with highly trained flight nurses and flight paramedics, AirMed One provide the highest level of patient care during the entire transfer process. Equipped with a full complement of technology, and advanced medical equipment AirMed One is

configured to mirror that of the most sophisticated intensive care unit. Our helicopter, an Eurocopter EC135-P2 , provides durability and reliability while providing uninterrupted service to our patients and community. Located at nearby Greenwood Lake Airport, AirMed One can travel from outlying communities to HackensackUMC in a short time with no compromise in patient care due to distance. When minutes count on patient survival, you can count on AirMed One. Contact Us: 855-FOR-HUMC (855-367-4862) 551-996-4356 / 551-996-HELO (dispatch) 9-1-1 EMERGENCIES

Hospital Newspaper - NJ November, 2012

Page 27

St. Joseph’s Healthcare System blesses and unveils restored St. Vincent stained glass window St. Joseph’s Healthcare System celebrated the feast of St. Vincent de Paul this year with the blessing of a 113-year-old stained glass window depiction of St. Vincent caring for a sick patient. The patron saint of charity and all charitable societies and volunteers, St. Vincent dedicated his life to caring specifically for the poor. The monument serves as a beautiful daily reminder of the mission of St. Joseph’s Healthcare System, to render quality healthcare in Northern New Jersey with a special concern for the poor and underserved. The blessing ceremony at St. Joseph’s Regional Medical Center in Paterson brought together speakers from St. Joseph’s Healthcare System, the Sisters of Charity of Saint Elizabeth of New Jersey, as well as the Sisters of Charity of St. Vincent de Paul of New York symbolizing how the work of St. Vincent and his message can bring together different groups all dedicated to a similar mission of caring. Sister Maryanne Campeotto, SC, Vice President, Mission, St. Joseph’s Healthcare System, worked diligently with William Keeley, the donor of the stained glass window, in an extensive process to bring St. Vincent to his new home. “I was stunned by the stained glass image of St. Vincent,” said Mr. Keeley upon becoming overwhelmed by the completed project, “I’m so happy to be part of this project and it is great for the hospital.” St. Vincent de Paul was a founder of the Daughters of Charity amongst other organizations, which today amounts to an involvement of 3 million persons worldwide, explained Sister Jacqueline Burns, SC, Past Chair, Board of Trustees, St. Joseph’s Healthcare System, as she shared the life and work of St. Vincent with the assembled group. The Sisters of Charity of St. Vincent de Paul opened the Seton Building at St. Vincent’s Hospital in Manhattan in 1899, gracing the top of the entry staircase with the stained glass depiction of St. Vincent crafted by Mary Tillinghast, a noted glass artist and native of New Jersey. The St. Vincent stained glass window was later moved to the reception area of the Smith Building, also at St. Vincent’s Hospital.

In 2011, when St. Vincent’s Hospital closed its doors, the legacy of the Tillinghast St. Vincent window having already been moved once, looked grim. Thankfully, Mr. Keeley stepped forward and, working with the Sisters of Charity at St. Joseph’s and the Sisters of Charity of St. Vincent de Paul, not only saved and restored the stained glass window, but installed the artwork in its new home in the lobby of St. Joseph’s Regional Medical Center in Paterson, New Jersey. The magnificent window stands tall in a wood framed light box flanked on each side by a recounting of its history. Sister Karen Helfenstein, SC, Director of Sponsorship Services, the Sisters of Charity of St. Vincent de Paul of New York, remarked, “St. Vincent will serve as a daily reminder that our call is to attend to the need in front of us.” Sister Rosemary Moynihan, General Superior, Sisters of Charity of Saint Elizabeth, agreed, adding that the window reflects the deep bond of the Sisters of Charity of Saint Elizabeth and the Sisters of Charity of St. Vincent de Paul, reinforcing the healing mission of the Sisters. Father Edward Collins conducted the Blessing of the stained glass window. “The Sisters of Charity are a part of our heritage and we honor them with our Sister’s Wall and now with St. Vincent as he reminds us of our own work within the St. Joseph’s mission and the heritage and development of our dedication to the poor,” noted William A. McDonald, President and Chief Executive Officer, St. Joseph’s Healthcare System, in his opening words at the blessing ceremony. The event concluded with a reminder of St. Vincent’s dedication to personal charity and helping others, a message that the stained glass window will reflect to all who pass through the doors of St. Joseph’s Regional Medical Center for many years to come. For more information about St. Joseph’s leading edge programs and services, visit www.StJosephsHealth.org or call 877.757.SJHS (7547).

