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TRINITAS REGIONAL MEDICAL CENTER p16

Hospital of the Month!

See page 14

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!

PHX announces an industry firstHealthcare Cost

Management Loyalty Program p4

Welcome to the2013

NEW JERSEY LEAGUE FOR NURSING CONVENTION

“Nursing: Issues of Our Times” p26-29

April, 2013 Hospital Newspaper - NJ

Hospital Newspaper - NJ April, 2013

Premier Healthcare Exchange (PHX), Inc., a leading provider of healthcare

cost management services is extremely excited to announce the release of an

industry first B2B customer loyalty program, the ‘U’ Premier Loyalty Program.

The ‘U’ PLP is designed to provide recognition to the operations people

with whom PHX interfaces with every day at each of our clients. It is

characterized by an all-new integrated, point-based system that delivers

streamlined benefits within a modern loyalty program that incorporates

elements of smart gamification. Because PHX realizes the importance of

customer loyalty and satisfaction, its new ‘U’ PLP reflects their commitment

to foster a long term relationship with their customers and reward them for

their loyalty.

PHX has paired with Badgeville, the #1 gamification platform, to create a

program which draws on proven techniques in social gaming

combined with components from traditional loyalty programs.

The end result is an innovative offering which creates a

compelling user experience that encourages customers to

leverage the PHX library of educational resources and customer

focused tools, thus enabling them to become more proficient at

utilizing the PHX solution suite.

“Industry leaders such as PHX understand that loyalty programs

today must tie directly into the day-to-day behaviors performed

by their customer or employee,” said Kris Duggan, CEO,

Badgeville. “The first healthcare cost management company to

incentivize user loyalty through gamification, PHX has joined the

ranks of world-class B2B businesses that are employing modern

loyalty techniques to drive greater value for their customers.”

Using the customized Behavior Engine provided by Badgeville,

PHX designed a program in which clients achieve recognition based on

their tenure as a client and by completing specific behaviors. These activities

result in accumulated points that can be exchanged for gift cards or a

donation in the client’s name to a qualifying charitable organization.

In return, by participating in the loyalty program, engaged clients will become

more accustom to PHX’s comprehensive suite of services and the benefits

these services provide while being motivated with recognition, achievement

and status dynamics.

“By utilizing the Badgeville Behavior Platform, we have the power to

understand the myriad of behaviors exhibited by our clients across our

service platform and put meaningful rewards in place that recognize the

collective participation of their company. And that’s extremely important to

a customer centric organization like PHX. In fact, the ‘U’ Premier Loyalty

Program gives us a vehicle to provide an innovative, interactive rewards

system for the people we care most about, the experts working in our client’s

operations department. And it’s also a key enabler of the process necessary

for achieving our key business objectives and to maintain alignment with

our mission of delivering healthcare cost management value,” stated

Leo J. Garneau III, PHX, Chief Marketing Officer.

For more information on the strategy utilized to develop the “U” Premier

Loyalty program, please refer to the case study at

http://www.badgeville.com/casestudy/PHX?ref=PHX.

About Badgeville

Badgeville, the #1 gamification and behavior management platform, enables

companies in virtually every industry to influence and measure user behavior.

World-class businesses in more than 20 countries use Badgeville's Behavior

Platform, an award-winning Platform-as-a-Service (PaaS) solution to increase

customer loyalty, user engagement, and employee performance across an

organization's websites, mobile apps and enterprise applications. With over

180 customers, Badgeville brings Game Mechanics, Reputation Mechanics,

and Social Mechanics to industry leaders and innovators including Deloitte,

PHX, EMC, Oracle, Autodesk, Bell Media, NBC, Universal Music, VMware,

and more. Founded in 2010, Badgeville is based in Redwood City, Calif. and

has offices in New York and Europe. (To learn more follow @Badgeville or

visit www.badgeville.com.)

About PHX

Premier Healthcare Exchange (PHX) was incorporated in 2001. The company

provides advanced cost management solutions for health plans that combine

claim processing automation with professional services to deliver a timely,

centralized approach to healthcare cost management. This approach results

in a significant reduction in payment errors, appreciable improvement in the

time needed to bring claims to resolution and in savings that substantially

reduce the healthcare costs of its clients.

Additionally, through its Pay-Plus Solutions™ division, PHX delivers easy,

fast and reliable electronic payments and explanation of payments to

healthcare providers. PPS is the only system designed exclusively for

healthcare that combines banking functions, claim payments and claim

remittance and integrates with traditional paper processes.

PHX solutions are utilized by industry leading insurance companies,

Taft-Hartley Funds, Health Maintenance Organizations (HMOs), Third Party

Administrators (TPAs) and healthcare providers. For the fouth consecutive

year NJBIZ recognized PHX as one of the fastest growing companies in

New Jersey and in 2012 PHX became a four time recipient of the Inc.

500/5000 list of the fast growing private companies in America. Additionally,

PHX received the inaugural “Hire Power” Award from Inc. magazine

recognizing PHX as one of the top job creators over the past three years.

For more information, please visit us at www.phx-online.com.

PHX announces an industry first Healthcare Cost Management Loyalty ProgramLeading healthcare services provider launches innovative customer rewards experience powered by Badgeville


Hospital Newspaper - New Jersey edition - Vol. 11 No. 4 -is published monthly, 12 times a year for $36 per year byBelsito Communications, Inc., 1 Ardmore Street, NewWindsor, NY 12553. Postage Paid at New Windsor, NYand additional mailing offices. Postmaster: Send addresschanges to Hospital Newspaper, 1 Ardmore Street, NewWindsor, NY 12553. No financial responsibility is assumedby this newspaper to publish a display, classified, or legalad or for typographical errors except of reprinting that partof the ad which was omitted or in error. Omissions or errorsmust be brought to the attention of the newspaper duringthe same month of publication.

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CORPORATE INFORMATION

ADVERTISER INDEX

Company Page

AlliedBarton Security Services 20

AkrimAx / Nitromist 32

Bergen regional medical Center 19

EmA 7

GNYHA Services 9

icare 31

Less Stress instructional Services 15

matheny School and Hospital 21

medExcel 3

New Jersey League for Nursing 26-29

NorthWest Seminars 23

Pay-Plus™ Solutions, inc. 2

Plymouth rock management Co of NJ 25

Premier Healthcare Exchange, inc. (PHx) 5

resource Directory 24, 30

St. Peter’s University 13

Sun Home Loans 14

Trinitas regional medical Center 17

UmDNJ 11

U.S. Navy 15

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• • •GENERAL MANAGER

James Stankiewicz([email protected])

• • •MANAGING EDITOR

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• • •BUSINESS DEVELOPMENT,

PUBLISHER'S REPRESENTATIVE

Jeff HortonField office; Mahopac, NY

cell- 845-729-2525

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TRINITAS REGIONAL MEDICAL CENTER p16

Hospital of the Month! See page 14

If you are a Hospital employee looking for a mortgage or refinancing

contact Sun Home Loans about their Hospital Employee Loan Programand you could WIN AN IPAD!

