Hospital Newspaper NY October 2013 ebook

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The New York Edition WWW.HOSPITALNEWSPAPER.COM

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OCTOBER 2013

If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! See p3

Breast Cancer Care

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

South Nassau’s Special education & Career Section

Center for Breast Health earns National Accreditation p16

RN to BS in Nursing Now oNliNe at Mount Saint Mary College p11

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

Hospital of the Month!

Bergen Regional Medical Center p12

CHANGE SERVICE REQUESTED

Hospital Newspaper 1 Ardmore Street New Windsor NY 12553

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PAGE 2

October, 2013

Hospital Newspaper - NY

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

HONORED ON

‘Best Doctors’ LISTS YEAR AFTER YEAR

ROBERT BELKIN, MD GABRIELLE BOLTON, MD MARK BORKIN, MD SUSAN CAMPANILE, MD LEO CARDILLO, MD MAXWELL CHAIT, MD ALBERT DELUCA, MD JEFFREY DONIS, MD JOYDEEP GHOSH, MD LAWRENCE GLASSBERG, MD EDUARDO GRANATO, MD CRAIG HJEMDAHL-MONSEN, MD KUMAR KALAPATAPU, MD

SRIRAMA KALAPATAPU, MD RICHARD KAY, MD ANDREW CARL KONTAK, MD ANDREW KUPERSMITH, MD STEVEN LANDAU, MD YAT WA (BETTY) LI, MD SANJAY NAIK, MD DIMPLE PATEL, MD RONALD PRESTON, MD ANTHONY PUCILLO, MD TODD C. PULERWITZ, MD MONICA REYNOLDS, MD JAE RO, MD

WARREN ROSENBLUM, MD ABDOLLAH SEDIGHI, MD INDERPAL SINGH, MD SUSAN SOEIRO, MD DAVID E. SOLARZ, MD CARMINE SORBERA, MD ELENA L. TSAI, MD STEVEN L. VALENSTEIN, MD MELVIN WEISS, MD RONALD WEISSMAN, MD PRESTON WINTERS, MD

Visit us at one of our locations: 19 Bradhurst Avenue Suite 700 Hawthorne, NY 10532 (914)593-7800

15 North Broadway 2nd Floor White Plains, NY 10601 (914)428-6000

5 Coates Drive Suite 2 Goshen, NY 10924 (845)294-1234

30 Greenridge Avenue Suite 207 White Plains, NY 10605 (914)328-8555

180 East Hartsdale Avenue Suite 1E Hartsdale, NY 10530 (914)725-2010

3 Michael Frey Drive Eastchester, NY 10709 (914)337-3500

688 White Plains Road Suite 210 Scarsdale, NY 10583 (914)723-3322

334 Route 202 Bailey Court Somers, NY 10589 (914)277-4367

154 Pike Street Port Jervis, NY 12771 (845) 858-4444

105 Stevens Avenue Suite 101 Mount Vernon, NY 10550 (914)667-8777

Hospital Newspaper - NY October, 2013

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

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

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

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

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

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

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

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

Where do we start?

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

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

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

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

To receive more information about the program and its benefits, contact Steven Testa at stesta@sunnb.com or call 973-615-9745.

Sun National Bank Home Loans and Hospital Newspaper are not affiliated. All loans subject to approval. Certain conditions and fees may apply.

Mortgage financing provided by Sun National Bank Loans, Equal Housing Lender.

Page 3

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

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

Hospital Employee Loan Program

Sun Home Loans, a division of Sun National Bank,

PROGRAM INFORMATION

is proud to serve the heroes in our community who dedicate their lives to serving the rest of us: doctors, nurses and other hospital employees.

That is why we teamed up with Hospital News to

We understand that the current economic environment has created

create the Hospital Employee Loan Program (HELP).

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

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

challenges to home ownership. Working with our own resources and Federal government programs we will create a solution that opens the path to home ownership.

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

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

Learn More To find out more about our Hospital Employee Loan Program, email stesta@sunnb.com or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.

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

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

NMLS #429900

PAGE 4

October, 2013

Hospital Newspaper - NY

Consolidate Debt and Raise Working Capital

By Patrick Harrigan | Syracuse, NY

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

Saving

healthcare professionals an average of

$6,000 per month

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

The Funding Expert for Healthcare Professionals

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

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

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

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

can be hired to help manage the workload.

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

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

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

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

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

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

Hospital Newspaper - NY October, 2013

Your healthy financial future is here.

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

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

The Funding Expert for Healthcare Professionals

Loan proposal in 24 hours, funding in 5 business days • No hard collateral required • Won’t appear on personal credit • Loan amounts from $25,000 to $5,000,000

Page 5

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October, 2013

Hospital Newspaper - NY

ADVERTISER INDEX Company

OUR VIEW

Page

Bankers Healthcare Group, inc.

5

Bergen regional medical Center

13

Burke rehabilitation Hospital

15

ColumbiaDoctors

2

EmA

7

GNYHA Services

9

mount Saint mary College

11

New Jersey League for Nursing

19

North Shore-LiJ

24

NorthWest Seminars

17

PErCY

21

resource Directory

Think Pink throughout October

23

AkrimAx / Nitromist

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

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

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

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

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

20, 22

Sun Home Loans

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HOSPITAL NEWSPAPER

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845-534-7500 • (fax) 845-534-0055 Info@HospitalNewspaper.com

PUBLISHER

Joseph P. Belsito

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CORPORATE INFORMATION Hospital Newspaper - New York edition - Vol. 11 No. 10 is published monthly, 12 times a year for $36 per year by Belsito Communications, Inc., 1 Ardmore Street, New No.NY 1 - 12553. is published monthly, times a year NY for Windsor, Postage Paid at12 New Windsor, $and additional mailing offices. Postmaster: Send address changes to Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.