(800) 222-6927 www.northwestseminars.com

north west S E M I N A R S

2013 EMERGENCY MEDICINE UPDATE CME February 18-22 Jackson Hole, Wyoming

April 21-26 Providenciales, Turks and Caicos

March 6-9 Las Vegas, Nevada

May 6-9 Monterey, California

March 24-31 7-Day Western Caribbean Cruise

September 23-26 Las Vegas, Nevada

March 31-April 7 7-Day Eastern Caribbean Cruise

November 4-8 Maui, Hawaii

Approved by the American College of Emergency Physicians for a maximum of 20 hour(s) of ACEP Category I credit.

PagE 28

November, 2012

Hospital Newspaper - NJ

RESOURCE DIRECTORY aRCHitECtuRE

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

BaRiatRiC EQuiPmEnt & PRoDuCtS tSk PRoDuCtS TSK Products is dedicated to helping Healthcare facilities meet the unique needs and challenges of treating obese patients. We offer a complete line of Bariatric equipment; from Room-Lobby Chairs, to Lifts, Walkers, Beds, Commodes, Stretchers, Exam Tables… even Bed Pans and Blood Pressure Cuffs. Call us today for more information.

12 Windsor Drive Eatontown, NJ 07724 www.tskproducts.com

CliniCal outSouRCing/ EmERgEnCy mEDiCinE SolutionS

Connect with leading Healthcare Recruiters Join BlueSteps, the executive career management service of the Association of Executive Search Consultants Healthcare executives are in demand. Are you being considered for the top leadership jobs? 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.

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.

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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.

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Online Directory available at www.hospitalnewspaper.com

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Hospital Newspaper - NJ November, 2012

Page 29

St. Joseph’s Healthcare System launches newly improved website St. Joseph’s Healthcare System (SJHS) announces the newly revitalized StJosephsHealth.org! The now faster SJHS website offers more user-friendly interactive applications such as a modernized video player with the ability to share videos, a ‘Featured Stories’ slider, and a ‘Most Popular’ section, all to help you stay up-to-date with everything St. Joseph’s. In addition, the homepage includes an interactive graphic slideshow with ‘click through’ capabilities, allowing you to easily access various articles and topical sections on our website. The Courses and Events Calendar has been upgraded to a new searchable format and breadcrumbs at the top

Bergen Regional Medical Center’s Acute Care Unit 11-4 recognized by the NJ Hospital Association for its dedication to improving quality healthcare Bergen Regional Medical Center’s Acute Care Unit 11-4 was recognized by the New Jersey Hospital Association for its dedication to improving quality healthcare and active participation in the NJHA Institute for Quality and Patient Safety Collaborative, Transforming Care at the Bedside. “Our staff is always looking for new and innovative ways to provide the best service and care to our patients and it’s wonderful to see their dedication to service honored,” said Joseph Orlando, BRMC President and Chairman. The BRMC team that participated in Transforming Care at the Bedside focused on to enhancing the quality of patient care and service, creating more effective care teams, improving patient satisfaction and staff retention. The team was encouraged to generate innovative ideas to improve patient safety, build effective care teams and develop systems that enhance their ability to deliver timely and efficient quality care. Recently Bergen Regional Medical Center has been recognized for a variety of workplace achievements including being named “Nursing Home of the Year” by the NJBiz Healthcare Heroes Award Program and receiving accreditation by the Joint Commission for its Long Term Care Division. Less than 6% of LTC facilities nationwide pursue and receive Joint Commission accreditation.