PHX announces an industry firstHealthcare CostManagement Loyalty Program p4

NEW JERSEY LEAGUE FOR NURSING CONVENTION�� p26-29

Welcome to the 2013

OUR VIEW

Hospital Newspaper has had the pleasure of being at the beautiful League of Nurse’s convention

every year since 2001!

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

Nurse’s from the Tri-state are treated to the best educational opportunities available. There is always

excitement at the many promotions at the three-day event.

Beyond the convention Gail Hammond, Executive Director of NJLN, helps the communities’ that

the nurse’s serve. Recently the NJLN donated not only $1,000 to assist in the recovery efforts from

Hurricane Sandy, but many others volunteered their time and nursing skills in the recovery.

I hope you get the chance the to thank Gail for her years of service. Hospital Newspaper thinks there is

no one better!

Please share your stories with us: [email protected]

Jim can be reached at 845-534-7500 ext. 219 and via email at [email protected].

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

Hospital Newspaper - NJ April, 2013 PAGE 7

(877) 692-4665 [email protected] www.EMA.net

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

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Serving patients in New Jersey, New York and Pennsylvania, as well as North Carolina and Rhode Island

Dedicated board-certi�ed emergency physicians integrate into your hospital’s culture

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A.net

A CareOne Long Term Acute Care

Hospital is now located at a newly-

created patient unit at the main cam-

pus of Trinitas Regional Medical

Center. An area that previously

housed offices as well as patient

rooms has been transformed into a 25

bed modern state-of-the-art long-term

acute care patient center.

A Long Term Acute Care Hospital

(LTACH) is designed to serve pa-

tients with complex medical needs

that require a lengthier treatment pro-

gram, usually between 25 – 35 days.

Those who meet this clinical profile

generally require a variety of care in-

cluding: telemetry and cardiac moni-

toring; ventilator weaning/pulmonary

management; antibiotic therapy;

complex wound care and healing; nu-

trition services; physical/occupa-

tional/speech therapy; social services,

and patient education.

The CareOne LTACH facility is a

separate entity from Trinitas Regional

Medical Center; however, CareOne

will use many of the ancillary hospital

services for which Trinitas is well-

known. As the first LTACH to be li-

censed by the state, CareOne has had

a presence for the past nine years at

Raritan Bay Medical Center in Perth

Amboy. Its success there was influ-

ential in Trinitas Regional Medical

Center’s decision to enter into this

agreement to rent space to CareOne.

“Trinitas Regional Medical Center

had a vision to reconfigure office

space and a former patient area in a

new and meaningful way at our

Williamson Street Campus, explains

Gary s. Horan, President and Chief

Executive Officer. “We realized the

value of LTACH services as a supple-

ment to our own patient care services.

Each organization can draw on the

strengths of the other in order to

achieve a new and exciting level of

patient care for our community.”

“We look forward to expanding our

expertise in the long term acute care

environment at our new facility

within Trinitas Regional Medical

Center,” says Sharon Bready, Care-

One LTAC Hospital CEO for both

long term acute care hospitals at Rar-

itan Bay Medical Center and now

Trinitas Regional Medical Center.

“Our new relationship with Trinitas

will provide us the opportunity to

serve patients from both the local

community as well as neighboring

areas.”

“CareOne and Trinitas are com-

mitted to providing superior, multi-

faceted care in a brilliant new patient

care environment, Gary S. Horan

concludes.

About Trinitas Regional Medical Center

Trinitas Regional Medical Center

(TRMC), a major center for compre-

hensive health services for those who

live and work in Central New Jersey,

is a Catholic teaching medical center

sponsored by the Sisters of Charity of

Saint Elizabeth in partnership with

Elizabethtown Healthcare Founda-

tion. With 10 Centers of Excellence

across the continuum of care, Trinitas

has distinguished itself in cardiology,

cancer care, behavioral health, renal

care, nursing education, diabetes

management, wound healing and

sleep medicine.

For more information on Trinitas

Regional Medical Center, please

visit: www.TrinitasRMC.org or call

(908) 994-5138.

From left, Michael Fancher, Business Development Manager andSharon Bready, Facility CEO, CareOne LTAC Hospitals, celebrate theopening of the CareOne LTAC at Trinitas Regional Medical Center withGary S. Horan, FACHE, President and CEO of Trinitas.

Trinitas Regional Medical Centerbecomes home to CareOne LTACHospital Unit

provided

If you’d like to reach the health and hospital communities of New Jersey each month,

there is no more cost-effective way than the Hospital Newspaper.

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


It’s not just people that make a hospital. The environment—the infrastructure, architecture, and design—also plays

a key role in hospital viability. As the economy recovers, so does the will to invest in hospital facility upgrades and

construction projects, albeit cautiously and on a smaller scale. And with the potential increase in patient load, coupled

with the link between patient satisfaction, outcomes, and payments, facility investments present a long-term opportunity

to make a positive impact on your bottom line.

A 2011 survey found that patient satisfaction is one of the top three concerns of hospital executives. And in October of

last year, the patient satisfaction stakes rose even higher when the Affordable Care Act tied payment cuts to the Hospital

Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Poor HCAHPS scores will cost

hospitals 1% of their reimbursement, a penalty that will grow to 2% in FY 2017. Among other questions, the survey

asks patients to rate their hospital environment according to cleanliness and noise level—which should make facilities

an essential part of every hospital’s reimbursement strategy.

The 2012 Hospital Construction Survey by Health Facilities Management and the American Society of Healthcare

Engineering reported that the majority of hospitals plan to spend more on renovations than new construction, consistent

with the present climate of fiscal restraint. In this patient-centric, tight budget environment, hospitals need to make

prudent decisions and invest in the right projects at the right price.

Although not traditionally associated with facilities management, group purchasing organizations (GPOs), which provide

access to competitive pricing for a variety of contracts for everything from planning to plumbing and from floor mats to

roofing, make a perfect partner for facilities managers and other decision-makers before and during a renovation or

building project.

Hospitals that work with GNYHA Services from the inception of a construction project can present their proposed plan

and gain access to custom-made supply and other contracts. They can also consult a GPO subject matter expert—

who is armed with a background in construction and/or electrical, architecture, etc.—at any or every stage of the

process. In addition, GPO representatives are available to help facilities managers identify savings through suggested

contracts and can create contracts based on specific needs. GPOs are even equipped to become part of a hospital

emergency preparedness plan, helping to arrange access to medical and non-medical supplies and technology.

Hospitals are realizing that their facilities are fundamental to their overall success, affecting everyday but important

issues, such as patient satisfaction and workflow. With well thought out construction plans and a GPO to maximize

savings on supplies, equipment, and services, hospitals can ensure that they are providing an environment that allows

for the highest possible level of care and brings them to the optimal intersection of cost, quality, and outcomes.

Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital

Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization,

and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials

Management (AHRMM).

Ask An ExpertAsk An Expert

Christopher J. O’ConnorExecutive Vice President, GNYHA Ventures, Inc.,

President, GNYHA Services, Inc. and President, Nexera, Inc.