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Hospital Newspaper - NY October, 2013

PAgE 7

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

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

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

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

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

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

• Leadership and planning • Culture and communications • Role satisfaction • Working environment

•

35 yyears ears of expertise exper x tise

•

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

•

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

•

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

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

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

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

(877) 692-4665 5

info@EMA.net

www.EMA.net www .EMA A.net

PAGE 8

October, 2013

Hospital Newspaper - NY

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

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

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

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

2.

3.

4.

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

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

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

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

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

Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization, and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM).

Hospital Newspaper - NY October, 2013

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

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

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

We are forever grateful.

Page 9

PAGE 10

October, 2013

or nfo f i t s e Lat es and

nursdents stu

Hospital Newspaper - NY

Nurse’s Viewpoint

By Alison Lazzaro, RN

Hospital Newspaper Correspondent

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

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

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

Palliative care helps patients with pain control to alleviate symptoms.

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

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

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

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

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

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

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

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

Hospital Newspaper - NY October, 2013

education & careers Mount Saint Mary College 330 Powell Avenue Newburgh, NY 12550 www.msmc.edu

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.

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

Mount Saint Mary College’s nursing program is accredited by the prestigious Commission on Collegiate Nursing Education (CCNE). Our nursing faculty members provide expertise and experience in teaching adult learners.

Adult Degree Completion Whether you're an RN with an associate degree, an LPN, or have no nursing background, the Mount has a highly respected bachelor's degree program in nursing that will work for you.

The Mount offers the bachelor of science in nursing degree program for the adult learner. Most classes are held in the evenings, or on weekends.

After submitting your application and official transcripts, you'll meet with an academic advisor who will answer all of your questions. They will guide you through the application process, review transfer credits, registration, and help you select prerequisites for the nursing major.

Registered Nurse to Bachelor of Science in Nursing (RN to BS) The Mount's RN to BS degree program is offered online, with a requirement of one three-day session on campus during the summer months.

A bachelor’s degree in nursing is a must-have credential for nurses interested in career advancement. The Mount’s online RN to BS in nursing program can help you earn up to 30 credits toward your degree by completing the Foundations of Nursing bridge course.

Explore the Mount’s RN to BS advantages: • Experience and vision: Our outstanding nursing faculty members have years of experience in health care and learning methodologies.

• Flexibility and convenience: The innovative online format makes it easier to arrange coursework with your schedule.

• Personal attention: We provide a comprehensive orientation and ongoing support with our learning management system, eClass.

• Reputation: The Mount has prepared nurses for close to 50 years, and has a large regional and national alumni network.

Master of Science in Nursing The Mount offers the master of science in nursing in two tracks: adult nurse practitioner (ANP) and family nurse practitioner (FNP). Our graduates find that the Mount’s stellar reputation in preparing master’s level nurses can help open doors and networking opportunities. The master’s in nursing can prepare students for careers in practice, teaching, research, or doctoral study. Completing the program allows graduates to sit for national certification exams in adult or family health.

Post-Master’s Certificate programs The Mount now offers a post-master's certificate for the family nurse practitioner (FNP) or adult nurse practitioner (ANP), designed for registered nurses holding a master's degree in nursing.

Mount Saint Mary College NEWBURGH, NEW YORK

RN to BS in Nursing NOW ONLINE! At the Mount, we’ve been preparing outstanding nurses for 50 years. Now, we’re making that expertise available to more nurses than ever with our new Online RN to BS in Nursing program.

Call 845-569-3223 or visit msmc.edu/RNtoBS

PAgE 11

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October, 2013

Hospital Newspaper - NY

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

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

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

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

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

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

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

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

• • • • • •

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

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

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

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

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

201.967.4000 201.967.4073 201.225.7130 1.800.730.2762

Hospital Newspaper - NY October, 2013

Page 13

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

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

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PAGE 14

October, 2013

Hospital Newspaper - NY

NBCAM highlights awareness and early detection Early detection saves lives when it comes to breast cancer…period!

Early detection can save your mom, grandmother, sister, daughter, wife aunt.

October is National Breast Cancer Awareness Month (NBCAM).

The program is dedicated to increasing awareness about the importance of the early detection of breast cancer through a nationwide campaign. NBCAM started as a weeklong campaign in 1985 with two founding members.

Yes, the movement has come a long way, and we only hope more women become part of the movement.

Today the American Cancer Society, is one of many national public service organizations, professional associations, and government agencies that form the NBCAM Board of Sponsors. During NBCAM, the member organizations of the Board of Sponsors join forces to spread the message that early detection of breast cancer followed by prompt treatment saves lives.

It saves the people you love!

Here are some key tips for early detection for breast cancer from the American Cancer Society.

1. Women age 40 and older should have a screening mammogram every year and should continue to do so for as long as they are in good health: – Current evidence supporting mammograms is even stronger than in the past. In particular, recent evidence has confirmed that mammograms offer substantial benefit for women in their 40s.

Women can feel confident about the benefits associated with regular mammograms for finding cancer early.

However, mammograms also have limitations. A mammogram will miss some cancers, and it sometimes leads to follow up of findings that are not cancer, including biopsies.

2. Women in their 20s and 30s should have a clinical breast exam (CBE) as part of a periodic (regular) health exam by a health professional, at least every 3 years. After age 40, women should have a breast exam by a health professional every year: – CBE is a complement to mammograms and an opportunity for women and their doctor or nurse to discuss changes in their breasts, early detection testing, and factors in the woman’s history that might make her more likely to have breast cancer.