of your screen help you navigate the site’s other newly improved elements. All contributions to the St. Joseph’s Healthcare System Foundation offices can now be made entirely online via our ‘Make A Donation’ page (an icon for this page can be found on our homepage). Need information on the go? StJosephsHealth.org, including images and videos, is now easily viewable on your mobile devices. So whether at home or out and about, be sure to explore and discover all that’s new at StJosephsHealth.org, today. Founded by the Sisters of Charity of Saint Elizabeth in 1867, St. Joseph’s Hospital, now

St. Joseph’s Healthcare System, has grown in size and scope of service to encompass St. Joseph’s Regional Medical Center, an academic tertiary medical center and state-designated trauma center which includes acute care comprehensive state-designated St. Joseph’s Children’s Hospital in Paterson, NJ; St. Joseph’s Wayne Hospital, an acute care community hospital and division of St. Joseph’s Regional Medical Center in Wayne, NJ; and St. Vincent’s Nursing Home, a long-term skilled nursing home in Cedar Grove, NJ. For more information about St. Joseph’s leading edge programs and services, visit or call StJosephsHealth.org 877.757.SJHS (7547).

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PAGE 30

November, 2012

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

HOME MORTGAGES Gateway Funding specializes in mortgage options to the healthcare industry. We understand the nuances involved with obtaining mortgages for physicians, nursing staff, residents, or general staffing. You’re busy, we know it. Your unique, we get it. You need financing for a home, we provide it. One call or email to our experienced, licensed and fully trained loan officers, will put your mind at ease. We can provide No Cost Pre-Approvals prior to looking for a home, and highly competitive rates and fee’s once you do find your dream home!

Frank Mancino, Branch Manager NMLS#133472 3564 Quakerbridge Rd Hamilton, NJ 08620 877-583-3562 fmancino@gatewayfunding.com www.TheMancinoTeam.com

Contact Jim Stankiewicz to find out how your organization can be featured in our Resource directory.

845-534-7500 ext.219 Fax: 845-534-0055

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 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

internet address directory apparatus Campbell Supply company www.campbellsupplyco.com

hospitals Children’s Specialized Hospital www.childrens-specialized.org

expositions Abilities Expo www.abilitiesexpo.com

Hackensack Hospital and Medical Center www.humc.com

financial Institutions Healthcare Employees Federal Credit Union www.hefcu.com

Matheny Medical & Educational Center www.matheny.org Meridian Health www.meridianhealth.com

NEW PROdUCT TECHNOLOGY

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 www.icare-usa.com

WORKERS’ COMPENSATiON HOSPiTAL WORKERS HAvE YOU BEEN iNJUREd ON THE JOB? Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights! Do Not Make These Mistakes That Can Cost You Benefits

1. You must report the accident or injury as soon as possible, even 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