Building Patient Satisfaction


Upgrade your bottom line.Facility upkeep is vital to the safety and satisfaction of your patients and employees. �e GNYHA Services facility maintenance portfolio is designed to help hospitals complete successful repair, renovation, and construction projects with reliable suppliers at signi�cant savings.

Repair and renovation don’t have to be DIY. Call GNYHA Services at (212) 246-7100.

555 West 57th St. I New York, NY 10019


Latestinfo fo

r

nurses and

students

By Alison Lazzaro

Valentines Day 2013 was not the usual couples retreat at Bally’s Hotel in Atlantic City

this year. Two-thousand nursing students chose to spend the day at the New Jersey Nursing

Students Inc. 61st Annual Convention. This networking opportunity was themed Kings

and Queens of Hearts: Ace Your Career in Nursing. The year-long diligent planning by a

student run board of nursing students was in full swing on Valentine’s Day.

Eager nursing students began their trip on Wednesday night if they were chosen to

represent their schools as Delegates. The enthusiastic group followed Roberts Rules of

Parliamentary Procedure to conduct business. Thursday was packed with forty-seven

focus sessions on topics from prenatal care to resume workshops, run by the New Jersey

Association of Healthcare Recruiters, to psychiatric-mental health concepts, caring for

the LGBTQ population, political action, and cardiac pharmacology. There was a topic

for every student's unique interest. Simultaneously, a blood drive hosted by the American

Red Cross enabled students to save lives even when they were away from clinical for a day.

Student nurse speakers also discussed the resolutions they prepared in order to present them at the National Student Nurses

Association Convention. NCLEX preparation classes were even available to help students pass after graduation and land

their dream job!

The exhibit hall bustled with NCLEX test preparation organizations, colleges and universities, job opportunities,

uniform sales, and raffle baskets. Students came prepared with resumes and enthusiasm as they professionally greeted

exhibitors. Whether interested in applying to graduate school, ready to face the NCLEX, job searching, or just interested in

seeing what opportunities were available, students were busily networking

throughout the hall.

Thursday night allowed participants to unwind from the long day and

have fun with new acquaintances at the First Night Party. The theme was

"Rodeo Roundup: Lasso in Some Fun" and included Country line dancing

with the western theme. With “Watermelon Crawl” lessons, students came

dressed in cowboy boots to enjoy food and dancing.

Friday closed with the final House of Delegates meeting in which

students prepared speeches to run for a 2013-2014 board position.

Following delegate voting, students could choose to attend a NCLEX

review course or if the exam seemed far away as an underclassman, students could participate in a Disaster Health Services

Response Workshop held by the American Red Cross. The Convention was a huge success and a great way for students

to get more involved in their pre-professional nursing organization.

Nurse’s Viewpoint

Hospital Newspaper Correspondent

61st Annual Convention: Kings and Queens of Hearts: Ace Your Career in Nursing


Two Seton Hall School of Health

and Medical Sciences Internal Medi-

cine residents currently serving their

residency at Trinitas Regional Medical

Center have been awarded Fellow-

ships at two well known metropolitan

medical centers. Nancy Holder, MD,

has received a fellowship in pul-

monary medicine and critical care

medicine from Newark Beth Israel

Medical Center while Amar Sarao,

MD, is the recipient of a fellowship in

critical care medicine at Mount Sinai

Medical Center in New York City.

“Fellowships from these outstand-

ing health care institutions show that

Trinitas Regional Medical Center of-

fers a first-rate residency program,”

said Gary S. Horan, President and

Chief Executive Officer. “I’m proud

to congratulate all who are part of this

fine program.”

Drs. Holder and Sarao join other


medical residents who most recently

have received fellowships at presti-

gious national institutions. They are:

Vivek Bansal, MD, who received a fel-

lowship in Endoscopy at Case Western

Reserve University School of Medi-

cine in Cleveland; Mukesh Kumas,

MD, who was awarded a fellowship in

hematology and oncology from Emory

University School of Medicine in At-

lanta, Georgia, and Swaroopa

Yerrabothala, MD, currently doing a

blood transfusion fellowship at Dart-

mouth-Hitchcock Medical Center in

New Hampshire where she will begin

a fellowship in hematology and oncol-

ogy. Over the years, medical residents

at Trinitas have had an impressive

track record of being awarded fellow-

ships at top institutions.


Regional Medical Center, visit:

www.TrinitasRMC.org or call (908)

994-5138.

Drs. Amar Sarao and Nancy Holder, shown with Dr. Ernest Federici, Director of the InternalMedicine Residency Program (left), and Dr. William Farrer, Associate Director of the Program,join other Trinitas medical residents who have previously received fellowships at prestigiousnational institutions.

Residency Program at Trinitas Regional Medical Center prepares young doctorsfor prestigious fellowships

provided

education & careers

Unique RecruitmentOpportunity

Hospital Newspaper believes that high school students should be informed about potential healthcare careers.

Special career sections will be placed in your local high schools,medical schools, colleges and nursing schools.

This is your opportunity to displayopportunities for:

Faculty/PhysicianNursingAdministrativeSupport PositionsClinical Care

Medical AssistantsCounselorsMedical ImagingDieticians

Please contact Jim Stankiewicz for more [email protected]

tel: 845-534-7500 x219


education & careers

Educational Partnershiplaunched, allows LourdesNursing Students to earnBachelor’s and Master’sDegrees

Launched in November 2012 through an edu-

cational partnership with Immaculata University

and Camden County College, Our Lady of Lourdes

School of Nursing is currently offering its reg-

istered nurse diploma program with the option to

earn a bachelor of science degree in nursing

(BSN) as well as a master of science degree in

nursing (MSN) on-site at Our Lady of Lourdes

School of Nursing.

This partnership is the result of a three-year

collaboration to provide a seamless transition to

higher education to students, graduates and nurses

within Lourdes Health System.

“To be able to offer the RN to BSN and MSN

degree programs at Our Lady of Lourdes, a main-

stay in South Jersey, ensures that the educational

outlook for the healthcare community in New

Jersey will remain strong,” says Sister R. Patricia

Fadden, IHM, Ed.D., president, Immaculata

University.

Our Lady of Lourdes School of Nursing pro-

vides an educational program that is based on

Christian values, which advocate caring, social re-

sponsibility and service to those in need. The

School is dedicated to providing a learner-cen-

tered environment that develops competent, com-

passionate and knowledgeable professional nurses

for entry into practice.

For more information, please visit our website

at www.lourdesnursingschool.org

Pictured reviewing the educational partner-ship agreement is (l to r): Lisa Easterby, DNP,RN, CNE, dean of Our Lady of LourdesSchool of Nursing; Anne McGinley, PhD,RN, APN, dean of Camden County College’sDivision of Nursing, Health Science andHuman Services; and Sister Ann Heath, IHM,Ph.D., vice president for Academic Affairs atImmaculata University.

provided


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!

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

Sun Home Loans, a division of Sun National Bank,

is proud to serve the heroes in our community

who dedicate their lives to serving the rest of us:

doctors, nurses and other hospital employees.

That is why we teamed up with Hospital News to

create the Hospital Employee Loan Program (HELP).

With a competitive mortgage rate and discounted

fees, this program helps our community heroes

purchase new homes or refinance existing homes.