3. Breast self exam (BSE) is an option for women starting in their 20s.

Women should be told about the benefits and limitations of BSE. Women should report any breast changes to their health professional right away: – Research has shown that BSE plays a small role in finding breast cancer compared with finding a breast lump by chance or simply being aware of what is normal for each woman. Some women feel very comfortable doing BSE regularly (usually monthly after their period) which involves a systematic step-by-step approach to examining the look and feel of their breasts. Other women are more comfortable simply looking and feeling their breasts in a less systematic approach, such as while showering or getting dressed or doing an occasional thorough exam. Sometimes, women are so concerned about “doing it right” that they become stressed over the technique. Doing BSE regularly is one way for women to know how their breasts normally look and feel and to notice any changes. The goal, with or without BSE, is to report any breast changes to a doctor or nurse right away.

4. Women at high risk (greater than 20% lifetime risk) should get an MRI and a mammogram every year. Women at moderately increased risk (15% to 20% lifetime risk) should talk with their doctors about the benefits and limitations of adding MRI screening to their yearly mammogram. Yearly MRI screening is not recommended for women whose lifetime risk of breast cancer is less than 15%.

Women at high risk include those who: – Have a known BRCA1 or BRCA2 gene mutation.

– Have a first-degree relative (parent, brother, sister, or child) with a BRCA1 or BRCA2 gene mutation – Have a lifetime risk of breast cancer of 20% to 25% or greater, according to risk assessment tools that are based mainly on family history.

– Had radiation therapy to the chest when they were between the ages of 10 and 30 years.

– Have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome.

Hospital Newspaper - NY October, 2013

Page 15

Burke Rehabilitation Hospital to host 34th Annual Wheelchair Games, Re-Vamped Heels & Wheels 5k Road Race and Walk Be ready, bright and early on Sept. 28 to take part in a fun-filled day of sports and entertainment including live event broadcasts from WHUD and WFAS; face painting; a silent auction and chance raffles; and other carnival games. Both the Wheelchair Games and Heels and Wheels are free for spectators and Burke invites all community members to come out and support these remarkable athletes.

There is a $25 fee for Wheelchair Games participants, however, financial assistance is

available for those who cannot afford the registration fee as Burke encourages all athletes to participate. There is a $30 fee for Heels & Wheels 5K participants 16 years and older; children ages 6 15 years old have a fee of $15; and children under 5 years old are free.

The cost includes an event t-shirt, numbered bib and timing device.

For additional information, visit www.burke.org or call (914) 597-2850 for Wheelchair Games details and (914) 597-2578 for Heels & Wheels. For those who would like to sponsor an athlete

or donate to the games, please call (914) 597-2849. If you would like to volunteer your time and assist the day of the games, please contact (914) 597-2581. All volunteers receive a free t-shirt and lunch. Children volunteers must be 12 years old or older.

Burke Rehabilitation Hospital is a private, not-for-profit, acute rehabilitation hospital. Founded in 1915, it is the only hospital in Westchester County dedicated solely to rehabilitation medicine.

Burke offers both inpatient and outpatient programs for those

who have experienced a disabling illness, traumatic injury or joint replacement surgery.

Burke is both an acute rehabilitation hospital and medical research center. Burke's world renowned doctors and therapists provide state-of-the-art treatment, while its research scientists explore the frontiers of neurological medicine. All share the Burke mission to ensure that every patient makes the fullest possible recovery from illness or injury regardless of their ability to pay.

E X C E L L E N C E I N R E H A B I L I TAT I O N F O R N E A R LY 1 0 0 Y E A R S

Where You Go For Rehab Matters Founded in 1915, Burke Rehabilitation Hospital is the only hospital

in Westchester County dedicated to rehabilitation medicine. Burke

PROGRAMS: • Amputee • Joint Replacement • Brain Injury • Cardiopulmonary • Neurological • Orthopedic • Spinal Cord Injury • Stroke Recovery

offers inpatient and outpatient programs for those who have experienced a disabling illness, traumatic injury or surgery. Burke

is both a rehabilitation hospital and medical research institute.

Burke's doctors and therapists provide the highest quality

treatment, while its research scientists explore the frontiers of

rehabilitation medicine. All share the Burke mission to ensure that

every patient makes the fullest possible recovery.

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For more than three decades, Burke Rehabilitation Hospital continues its tradition of drawing wheelchair athletes of all ages from throughout the tristate area and beyond to its annual Wheelchair Games. Every autumn, Burke’s campus transforms into hub of sportsmanship and camaraderie, where wheelchair athletes compete in table tennis, track and field events, and a slalom obstacle course.

“It’s like having the Paralympics in your backyard,” said Wheelchair Games co-chair Tracey Bogart. “It truly is an inspiring event and every year Burke is proud to host such an amazing group of athletes.”

On Sept. 28, Burke Rehabilitation Hospital will be hosting its 34th annual Wheelchair Games on its main campus, 785 Mamaroneck Ave. in White Plains.

Field events start at 9 a.m. and track races start at 1:30 p.m. The competitive categories include a Futures Division (six and under), two Junior Divisions and an Adult/Master Division.

Along with the Games, Burke is also hosting its newly revamped Heels & Wheels 5K Road Race that will now include walkers, on the same date.

“We want to make sure everyone can participate,” said Heather Massimo, director of the Fitness Center at Burke and 5K co-organizer, on adding walkers. Brought back in 2012 after a seven year lapse, the Heels & Wheels event last year allowed for both wheelchair athletes and runners to compete together. This year’s event will be more inclusive, allowing even more participants a chance to enjoy the race. Registration opens at 9 a.m. and the race kicks off at 10 a.m.