home care specialists Comprehensive Home Care www.homecarenj.com

medical equipment & products TSK Products, Inc. www.tskproducts.com

healthcare consultants Medco Consultants, Inc. www.medcoconsultants.com

rehabilitation Kessler Institute for Rehabilitation www.kessler-rehab.com

Online Directory available at www.hospitalnewspaper.com

Hospital Newspaper - NJ November, 2012

Page 31

Saint Peter’s to offer wound care, expand services at new facility in Monroe The Saint Peter’s Comprehensive Care Group will expand its services this October, at a new location in Monroe. These new services will include a state-of-the-art Wound Care Center® and Hyperbaric Services at the facility to be located at Clearbrook Commons Medical and Professional Office Park, 294 Applegarth Road. Residents of the surrounding community in Monroe and neighboring towns can view the new Saint Peter’s Comprehensive Care Group facility and learn more about its services during an open house from 4:30 to 6:30 p.m. on Oct. 24. Those who attend can take advantage of health screenings for body mass index, blood pressure and blood glucose as well as “Ask the Doctor” sessions with Saint Peter’s physicians on topics including geriatric care, lung function, vascular disease, diabetes care, nutrition, internal disease, podiatry, and wound care treatment. Flu shots will also be offered for a $25 charge. The Monroe Comprehensive Care Group is offering diabetes self-management education and nutrition counseling for the first time to complement existing services such as internal medicine, endocrinology, cardiology, geriatrics, podiatry, breast surgery, pulmonary medicine, rheumatology, urology, surgery, and pre-admission testing. Saint Peter’s clinicians will also continue to offer monthly lectures and outreach services. The new facility is centrally located within the township and offers expanded parking as well. The offices are located across from the commuter park-and-ride so it is easier for patients to see their health care provider before or after work, or to take part in health care events.

“There is a huge need for comprehensive wound care in the Monroe area,” said Margaret Moss, program director for the Wound Care Center® and Hyperbaric Services at Saint Peter’s. Aging is a significant risk factor for problematic wounds, she explained, adding that Monroe-area residents include 61,000 people ages 60 and older, approximately 7,000 of whom are living with diabetes. Diabetes compromises healing due to its damage to the blood and nerve vessels in the feet. The multidisciplinary wound care team of board-certified physicians includes general surgeons, plastic surgeons, internists, geriatricians, infectious disease specialists, physiatrists (specialists in physical medicine and rehabilitation), and clinical wound specialists. The team creates a personalized treatment plan for each patient who suffers from wounds caused by either venous and arterial disease; constant pressure on the skins (pressure ulcers or bed sores); osteomyelitis; radiation damage from cancer treatments; compromised skin grafts, flaps and replants, or re-opened surgical wounds, as well as other problem wounds. Further information is also available by visiting saintpetershcs/Hyperbaric-Wound-Care-Center/ or saintpetershc.com/ccg/ To make an appointment or arrange an event call: • Office visit: 609-409-1363 • Wound care/ hyperbaric services: 609-860-0008 or toll-free at 1866-378-4132. Saint Peter’s Healthcare System Inc., parent company of the Saint Peter’s healthcare delivery system, is comprised of Saint Peter’s

University Hospital, a 478-bed acute-care teaching hospital; Saint Peter’s Foundation, the fundraising arm of the hospital; and Saint Peter’s Health and Management Services Corporation, which oversees the system’s outpatient facilities.

These include the CARES Surgicenter; New Brunswick Cardiac Cath Lab; Community Care Services, Inc.; the Margaret McLaughlin McCarrick Care Center, Inc., a residential skilled nursing facility in Somerset; and Saint Peter’s Adult Day Center in Monroe

Township. Saint Peter’s Healthcare System is sponsored by the Roman Catholic Diocese of Metuchen. For more information about Saint Peter’s Healthcare System, please visit www.saintpetersuh.com or call 732-745-8600.

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

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

Visit us onlinee at NJHospitalQ NJHospitalQuote.com Quote.com or call 1-888-391-4910 1-888-391-4 4910 today for yo your our free quote quote..

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

Margaret Moss, program director for the Wound Care Center® and Hyperbaric Services at Saint Peter’s Healthcare System, talks with a patient during a hyperbaric oxygen therapy treatment for hardto-treat wound.

Annual aver average age savings based oonn customers who switched to High PPoint oint Property operty and Casualty Insur Insurance ance Company using ng a group discount from JJanuary anuary 2010 to April 2012. 2. Your Your premium may vary vary due to av ailable ddiscounts, iscounts, eligibility requirements ord, and other factors available requirements,, driving record, factors.. ©2012 Plymouth Rock Management ment Company of New Jersey erved. 6679/102012 Jersey.. All rights reserved.

PAGE 32

November, 2012

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.