Plus, the program comes with our pledge to get

hospital employees in their new homes by their

contract dates.

Hospital Employee Loan Program

PROGRAM INFORMATION

We understand that the current economic environment has created

challenges to home ownership. Working with our own resources and

Federal government programs we will create a solution that opens

the path to home ownership.

The Hospital Employee Loan Program delivers these advantages:

» A competitive mortgage rate, available specifically for

hospital employees

» Discounted fees

» Personal service from program specialists

» Our pledge to have you in your home by the contract date

COMMUNITY FOCUS

Sun National Bank, a full-service provider of banking products and

services, is dedicated to playing an active part in the communities

we serve. We support a variety of organizations, events and programs

whose goals are to make our neighborhoods a better place to live and

work and improve the lives of those living around us. Hospital News is

the leading provider of local news and information for doctors, nurses

and other hospital staff.

Learn MoreTo find out more about our Hospital Employee Loan Program, email [email protected] 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.

The springtime serves as peak home-buying

season. Even though buyers have a greater advan-

tage than they’ve had in awhile, it’s still easy to

take a wrong, frustrating and – gasp – costly turn.

But don’t worry: The Sun National Bank Hospital

Employee Loan Program (H.E.L.P). provides six

ways to make sure buying a new home proves to

be a success.

Hospital Newspaper and Sun Home Loans teamed

up to create the H.E.L.P. Program. This exclusive

mortgage opportunity provides discounted fees and

low interest rates for firefighters and other members

of the emergency services community. The program

offers unmatched rates, minimal lender fees and

promises to get clients in their new home by the con-

tract date.

1Be prepared: You will need to do a little

homework before you get started looking for

a new home. Make sure that you can locate all

the documents necessary for you to be pre-ap-

proved for a mortgage. You will most likely need

the following: Your two most recent pay stubs, your

last two years W2’s, all of your asset statements,

(checking, savings,401k, stocks, bonds, mutual

funds) and last two tax returns. Sit down and work

up your budget, know how much you want to spend

before you are told how much you can actually

spend.

2Get pre-approved: Call the H.E.L.P.

Program to be pre-approved for your new

mortgage. Without pre-approval, you will

not know what you can afford to buy. This can get

you into a very difficult situation. If you put an

offer on a house without being approved and you

can’t afford it, you might be opening the door to

some very expensive litigation. Call the H.E.L.P.

Program and find out what you can afford to buy.

3Ensure you are working with a real

estate professional: Ask your H.E.L.P.

Program representative if they can recom-

mend a real estate professional to you. It is ex-

tremely important to have a real estate agent that

is working for you and your best interests. A real

estate agent will look out for the best deals in your

market and are there to facilitate the negotiating

process and the transition to your new home.

4Find a good real estate attorney:

A lawyer can help you negotiate the real es-

tate contract and renegotiate it if a home in-

spection finds flaws - or an appraisal deems the

house less valuable than the sales price. A lawyer

also represents your interests at the closing and

does the lion’s share of paperwork and coordination

associated with it.

continued on next page

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

Hospital Newspaper - NJ April, 2013 PaGe 15

education & careers

5Make a firm offer: When you see a house you want, you’ll make a verbal offer. If the

seller is interested, your next step is to commit yourself in writing. The written offer, or

contract, is usually drawn up by the seller’s agent, but if you choose to use a buyer’s

agent and real estate lawyer, they can negotiate and review that contract on your behalf. If you

end up negotiating the price of the property, make sure that you check in with your H.E.L.P.

Program representative. You do not want to overbid the price of the property and then not be

able to qualify.

6Get the home inspected: No matter how good a house looks and no matter how

much you love it, you want to be sure it’s sound structurally and in every other way.

If it’s not, you want to know whether the seller will address the issue before you seal the

deal. If not you have to decide whether you want to back out of the deal or take care of the

repairs yourself.

H.E.L.P. Program clients enjoy unmatched

customer service and attentiveness through-

out the process - from their initial inquiry - to

closing. Working with its own resources and

Federal government programs, Sun National

Bank develops solutions that open the path to

home ownership.

Sun National Bank provides a full-range of

banking products and services, delivered by

experienced bankers. Personal attention

merges with world-class service and compet-

itive products that meet the needs of today’s

consumers and businesses. Sun National

Bank believes that doing business in the com-

munity means being a part of it.

Whether purchasing a new home or refi-

nancing an existing one, the H.E.L.P. Program

is offered exclusively, providing personal

service, benefits and rates not normally avail-

able to the general public.

“The springtime is the perfect time to buy

a home and we make it even easier with ag-

gressive products and programs available to

the men and woman who are such an impor-

tant part of the fabric of our community,” said

Steven Testa, an executive vice president with

Sun National Bank. “The H.E.L.P Program

really got off the ground running and contin-

ues to be a success. We are excited about it

and look forward in continuing to build our

relationship with the hospital community.”

To receive more information about the pro-

gram and its benefits, contact Steven Testa at

[email protected] 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.

H.E.L.P. Program continued from previous page


HOSPITALof the MonthH

TRINITAS PROVIDES CRITICAL CARE FOR HEART ATTACK PATIENTSMost direct route “from door-to-balloon” is the goal

When the recommended time-

frame of emergency angioplasty

treatment for a heart attack is only

90 minutes, every minute is crucial.

When a healthcare facility is able to

cut 15 to 20 minutes off its “door-

to-balloon” time, the potential for

saving lives soars.

At Trinitas Regional Medical

Center, that life-saving potential is

realized every time a heart attack

patient is en route. Field assess-

ments of emergency responders

trigger an early call to the Cardiac

Catheterization Lab. The Cath Lab

team calls the Emergency Depart-

ment where doctors can assess the

patient and confirm the diagnosis

immediately upon arrival resulting

in reduced time spent in the

Emergency Room.

Trinitas is one of the only med-

ical centers in New Jersey to offer

this direct line to cardiac care.

Patients experiencing STEMI

(ST segment elevation myocardial

infarction, a heart attack brought on

by a blocked coronary artery) have

traditionally been forced to make a

first stop in a hospital’s ER before

being brought to a cardiac unit for

treatment – a practice the American

Heart Association is lobbying to

change, says Trinitas Mobile ICU

Coordinator Ken Reardon.

“It comes down to doing what’s

in the patient’s best interest,”

Reardon says. “Now when we have

a patient in the field showing

STEMI, EMS responders have a

20-minute head start in notifying

the hospital and the cath lab. They

can perform a 12-lead ECG and

transmit those results [from the

truck] to the hospital and on-call

staff via e-mail and fax, and they

can keep that patient on a stretcher

all the way to the lab.”

Reardon, along with Chairman

of the Department of Emergency

Medicine John D’Angelo, DO,

FAAEM, Fayez Shamoon, MD,

Medical Director of Cardiovascular

Services, and RNs Denise Loneker

and Janice Lynch were among the

key players in helping transform

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

Ken Reardon, Coordinator of the Mobile Intensive Care Unit at Trinitas Regional Medical Center,transmits patient care data through a 12-lead EKG directly to the Emergency Department and to thetreating cardiologist through his or her smartphone, a process that speeds heart attack patientsarriving at Trinitas into the cardiac catheterization lab.