The race path starts at the hospital entrance, on the corner of Mamaroneck Ave. and Heatherbloom Road. Racers will follow a route down Mamaroneck Ave. to Bryant Ave., and through the Gedney Farms area that surrounds the perimeter of the hospital. Participating athletes for Heels & Wheels will be condensed into groups according to their ability and age.

785 Mamaroneck Ave. White Plains, NY 10605 888.99.BURKE www. Burke.org

PAGE 16

October, 2013

Hospital Newspaper - NY

South Nassau’s Center for Breast Health earns National Accreditation The American College of Surgeons National Accreditation Program for Breast Centers (NAPBC) has granted a full, three-year accreditation to the Center for Breast Health at South Nassau Communities Hospital’s Gertrude & Louis Feil Cancer Center.

The center earned the accreditation following a rigorous on-site evaluation to demonstrate that it is in complete compliance with standards established by the NAPBC for treating women who are diagnosed with breast disease. The standards include proficiency in the areas of center leadership, clinical management, research, community outreach, professional education and quality improvement.

“The prestigious accreditation is a direct result of the center’s team of dedicated, compassionate, expert physicians, nurses, allied staff and administrators and the leadership of Dr. Christine Hodyl (South Nassau’s director of breast health services),” said Rajiv Datta, MD, medical director of the Gertrude & Louis Feil Cancer Center. “NAPBC accreditation confirms our commitment to provide our patients every significant advantage in their battle against breast disease.”

NAPBC accreditation affirms that a patient will have access to: • Comprehensive care, including a full range of state-of-the-art services; • A multidisciplinary team approach to coordinate the best treatment options; • Information about ongoing clinical trials and new treatment options; • And, most importantly, quality breast care that is close to home.

The NAPBC is a consortium of professional organizations dedicated to the improvement of the quality of care and monitoring of outcomes of patients with diseases of the breast. This mission is pursued through standard-setting, scientific validation, and patient and professional education. Its board membership includes professionals from 20 national organizations that reflect the full spectrum of breast care.

South Nassau’s Center for Breast Health offers a comprehensive, multi-disciplinary breast care program, with a full spectrum of clinical and support services, from screening and diagnosis to treatment and counseling. Early detection is the focus of South Nassau’s

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

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Complete Women’s Imaging (CWI), PC, which is a designated Breast Imaging Center of Excellence by the American College of Radiology. Led by George Autz, MD, medical director and director of breast MRI services, and Abraham Port, MD, medical director and director of breast imaging, CWI uses an array of state-of-theart diagnostic technologies, including digital mammography, high resolution ultrasound and MRI of the breast, to detect breast disease in its earliest stage. Minimally invasive procedures can detect breast cancer long before it becomes a serious threat to your health and wellness.

If a tumor or abnormality is detected, the center offers the most advanced treatments for breast cancer and breast health complications and uses targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible. This includes Contura™ multi-channel and Mammosite® single channel balloon brachytherapy techniques, which utilize a balloon catheter to deliver highly localized radiation to the lumpectomy bed; breast-conserving surgery (commonly known as lumpectomy), in which only the

provided

tumor or abnormality is removed from the breast; or mastectomy, an operation in which the whole breast is removed. For invasive breast cancer, these procedures may be accompanied by a sentinel lymph node biopsy or axillary lymph node dissection if needed.

Oncoplastic surgical techniques are also offered. Oncoplasty combines surgical cancer removal with plastic surgery techniques to produce a superior cosmetic end result.

Recommendations for whole-body or "systemic" treatments, such as hormonal therapy, radiation therapy, chemotherapy, or a combination of two of the three therapies, may follow either surgical approach. If early-stage breast cancer is present, sentinel lymph node biopsy is used as an alternative to traditional lymph node dissection.

Treating approximately 1,500 patients annually, South Nassau’s Gertrude & Louis Feil Cancer Center has evolved into one of the Northeast corridor’s premiere providers of compassionate advanced cancer care. The center is the only one on Long Island that is equipped with three of the most advanced and effective technologies used to treat and eradicate cancer: the Varian Novalis Tx™, da Vinci® Surgical System and Gamma Knife® Perfexion.

In addition to its Center for Breast Health, South Nassau’s Gertrude & Louis Feil Cancer Center incorporates the following specialty cancer care services: • GYN Oncology Department (Valley Stream)

• Long Island Gamma Knife® Center (Oceanside) • Center for Prostate Health Program (Oceanside) • Center for Lung Health (Oceanside/Valley Stream) • Radiation Oncology Department (Oceanside and Valley Stream) • Surgical Oncology Department (Oceanside and Valley Stream) • Complete Women’s Imaging Center at South Nassau (Oceanside) • PET/CT Service (Oceanside) South Nassau Communities Hospital is one of the region’s largest hospitals, with 435 beds, more than 900 physicians and 3,000 employees.

Located in Oceanside, NY, the hospital is an acute-care, not-forprofit teaching hospital that provides state-of-the-art care in cardiac, oncologic, orthopedic, bariatric, pain management, mental health and emergency services. In addition to its extensive outpatient specialty centers, South Nassau provides emergency and elective angioplasty and is the only hospital on Long Island with the Novalis Tx™ and Gamma Knife® Perfexion radiosurgery technologies.

South Nassau is a designated Stroke Center by the New York State Department of Health and Comprehensive Community Cancer Center by the American College of Surgeons and is recognized as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery. For more information, visit www.southnassau.org.

Hospital Newspaper - NY October, 2013

PAGE 17

North Shore-LIJ helps new Queens high school launch EMT program High schoolers across New York City are getting ready to go back to school. But some ninth graders in Queens are also setting their sights on careers in healthcare as they prepare to enter the inaugural class at the new Institute of Health Professions (The Institute) at Cambria Heights.