Trinitas’ response to STEMI

emergencies. For D’Angelo,

who’d seen the system succeed at

the Florida facility where he

worked before joining Trinitas, the

premise is simple. “Time is mus-

cle,” he says. “Symptom onset

[when a patient experiences chest

pain] to opening the blocked ar-

tery is critical. Our patients need

to recognize signs of a heart attack

and present to the Emergency De-

partment immediately. Every sec-

ond counts—every second we save

means we’re saving heart muscle

and potentially preventing compli-

cations like fluid retention and

shortness of breath.”

In conjunction with the American

Heart Association’s Mission: Life-

line initiative to change the way

STEMI patients are transported, re-

ceived and treated, Trinitas Re-

gional Medical Center is leading the

way in providing more efficient, ef-

fective care when these types of

coronary blockages threaten lives.

The AHA estimates that less than

half of STEMI patients around the

country receive treatment within

their recommended timeframes;

Trinitas is taking the lead among

New Jersey hospitals in changing

that life-or-death trend.

About Trinitas RegionalMedical Center


(TRMC), a major center for compre-

hensive health services for those who

live and work in Central New Jersey,

is a Catholic teaching medical center

sponsored by the Sisters of Charity

of Saint Elizabeth in partnership with

Elizabethtown Healthcare Founda-

tion. With 10 Centers of Excellence

across the continuum of care, Trinitas

has distinguished itself in cardiology,

cancer care, behavioral health, renal

care, nursing education, diabetes

management, wound healing and

sleep medicine. For more informa-

tion on Trinitas Regional Medical

Center, visit: www.TrinitasRMC.org

or call (908) 994-5138.

photos provided


Being first with ground breaking technology is a hallmark of Trinitas Compre-hensive Cancer Center, which was the first cancer center in New Jersey to provide patients with the Varian Trilogy radiation therapy system in 2005.

Trilogy’s ultra-precise robotics accurately tracks and adjusts for tumor movements at the moment of treatment, then targets cancer and neurological lesions with sub-millimeter accuracy. No other facility in New Jersey has more experience withVarian Trilogy than Trinitas.

Trinitas was also the first in New Jersey to offer women the new Accuboost radiotherapy technology – a highly effective, non-invasive treatment for breast cancer that is more accurate than standard breast radiotherapy. In addition, Trinitasis a leader in radiosurgery – which uses precisely-focused beams of radiation to treattumors anywhere in the body.

Ground breaking technology, and the expertise to use it - that’s the Trinitas Comprehensive Cancer Center.

TRINITAS COMPREHENSIVE CANCER CENTER225 Williamson Street, Elizabeth, NJ 07202 • 908-994-8000 • www.TrinitasCancerCenter.org

TRINITAS CENTERS Behavioral Health • Cancer Care • Cardiology • Diabetes Management OF EXCELLENCE Maternal & Child Health • Renal Services • School of Nursing • Senior Services

Sleep Disorders • Women’s Services • Wound Healing & Hyperbaric Medicine

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

Look to a ComprehensiveCancer Center that is first tooffer the latest technology…

Clarissa Henson, MDChair of Radiation Oncology

For the Best inCancer CareFor the Best inCancer Care

Look to Trinitas Comprehensive Cancer Center.


Hunterdon Healthcare and Hunterdon Healthcare

Partners were awarded the “Grand Champion” title for

the 7th annual Nextgen Healthcare/Intel Innovation

Award, also known as the Best Practice Award. This

award confirms that Hunterdon Healthcare embraces

a full “meaningful use” implementation of NextGen

applications when managing a business and delivering

quality care to patients.

The term "Meaningful Use" applies to rules for hos-

pitals and providers who are on an Electronic Health

Record ("EHR"). Hunterdon Healthcare utilizes

NextGen as their EHR system. EHR’s provide many

benefits for physicians and their patients, such as:

complete and accurate information and patient em-

powerment. EHR’s facilitate greater access to the in-

formation so physicians can diagnose problems earlier

and improve the health outcomes of their patients.

They also allow information to be shared more easily

among physicians’ offices, hospitals, and across health

systems, leading to better coordination of care.

NextGen Healthcare provides electronic health

records (EHR), financial, and health information ex-

change (HIE) solutions for hospitals, health systems,

physician practices, and other healthcare organizations.

The implementation of NextGen has allowed for sys-

tem expansion and achievement in clinical integration

within the community, as well as ensuring return on in-

vestment for physician practices. Currently, Hunterdon

Healthcare has 199 health providers including physi-

cians and nurses in 48 private and hospital-operated

specialty and primary care practices using NextGen.

Pictured are members of the NextGen team for Hunterdon Healthcare and Hunterdon Healthcare Partners: Back row(left to right): Christopher Simone, Elizabeth Murtha, RN, Alan Revell, Karen Giannattasio, Janice Crawford, RN, LauraKratz, Dawn Tortoriello, Paul Taluba. Middle row (left to right): Jangie Lin, Peggy (Margaret) Sakasitz Valerie LoVerso,Liz (Elizabeth) Verhalen, Pam Anderson, Cheryl Carpenter, Lisa Bosga. Front row (left to right): Christine Bogard, JeanFitzgerald, Glenn Mamary, Wayne Fellmeth, MD.

Hunterdon Healthcare receives Grand Champion Award from Nextgen

provided

Here are just a few ways NextGen has helped Hunterdon Healthcare:

• Hunterdon Healthcare achieved Level 3 Patient Centered Medical Home (PCMH) designation from the National Committee for Quality Assurance (NCQA).

• Implementation of Population Health initiatives to measurably improve the percentage of patients receiving necessary preventative healthcare services.

• NextGen’s Health Information Exchange allows Hunterdon Healthcare to securely share clinical patient data across the practices in their network.

• Improved care team/patient communication with NextGen has resulted in increased patient satisfaction.

Hunterdon Healthcare is committed to continuing to push the boundaries of what is possible with NextGen to streamline workflows, increase revenue and most of all,

improve the health of the community.

Hospital Newspaper highlights one hospital

per month as the centerfold feature.

Great way to get information about

your facility to interested readers.

Hospital of the Month

For more details contact:

GENERAL MANAGER

Jim Stankiewicz([email protected])

845-534-7500 ext 219

Scan this barcode with your smart mobile deviceto see Hospital of the Month examples onwww.hospitalnewspaper.com


�ree Divisions of Care… One Commitment to Excellence

Inpatient and Outpatient Mental Health Services

Collaborative Medical and Behavioral Health Continuum of Care

Addiction Services

Adult, Geriatric, Child and Adolescent Services

Home Like Atmosphere with Quality Medical Care an Elevator Ride Away

Wound Care Treatment

Alzheimer’s/Dementia Care

24 Hour Skilled Nursing Care

Respite Care

Winner NJ Biz Healthcare Heros Nursing Home of the Year

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

For More Information

Call

When Clara Memba, RN, of

Bloomfield headed to an 8:30 a.m.

nursing meeting after her overnight

shift at UMDNJ-The University

Hospital on February 4, she thought

the meeting would focus on patient

satisfaction.