The Institute recently held a special ceremony to commemorate the opening of the new Career and Technical Education high school, including students and their parents attending orientation, teachers and other staff members. The program also welcomed the school’s partners: the Institute for Student Achievement, the New York City Department of Education, the North Shore-LIJ Health System and its Center for Learning and Innovation and Hofstra University. Founding principal Gareth Robinson welcomed a large group in the school’s auditorium and New York City School Chancellor Dennis Walcott was among several speakers.

The Institute’s curriculum has a strong focus on technical education and science, and encourages all students to graduate high school and obtain a four-year college degree.

The school offers two pathways for success: an individualized approach to prepare students to attend four-year colleges, and a second component that includes career-readiness training in healthcare professions. The school’s first class of 100 ninth graders will have the option of taking coursework leading to either certification as an emergency medical technician (EMT) or nursing assistant.

North Shore-LIJ will focus on a program to help train students to become EMTs. Upon graduation, students who select the EMT track will be eligible to take the New York State exam and be certified to work as EMTs. “Students who opt to become an EMT will follow the exact same program medical students at the Hofstra North Shore-LIJ School of Medicine follow during the first nine weeks of their first semester,” David Battinelli, MD, senior vice president and chief medical officer at North Shore-LIJ, said at the opening event. “Students will train in their community and get exposure to real-world emergency training in various settings. New EMT graduates will have marketable skills and be highly competitive in the healthcare industry.”

provided

Partner organizations of the Institute for Health Professions at Cambria Heights, Queens, celebrate the school’s opening ceremony: from left to right: Vincent Papasodero, North Shore-LIJ EMS program manager; David Battinelli, MD, chief medical officer, North Shore-LIJ, Gerry House, Ed.D, Institute for Student Achievement; Gareth Robinson, the Institute’s principal; Kathleen Gallo, PhD, RN, chief learning officer, North Shore-LIJ; Herman Berliner, provost of Hofstra University, and Robert Kerner, assistant director of North Shore-LIJ’s Patient Safety Institute.

Kathleen Gallo, PhD, RN, senior vice president and chief learning officer at North Shore-LIJ, said, “It’s an exciting opportunity for North Shore-LIJ to serve as an industry partner with the Institute because we are able to help create an innovate healthcare program for high school students from the ground up, and also give back to the communities in Queens that we serve.”

As part of the EMT curriculum, Dr. Gallo noted, students will visit the health system’s Center for Emergency Medical Services in Syosset, NY, and the Center for Learning and Innovation and its Patient Safety Institute in Lake Success, NY, to practice basic and complex medical procedures on highfidelity patient simulators.

“There is no substitute for hands-on training and students can hone their clinical skills without risk to patients.” In addition, the health system will build a “learning lab” with EMT training equipment, including two donated patient simulators that respond like a real person but allows students to practice their communications and clinical skills without harm.

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

11/4-8 Maui, Hawaii

2014 Conferences 1/20-23 Duck Key, Florida

2/2-7 Turks and Caicos

2/10-14 Telluride, Colorado

3/17-20 Las Vegas, Nevada

4/12-19 7-Day Caribbean Cruise

5/19-22 New Orleans, Louisiana

7/5-12 7-Day Alaskan Cruise

7/21-25 Yosemite, California

8/25-29 Whitefish, Montana

9/15-18 Las Vegas, Nevada

11/13-16 Key West, Florida

12/9-12 Paradise Island, Bahamas

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

9/18-19 Las Vegas, Nevada

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

4/19-24 Turks and Caicos

9/14-17 Las Vegas, Nevada

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

north west S E M I N A R S

9/12-16 Las Vegas, Nevada

(800) 222-6927 www.northwestseminars.com

PAGE 18

October, 2013

Hospital Newspaper - NY

New York State Senator Phil Boyle recognizes Nephrology Nurses Week

provided

Pictured (L-R): New York State Senator Phil Boyle, Good Samaritan Hospital’s Chief Medical Officer and Senior Vice President of Medical Affairs Jerome Weiner, MD, Treasurer, LI Chapter of the American Nephrology Nurses Association Michael Luna, Good Samaritan Hospital Nurse Managers, CDC/Bay Shore Jillian Watkins and Beverly Walter, Medical Director of Dialysis William Fran, MD, Joanne Faber, RN, Romana De La Cruz, CDT, Performance Improvement Coordinator in Nursing Informatics for CDC/Bay Shore Chukwuma Egbuziem, RN and Melissa Gedeon, RN.

In recognition of National Nephrology Nurses Week New York State Senator Phil Boyle took a tour of Good Samaritan Hospital’s Dialysis Unit in Bay Shore. The American Kidney Fund joined the American Nephrology Nurses Association (ANNA), in a nationwide salute, during the second week in September, to the nurses who care for patients with kidney disease and provide life-saving care each day.

In addition to a hospital-based dialysis unit, which provides dialysis for patients in acute renal failure, there are two free-standing centers. The Chronic Dialysis Center (CDC) in Bay Shore opened in 1976, the first freestanding dialysis facility in Suffolk County, followed by an additional site in Lindenhurst in 2000.

A total of more than 55,000 treatments are provided annually at the three locations. Both Bay Shore and Lindenhurst offer maintenance dialysis and transplant referral. Additionally, Bay Shore offers self care,

peritoneal and home hemodialysis training. The self-care department helps patients to maintain more independence and interaction in the course of their treatment by providing training for at home hemo and peritoneal dialysis or in-center selfcare hemodialysis.

Good Samaritan Hospital Medical Center is a 537-bed (including 100 nursing home beds), voluntary, not-for-profit hospital located in West Islip. The medical center, which has more than 3,775 employees and 900 physicians on staff, had nearly 28,000 patient admissions and nearly 100,000 emergency department visits in 2012. Good Samaritan is a member of Catholic Health Services of Long Island.

Visit the website at www.goodsamaritan-hospital.org.

The medical center supplies residents with the tools necessary to maintain good health. This includes community lectures, screenings, health fairs and other community programs and services.

The Feinstein Institute for Medical Research recently announced it will receive $330,000 in grants aimed at gaining a better understanding of a pediatric cancer syndrome called Diamond Blackfan anemia. The grants were awarded by the St. Baldrick’s Foundation, a volunteer-driven and donor-centered charity dedicated to raising money for childhood cancer research. It will support the work of a Feinstein Institute physician-researcher and consortium.

Sharon Singh, MD, will receive $230,000 to support her research project focused on Diamond Blackfan anemia. Diamond Blackfan anemia is an inherited condition that leads to anemia, possible birth defects and cancer. Dr. Singh’s team is working to understand the conditions that promote the formation and survival of cancer cells in this syndrome, to improve early diagnosis and treatment of childhood cancer.

“I am very thankful to receive this grant as it will support me in working to identify what conditions may lead to the development of cancer in children,” said Dr. Singh. “If my colleagues and I can identify why certain children develop cancer while others do not, we may be able to prevent future children from suffering from cancer.”

The Pediatric Myelodysplastic Syndromes and Ribosome Dysfunction Consortium at the Feinstein Institute, led by Johnson Liu, MD, will receive $100,000 to support ongoing work. The consortium is focused on a group of childhood disorders including Diamond-Blackfan anemia. Specifically, the researchers who comprise the consortium are exploring different ways they can manage Diamond-Blackfan anemia once a patient is diagnosed with it so that it doesn’t lead to anemia and cancer.

photos provided

Feinstein Institute to receive $330,000 grant to support research of childhood cancer

Sharon Singh, MD

Johnson Liu, MD

“The Pediatric Myelodysplastic Syndromes and Ribosome Dysfunction Consortium is a very unique group – I don’t know of another group in the world that has the concerted effort and capability to study Diamond Blackfan anemia or pre-leukemia in children,” said Dr. Liu. “The support by the St. Baldrick’s Foundation will enable us to continue and expand our research and hopefully identify new ways to manage or treat this deadly disease.”

About The Feinstein Institute for Medical Research Headquartered in Manhasset, NY, The Feinstein Institute for Medical Research is home to international scientific leaders in many areas including Parkinson's disease, Alzheimer’s disease, psychiatric disorders, rheumatoid arthritis, lupus, sepsis, human genetics, pulmonary hypertension, leukemia, neuroimmunology, and medicinal chemistry. The Feinstein Institute, part of the North Shore-LIJ Health System, ranks in the top 5th percentile of all National Institutes of Health grants awarded to research centers. For more information, visit www.FeinsteinInstitute.org.

NEXT MONTH… Best Hospitals!

Boomers & Beyond Alzheimers facilites and care

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

Hospital Newspaper - NY October, 2013

NLN

Page 19

NEW JERSEY LEAGUE FOR NURSING An Affiliate of the National League for Nursing 2013 NJLN PRESIDENT’S AWARD

Congratulations to All of the 2013 Nurse Recognition Award Winners

Eileen Williamson, RN, MSN Senior Vice President & Chief Nurse Executive, NURSE.com

2013 NJLN CORPORATE AWARD University Correctional Health Care The dedicated Nurses working in the New Jersey Correctional System

2013 NJLN SPECIAL AWARD “HOME CARE NURSES: HURRICANE HEROES” The dedicated Nurses of the Home Care Association of New Jersey

2013 NURSE RECOGNITION AWARDS Saundra Austin-Benn, MSN, APN Private Practice, Psychiatric Advance Practice Nurse Edna Cadmus, RN, PhD, NEA-BC, FAAN Clinical Professor, Specialty Director, Rutgers University Brian Dolan, RN, BSN, CEN, ACM, CCEMT-P Director E. D. & Disaster Preparedness Service, University Hospital Mary Fortier, EdD, RN, CNL Assistant Professor, Seton Hall University Daphne Foster, RN Staff Nurse, St. Barnabas Medical Center, Hospice & Palliative Care Griselda Frane, MA, RN, CCRN, CS, APN, CNE Instructor, CarePoint Health School of Nursing Janine Graf-Kirk, MA, RN-B, CNE Faculty, Trinitas School of Nursing Diane Hassa, RN, MSN Education Specialist, Saint Clare’s Hospital Mary E. Koch, RN, MSN, CNOR Perioperative Nurse Educator, Newark Beth Israel Medical Center Nancy Munoz, RN, MSN, CNS New Jersey State Assemblywoman Kathleen Neville, PhD, RN Professor & Program Coordinator, Kean University School of Nursing G. Elaine Patterson, EdD, EdM, MA, RNC, CNE Professor of Nursing, Ramapo College of New Jersey Susan W. Salmond, EdD, RN, ANEF, FAAN Dean & Professor, Rutgers University

T P NURSES of

New Jersey

Rita Smith, DNP, RN Sr. Vice President & Chief Nursing Officer, Jersey City Medical Center Chris Wade, RN, BSN, CRRN Nurse Manager, Rehabilitation, JFK Johnson Rehabilitation Institute Deborah K. Zastocki, DNP, RN President & Chief Executive Officer, Chilton Hospital

All award winners will be honored at the 2013 NJLN Nurse Recognition Awards Gala on November 1st – For additional information, please visit our web site at: www.NJLN.org Tickets are available at $90 each. Please make reservations at: 908-789-3398 (or) email: NJLNurse@aol.com Advertisements and Sponsor Support is available. Contributions to NJLN are tax deductible as allowed by law.