Not so.

Instead, James R. Gonzalez,

MPH, FACHE, the hospital’s pres-

ident and chief executive officer

(interim); Theresa Rejrat, RN, MA,

its vice president of patient care

services and chief nursing officer;

and several of Memba’s colleagues

were waiting at the “meeting” to

present her with the Daisy Award—

a prestigious nursing award.

“I am truly honored, proud and

blessed to have such a warm, sin-

cere and compassionate nurse,

Clara Memba, as part of the Uni-

versity Hospital family,” said Jen-

nifer Smith, RN, BSN, MSN, the

hospital’s acting medical-surgical

director who nominated Memba for

the honor and spoke during the sur-

prise award presentation. “She has

always provided the highest stan-

dards of care to patients and their

families while displaying acts of

kindness and empathy.”

The DAISY Award is a national

nursing excellence recognition pro-

gram used by more than 1,200 hos-

pitals across the country. It

recognizes nurses who give com-

passionate bedside care and regu-

larly demonstrate superhuman tasks

that nurses are expected to perform

each day. DAISY Award recipients

are nominated by their peers, pa-

tients or families. They are selected

by their peers, and UMDNJ-The

University Hospital presents the

award to a total of six nurses annu-

ally on a bi-monthly basis.

“We are very lucky to have you

here,” Gonzalez told Memba during

the presentation.

Smith noted that Memba has

been a nurse at UMDNJ-The Uni-

versity Hospital for nearly 10 years.

She was nominated for the Daisy

Award based on her extraordinary

care of and compassion for a dying

patient who desperately wanted to

visit family in Africa one last time.

The patient, however, lacked the fi-

nancial means to do so.

Moved tremendously, Memba

worked with the patient’s friends

and church to raise money to send

the patient to Africa. The patient

died shortly after arriving there.

Memba, who nearly left the room

in shock after realizing that she was

being presented with an award, said

that witnessing her father’s sickness

and subsequent death in 1989 mo-

tivated her to become a nurse. Until

that time, she had been a police of-

ficer in her native Cameroon but

made the career change to honor

her father and to help heal the sick.

Since immigrating to the United

States 16 years ago, Memba has

earned a registered nurse degree

from Bergen Community College

and is pursuing a Bachelor of Sci-

ence in Nursing degree from Jersey

City State University.

“I try to do my job to the best of

my ability every day that I step into

this hospital,” she said through

tears while accepting the award and

talking about her father.

During the award presentation,

Memba received a leather-bound

DAISY Award certificate, a lapel pin,

a unique hand-carved stone sculpture

from Zimbabwe entitled “A Healers

Touch,” and a bouquet of daisies. In

addition, she will be featured on the

DAISY Award Foundation’s web-

site. The unit where she works,

From Police Officer to NurseUniversity Hospital Nurse Recalls Father’s Death in Accepting Award

Clara Memba, RN, (center) was nominated for the DaisyAward by UMDNJ-The University Hospital acting medical-surgical director, Jennifer Smith, RN, BSN, MSN, (l). Membawas recognized by James R. Gonzalez, MPH, FACHE, pres-ident and CEO (interim) (r) during the award presentation.

F-Yellow (surgical), shared in her

award winnings by having cinna-

mon rolls supplied for the unit by

Cinnabon after the presentation.

Created in 2000, the DAISY

Foundation was established by

the family of J. Patrick Barnes,

who died at age 33 of Idiopathic

Thrombocytopenic Purpura (ITP),

an autoimmune disease. The

DAISY Award – an acronym for

Diseases Attacking the Immune

System – was designed by the

Barnes family to honor and recog-

nize the compassion and clinical

skills of the nurses who cared for

him.

The University of Medicine and

Dentistry of New Jersey (UMDNJ)

is New Jersey’s only health sciences

university with more than 6,000

students on five campuses attending

three medical schools, the State’s

only dental school, a graduate school

of biomedical sciences, a school of

health related professions, a school

of nursing and New Jersey’s only

school of public health. UMDNJ

operates University Hospital, a Level

I Trauma Center in Newark, and

University Behavioral HealthCare,

which provides a continuum of

healthcare services with multiple

locations throughout the State.

provided

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PAGE 20 April, 2013 Hospital Newspaper - NJ


Darlene Tammara, a teacher at the

Matheny School has been selected as one

of the “Teachers Who Rock” by Greater

Media radio stations WDHA 105.5FM

and WMTR 1250AM, located in Cedar

Knolls, NJ. The stations recognize 24

outstanding teachers in New Jersey for

their important contribution to society.

Each Friday, two winners are announced,

and their stories are read on both stations’

morning shows. Tammara’s name was

announced on Friday, January 25. She

and the other 23 Teachers Who Rock will

be honored at a dinner on April 23 at

Ravello Elegant Weddings & Banquets in

East Hanover, NJ.

The Matheny School is part of the

Matheny Medical and Educational

Center, a special hospital and educational

facility in Peapack, NJ, for children and

adults with medically complex develop-

mental disabilities. Tammara teaches a

transition class, which means she has the

responsibility for instructing older

students in life skills that will help them

after they graduate. Four years ago, she

started the Tea Time Café, a snack bar

managed by Matheny students for Math-

eny employees. Now, in her transition

class, she has her students count money

from Tea Time sales, enter the results on

a special math worksheet and make bank

deposits. The students also work on cler-

ical jobs for Matheny and fill packages

for Operation shoebox, an organization

that sends care packages to U.S. troops

deployed overseas.

Tammara appreciates Matheny’s trans-

disciplinary approach, “where therapists

work in the classroom with teachers.

We all work together. I feel very strongly

about that – it’s such a collaborative

effort.” Her colleagues apparently feel

the same way about Tammara as they

nominated her as Matheny’s educator of

the year for the 2012-2013 school year.

Matheny Teacher recognized by Greater Media Radio Stations

Darlene Tammara uses picture symbols to make a story more understandable to studentDeborah Eike. At left is occupational therapist Debbie Goodheart.

16th Annual Miles for Matheny — Ready to Rollon Sunday, April 21

The 16th annual Miles for Matheny, the Matheny

Medical and Educational Center’s annual fundraiser and

community event, will be held Sunday, April 21, at Lib-

erty Park in downtown Pea pack, NJ. Having grown

from a small wheelchair walk and cycling ride in 1998

to an event that attracts more than 1,500 participants,

volunteers and spectators, Miles brings Matheny stu-

dents, patients, families and friends from the community

together to enjoy a day of camaraderie and fun. “Our

goal,” says Steve Proctor, Matheny president, “has al-

ways been to bring together the children and adults with

disabilities with their able-bodied counterparts in a won-

derful and uplifting day enveloped by the strong com-

munity spirit of our neighbors.”

Activities include:

• The Lu Huggins Wheelchair Walk. Friends

and family members can enjoy walking alongside

more than 100 Matheny children and adults who

“wheel” through the streets of downtown Peapack

to the cheers of community members and other

supporters.