PAgE 20

October, 2013

Hospital Newspaper - NY

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 51201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 212.463.8200 • Fax: 212.463.9898 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON

FAST & COMFORTABLE PELVIC EXAMS TSK PRODUCTS The Wedgie Pelvic Exam Wedge provides fast, comfortable pelvic exams in the ER, Radiology, SANE and Women’s Health. It is a much more comfortable than using a hard bedpan. The 6" height of the Wedgie lifts the patient's pelvis significantly higher then a bedpan, thus allowing physicians to perform a better exam. The Wedgie’s unique cutout design allows the physicians to maneuver their speculum in all directions without interference. The Wedgie support patients weighing up to 350 lb. It is made of a medical grade foam and an anti-microbial, anti-bacterial, and stain resistant medical grade vinyl cover. It can be cleaned with standard disinfectant products. Optional: disposable one-time use protective covers and room wall holders are available.

12 Windsor Drive, Eatontown, NJ 07724 www.tskproducts.com Phone: (732) 982-1090 • Fax: (732) 389-9044

CAREER MAnAgEMEnT

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.

Join BlueSteps today and receive 15% OFF your membership!

Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this exclusive discount.

Contact info@bluesteps.com to learnmore or for assistance getting started!

COnTRACT/PRACTICE MAnAgEMEnT SERVICES MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERgEnCY MEDICInE COnTRACT MAnAgEMEnT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes

EDUCATIOn

Prepare for a Career in Healthcare Sector Management at Long Island University.

Earn an advanced certificate or an M.B.A. degree in the growing field of healthcare management at Long Island University’s Hudson Graduate Center at Westchester.

Demand for healthcare managers with business skills has never been greater. Responding to this need, Long Island University has launched a new Healthcare Sector Management program, offering two graduate study options in the field of healthcare administration.

After completing your advanced certificate or your M.B.A. at the University’s Hudson Graduate Center at Westchester, you will be prepared to advance in middle and upper management positions in the healthcare industry.

Option A: The Advanced Certificate in Healthcare Sector Management Enhance your credentials by enrolling in the advanced certificate program. Certificate candidates will complete four healthcare sector management courses for a total of 12 graduate credits on a part-time basis in just two semesters.

Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration Students in the M.B.A. program follow the standard 48-credit curriculum, normally completed by part-time students over a 24-month period, with a focus on leadership in healthcare organizations.

The Healthcare Sector Management Program will be offered at Long Island University’s Hudson Graduate Center at Westchester, located on the grounds of Purchase College, 735 Anderson Hill Rd., Purchase, N.Y. Courses are offered on weekday evenings and on Saturdays.

“The healthcare management field is one of the few sectors of our economy we know will continue to grow significantly over the next five years,” according to Dr. Lynn Gunnar Johnson, director of the M.B.A. Healthcare Sector Management program.

For more information, please contact the Admissions Department at 914-831-2700 or Westchester@liu.edu.

Long Island University Hudson Graduate Center at Westchester 735 Anderson Hill Rd. Purchase, NY 10577

EMERgEnCY MEDICInE SERVICES COnSULTATIOn SERVICES Customer Satisfaction TeamBuilding/Staff Development Conflict Mediation ED Systems Analysis PRACTICE MAnAgEMEnT SERVICES Hospital and Physician Billing/Coding/Auditing/Consultation nEW YORK BASED OFFICE MED★EXCEL USA

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

Online Directory available at www.hospitalnewspaper.com

2013 PERCY AWARDS

Call for Entries ‡ 0DUNHWLQJ ‡ 3ODQQLQJ ‡ 3XEOLF 5HODWLRQV

‡ 6RFLDO 0HGLD

68%0,66,216 '8( ‡ 2XWGRRU $GYHUWLVLQJ

2FWREHU

presentation

of the new

The 6th annual PERCy Awards take place on

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

National Conference Center, Monmouth, New Jersey.

be presented in the following categories:

Awards will

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

of the program.

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

patient volume.

PROGRAM

– A Planning

program

resulted

being implemented.

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

Description using a video and results to describe

or content presented with a short PowerPoint.

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

as well as written description of the program

and impact on the market and results.

BEST USE OF SOCIAL MEDIA IN HEALTHCARE YouTube,

– Facebook,

Twitter, Blogging,

Podcasting

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

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

or program. Include

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

submission

is October

11, 2013

• Deadline for ADDITIONAL INFORMATION

• Entry Fee is $100 per submission

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

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

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

Decisions website: www.hpmsnj.org

of the judges are final.

Criteria for judging is available on the HPMSNJ

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

by Norman

FACHE Chair,

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

at normantessell@gmail.com

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

PAGE 22

October, 2013

Hospital Newspaper - NY

RESOURCE DIRECTORY HOSPITALS Calvary Hospital Founded in 1899, Calvary Hospital is the nation’s only accredited acute care hospital devoted to palliative care for adult advanced cancer patients. Its mission is to address the physical, psychological, and spiritual needs of patients and their families. Press Ganey has consistently ranked Calvary among the top one percent in patient satisfaction among 7,000 hospitals in the country Each year, Calvary cares for more than 6,000 patients and their families. The continuum of care includes inpatient, outpatient, home hospice, nursing home hospice, home care, and the care of complex wounds. Calvary cares for inpatients at its 200-bed hospital in the Bronx and at its 25-bed Brooklyn satellite at Lutheran Medical Center.

Calvary@Home offers home care, hospice, and nursing home hospice for patients suffering from advanced cancer and other chronic and acute terminal illnesses.

• Home care is available in the Bronx, Brooklyn, Queens, Manhattan, Staten Island, and lower Westchester.

• Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties.

• also offers hospice services in more than 35 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties.

In 2004, Calvary opened the Center for Curative and Palliative Wound Care at its Bronx facility. Since then, a team of experienced physicians, surgeons, and certified wound care nurses has helped more than 800 patients to date with complex chronic wounds caused by complications of diabetes, cancer, venous and arterial disease, and other illnesses.

NURSING HOME Jewish Home Lifecare is one of the premier non-profit geriatric and rehabilitation institutions in the country.

The Home serves more than 9,000 older adults daily through traditional long term care, subacute care, rehabilitation services, community services and senior housing programs. These services are offered on the Home's three campuses in Manhattan, the Bronx, and Westchester at the Sarah Neuman Center for Healthcare and Rehabilitation, as well as through our Lifecare Services Division, which provides programs throughout the metropolitan area.

Many levels of care are provided by the Home's health system so that as needs change, individuals can transfer from one level of care to another. Skilled nursing and medical care are provided 24 hours a day by on-site clinical staff as well as a complement of physicians representing a full range of medical specialties.

The Home also educates and trains physicians and medical professionals in geriatrics. In an unprecedented teaching program with Mt. Sinai School of Medicine, over 2400 fourth year Mt. Sinai Medical School students have participated in a mandatory rotation program at the Home.

A strong component of the Home's activities include conducting research to improve the quality of life of older adults. Jewish Home Lifecare is the home of the Lester Eisner, Jr. Center for Geriatric Education, the Saul Alzheimer's Disease Special Care Unit (Bronx), the Greenberg Center on Ethics in Geriatrics and Long Term Care and the Center on Pharmacology for the Elderly (COPE).

The Home has added a new service titled, CONNECTIONS, an information and referral service for the professional and lay communities, connecting people to programs.

For more information, visit www.calvaryhospital.org or call the following numbers: Calvary Hospital (718) 518-2300, Calvary@Home (718) 518-2465, and Wound Care (718) 518-2577.

Jewish Home Lifecare Manhattan - Bronx - Sarah Neuman Center 120 West 106th Street, New York, New York, 10025 Call Connections Information and Referral at 212- 870-5919 or 800-544-0304

NEW PRODUCT TECHNOLOGY

SENIOR LIVING

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.

BF

BAGOLIE FRIEDMAN, LLC Workers' Compensation & Disability Attorneys

CALL TOLL fREE 1-866-333-3529 (After Hours / Emergency Number - 201-618-0508) The Five Corners Building - 660 Newark Ave Jersey City, NJ 07306 • (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414

www.bagoliefriedman.com

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

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

PLACE YOUR AD HERE!

Getting better…. just got better.

We are proud to announce that our stunning new nursing center has opened and has private and semi-private rooms with magnificent views of Long Island Sound.

United Hebrew is a not-for-profit, non-sectarian, multi-service senior living campus serving the Westchester metropolitan area since 1919. Our dedicated short-term rehabilitation suite is staffed

by Burke Rehabilitation professionals. The exemplary clinical team of professionals will design a personalized treatment plan for care in our nurturing environment. Features include country kitchens, recreation rooms on each floor, a courtyard garden for recreational use, private dining and family rooms and wireless internet access.

United Hebrew Family of Services: • Nursing Home Care • Burke Rehabilitation at United Hebrew • Willow Towers Assisted Living Residence • Soundview Apartments for Independent Seniors • Long Term Home Health Care Program • Azor Home Health Agency For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff at knodiff@uhgc.org.

United Hebrew 391 Pelham Road, New Rochelle, NY 10805 914.632.2804 www.uhgc.org

associations NYSNA www.nysna.org healthcare consultants Medco Consultants, Inc. www.medcoconsultants.com hospitals HealthAlliance of the Hudson Valley® www.HAHV.org North Shore LIJ www.northshorelij.com medical equipment & Products TSK Products www.tskproducts.com rehabilitation www.stcharles.org

To list your business website contact: Jim Stankiewicz Tel: 845-534-7500 ext. 219 jim@hospitalnewspaper.com

Hospital Newspaper - NY October, 2013

Page 23

Calling All Emergency Responders

When every second counts...

Count on NitroMist

®

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.* NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.† Available in 90 & 230 spray bottles.

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

Check with your GPO for low contract pricing. For additional information, please contact us at info@akrimax.com BRIEF SUMMARY NitroMist® (nitroglycerin) lingual aerosol Rx Only INDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease.

CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARNINGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive.

Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefits of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported.

DRUG INTERACTIONS – PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myocardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the reflex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministration of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissuetype Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the first-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability.

Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossification were seen. The latter finding probably reflects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-

Not Actual Size

orted clinical experience has not identified differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamic effects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and even bloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either flushed or cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specific antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerin overdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fluid volume.

Passive elevation of the patient’s legs may be sufficient, but intravenous infusion of normal saline or similar fluid may also be necessary. The use of epinephrine or other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and difficult, and invasive monitoring may be required. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color change on exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required.

NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fibrotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity in an in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and body weight gain in both sexes at all matings. No specific effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafil, vardenafil, and tadalafil.

These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructed that prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness or dizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly flammable propellant (butane), do not have the container burned after use and do not spray directly towards flames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content.

Manufactured for Akrimax Pharmaceuticals, LLC E Cranford, NJ 07016

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

141B002 10/2012

*Priming NitroMist: After receiving a new prescription or refill, patients should remove the plastic cap, place forefinger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays. † Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F).

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

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

PAGE 24

October, 2013

Hospital Newspaper - NY

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