• 5K Road Race: USATF-NJ NBGP 500 point

event. Close to 400 runners will race through the

beautiful Somerset Hills on town and rural roads

in this USATF sanctioned run.

• Cycling Routes. Five different cycling routes

wind through the picturesque countryside,

designed to accommodate cyclists of all levels.

A highly challenging climbing cycle route,

“The Hills of Attrition”, is renowned among

endurance cyclists.

• Kids Fun Run. Children, ages 3-10, enjoy

friendly competition where they all are winners.

And they learn at an early age about “running for

a cause.”

• Nourishment. Participants and supporters can

enjoy the Friends of Matheny’s “Breakfast of

Champions”, along with luncheon refreshments

in the park.

Matheny is a special hospital and educational facility

for children and adults with medically complex devel-

opmental disabilities. All money raised at Miles for Ma-

theny will benefit the Matheny Center of Medicine and

Dentistry, which provides medical, dental and therapy

care to Matheny inpatients and to people with disabili-

ties living in communities throughout New Jersey.

Major sponsors are: Poses Family Foundation, title

sponsor; Partlow Insurance Agency; Peapack-Gladstone

Bank; Porzio Bromberg & Newman, P.C.; Affinity Federal

Credit Union; and WCBS-TV and WCBS Newsradio 880.

For more information or to register, log onto www.miles-

formatheny.org or call (908) 234-0011, ext. 260. Chuck Matheny and friends in the Lu HugginsWheelchair Walk at Miles for Matheny 2012.

Start of the 5K race in 2012.photos provided

provided


By Stuart Koman, Ph.D.

Although it is the most common

eating disorder, binge-eating disorder

(BED) has not been officially rec-

ognized as a legitimate eating dis-

order – until now.

This spring, when the American

Psychiatric Association (APA)

publishes the fifth edition of The Di-

agnostic and Statistical Manual of Mental Disorders, widely known as DSM-5, binge-

eating disorder will be among the new additions.

The fourth edition, DSM-IV, included binge-eating disorder in its appendix

“for further study.” The addition of binge-eating disorder to the manual legitimizes

the disorder and gives new hope to those who have it. This is a big deal because:

• Nearly half of all states have parity laws that require insurers to cover officially

recognized disorders. While insurers have generally covered BED, they may now

provide more comprehensive coverage.

• DSM is used as a reference for psychiatrists and other healthcare professionals

worldwide. Now, they will have common criteria for diagnosing BED.

• DSM provides healthcare professionals with the language they need to commu-

nicate effectively with patients, their families and insurance companies. Everyone

affected by the disorder will now have consistent, shared language to use when

discussing BED.

• By making BED a legitimate diagnosis, it helps those who have the disorder

from a psychiatric perspective, because they are more likely to accept it and to

seek treatment.

• It should improve research funding. More research would lead to a better

understanding of BED, and hopefully to improvements in treatment and recovery.

• The extensive research behind DSM-5 gives the manual a great deal of credi-

bility. DSM-5 took more than a decade to produce and includes contributions from

more than 1,500 mental health experts.

Identifying Binge-Eating Disorder

Until now, individuals with binge-eating disorder were typically diagnosed as

having EDNOS, which stands for “eating disorders not otherwise specified.”

While insurance companies have generally shown flexibility in covering EDNOS

patients, the failure to meet medical criteria for a disorder puts coverage in question

and may have dissuaded some from seeking treatment.

In addition, being categorize with EDNOS can be distressing to many patients.

They may have a life-threatening disorder, but the medical limbo of EDNOS makes

it not seem like a real eating disorder.

Now, those who meet specific criteria will be diagnosed as having binge-eating

disorder. While DSM-5 will not officially be published until May, publication

available online during a comment period included the following criteria. To be

diagnosed with BED, a patient would:

• Eat, in a discrete period of time (e.g., within a two-hour period), an amount

that is definitely larger than most people would eat in a similar period under sim-

ilar circumstances.

• Feel loss of control over eating during the binge. Those with BED believe they

cannot stop eating; they cannot control what or how much they eat.

Also, they must have three or more of the following symptoms:

• Eat an unusually large amount at one time. It’s difficult to define how much is

typically consumed during a binge, but studies show that consumption in the

average binge ranges from 2,000 to 5,000 calories.

• Eat much more quickly during binges than during normal eating episodes.

• Eat until physically uncomfortable and nauseated due to the amount of food

consumed.

• Eat when depressed or bored.

• Eat large amounts of food even when not hungry.

• Often eat alone during periods of normal eating, because of feelings of embar-

rassment about food.

• Feel disgusted, depressed or guilty after binging.

• Binge, on average, at least once a week for three months.

• Binge in a manner not associated with the recurrent use of inappropriate com-

pensatory behavior.

Like others with eating disorders, binge eaters almost always suffer from one or

more additional disorders, such as depression.

Binge eaters typically become obese over time, but not everyone who is obese

has binge-eating disorder. BED has a cognitive aspect lacking in those who are obese

and do not have binge-eating disorder. When those who have BED binge, they think

about it to the point where it ruins their day. They feel guilty and either do not eat

or restrict their eating for the rest of the day.

It is important to diagnose BED in those who are obese, because unless it is treated

and the patient recovers, any treatment for obesity has the potential to fail over time.

If a patient with BED has weight-loss surgery, for example, he or she may continue

to struggle with loss of control over eating, especially once the post-operative period

of severely limited eating passes.

The first step for medical professionals who want to determine if their patients

have BED should be to use a screening questionnaire, such as the SCOFF Ques-

tionnaire, which is similar to the CAGE Questionnaire used by medical profes-

sionals to evaluate alcohol use. There is also a Binge Scale and Night Eating

Questionnaire.

Combining Therapies

As with other eating disorders, successful treatment of binge eating typically

requires a combination of therapies. Using these therapies, the prognosis for recovery

is usually good.

Treatment typically begins by educating patients about their condition, so they

are more aware of their eating patterns and can identify triggers that influence how

and what they eat.

Typically, cognitive-behavioral therapy (CBT) is the most effective treatment.

CBT integrates behavior therapy with cognitive psychology and is based on the idea

that changing maladaptive thinking can change behavior.

The therapist provides information, guidance, support and encouragement. Goals

include normalized eating, the reduction or elimination of binging and a reduction

in eating behavior triggered by mood and events. Cognitive goals include improving

the patient’s self-esteem and weight-related concerns.

When patients fail to respond to CBT combined with interpersonal therapy,

dialectical behavioral therapy (DBT) is typically used. DBT combines cognitive

behavioral techniques for regulation of emotion, and reality testing with distress

tolerance, acceptance and mindful awareness. DBT seeks to reduce binging by

improving adaptive emotion-regulation skills.

Behavioral weight-loss therapy is another option, but many believe that it is best

for the patient to recover from BED before addressing weight loss.

What works for one individual does not necessarily work for another, so treatment

should be based on an in-depth diagnosis and a plan developed by a team, covering

medical, behavioral and nutritional care, while also considering co-occurring disorders.

Depending on how far the disorder has advanced, in-patient care or residential

care may be necessary to help the patient become medically stable and to begin

intensive therapy. Insurers have often been resistant to that level of care, but they

may be more flexible because of DSM-5.

When there are co-occurring disorders – and there are more often than not – it is

critical to treat them concurrently. Otherwise, another disorder will likely become

more advanced as the patient makes progress with BED. Many in the industry are

hopeful insurers will be increasingly supportive of treating co-occurring disorders

concurrently because of DSM-5.

With the publication of DSM-5, the APA is acknowledging that BED is a real dis-

order. That’s something that those who have BED have long known. Now that pro-

fessionals in the field have acknowledged the reality of BED, it should get the

attention it warrants as America’s most common eating disorder.

Stuart Koman, Ph.D. is President and CEO of Walden Behavioral Care in

Waltham, Mass. He can be reached at [email protected].

Binge-Eating Disorder gets real

Consultants Corner

Hospital Newspaper - NJ April, 2013 PagE 23

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May 19-22New Orleans, Louisiana

July 21-25Yosemite, California

September 15-18Las Vegas, Nevada

December 9-12Paradise Island, Bahamas

Holy Name Medical Center raises Awareness for Haiti Initiative“Make a Difference: Have a Heart, Help Haiti” premier draws 350

Holy Name Medical Center

(HNMC) hosted a premier screen-

ing of Caucus: New Jersey’s “Make

a Difference: Have a Heart, Help

Haiti” on February 13. The public

television program, which features

interviews with Michael Maron,

President/CEO of HNMC, and

David Butler, MD, HNMC Ob/Gyn

and President of the Center for

Rural Development of Milot, was

one component of the evening’s

event, which introduced Holy

Name’s “Hospital for Haiti” initia-

tive and provided an overview of

the Medical Center’s efforts to

enhance the level of patient care at

Hôpital Sacré Coeur in Milot, Haiti.

During the evening, guests

viewed documentary footage about

life in Haiti and learned about the

healthcare and socioeconomic chal-

lenges faced by the people of Milot,

which is located in the northern re-

gion of the country. Mr. Maron and

members of the medical staff who

had made humanitarian trips, includ-

ing Dr. Butler, and Dr. Timothy

Finley and Dr. Alan Gwertzman,

both HNMC anesthesiologists,

shared personal anecdotes about

their experiences. Steve Adubato,

Ph.D., host and producer of Caucus:

New Jersey and One-on-One, pro-

vided commentary, followed by a

question and answer session with the

audience.

Hôpital Sacré Coeur serves

225,000 people in Milot and the

northern Haiti region. It is one of the

area’s few reliable healthcare re-

sources, although the facility and its

technology are 30 to 40 years be-

hind the times. Volunteers from

Holy Name Medical Center are pro-

viding critically–needed medical

care to adults and children at Hôpi-

tal Sacré Coeur. Physicians and

nurses bring equipment, supplies

and pharmaceuticals on every visit,

and provide education to Haitian

healthcare professionals about cur-

rent medical practice. Holy Name’s

administrators and technical em-

ployees work on infrastructure and

systems initiatives, in an effort to

lend organization and leadership.

Mr. Maron captivated the audience

at the beginning of his presentation

with a recording of a beating human

heart. He proceeded to speak of his

Medical Center’s commitment to

Haiti, explaining that “Haiti chose

Holy Name,” rather than the other

way around. “Our hearts were open,

and we listened,” he said. “As an or-

ganization vibrant with faith and a

beacon of light in challenging times,

we chose to act. That is how faith

must be. The minor sacrifices we will

make for Haiti will only make us

stronger and better caregivers here…

It is our responsibility, those who

have benefited from the sacrifices of

others, those of us who have the

means, the strength and the courage

to act… it is our charge to do so.”

Mr. Maron described how the

relationship with Hôpital Sacré

Coeur started with Dr. Butler 20

years ago, and Holy Name’s

founders and sponsors, the Sisters

of St. Joseph of Peace, have had a

consistent presence there. How-

ever, after the devastating earth-

quake of 2010, Holy Name stepped

up its involvement and the staff was

moved to do more. Mr. Maron said

Holy Name’s work in Haiti would

not be a short-term project, but

rather, “HNMC is there for the long

haul, there for the people of Milot,

with the ultimate goal of creating a

reliable, sustainable, healthcare

system.”

Over 350 people were in atten-

dance at February 13th event, in-

cluding benefactors, elected

officials, individuals from the com-

munity at large, and members of the

Holy Name family. Honored guests

included 22 Holy Name employees

and medical staff members who

have volunteered their expertise

and skills at Hôpital Sacré Coeur.

Also present were Angelica Berrie,

President, Board of Trustees of the

Russell Berrie Foundation; Stephen

A. Borg, President of North Jersey

Media Group and Publisher of The

Record; and leaders from The Val-

ley Hospital, St. Barnabas Health-

care System, Mount Sinai Medical

Center, United Water and Bergen

County LINKS.

To learn more about Holy Name

Medical Center’s commitment to

Haiti or to make a charitable dona-

tion to the Hospital for Haiti initia-

tive, visit www.holyname.org or

call the Holy Name Medical Center

Foundation at 201-833-3187.

provided

Michael Maron, President & CEO, Holy Name Medical Center, withchildren of Milot, Haiti.

Online Directory available at www.hospitalnewspaper.com

ARCHITECTURE

Bernstein & Associates, ArchitectsFounded in 1990, Bernstein & Associates,

Architects, specializes in the design and con-struction of hospital and healthcare facilities.Our focus: high-quality design, excellent serv-ice, and client satisfaction.

We have worked for over 100 hospitals andanother 200 private healthcare facilities, acrossthe United States. Our project types have in-cluded all hospital and healthcare servicegroups, including:

Adult Day Care, Alcoholism Treatment Facil-ities, Ambulatory Surgery Centers, Assisted Liv-ing, Cancer Centers, Cardiac Cath, Cardiology,CCU/ICU, Clinics, Coronary Care, Dental, Der-matology, Dialysis Clinics, Doctors Offices,Drug Treatment Facilities, Elder Care, Employeeand Student Health Support Services, EmergencyDepartments, Emergency Preparedness, En-doscopy, ENT, Expert Witness, Group Practices,Hospices, Hospitals, Infectious Disease, Infor-mation Systems, Intensive Care, JCAHO Survey,Joint Commission Survey, Laboratories, MasterPlans, 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, Ra-diology, Rehabilitation, Senior Citizen Facilities,Sleep Centers, Social Services, Statement ofConditions, Surgical Suites and Ambulatory Sur-gery Centers, Urgent Care Centers, and USP 797Consulting Services.

The firm's projects have won design awardsfrom Progressive Architecture, ArchitecturalRecord, and the Architectural Woodworking In-stitute, and have been published in Advance,Health Facilities Management, Medical Technol-ogy Today, Bio/Technology, Progressive Archi-tecture, Architectural Record, Design Solutions,Hospitality Design, Sound and Communication,Contract Design and Hospital Newspaper.

Architectural Services include: program-ming, planning, design, construction docu-ments, bidding and negotiation, andconstruction administration.

The firm also offers sustainable or “green”healthcare design. The firm has a number ofLEED-accredited professionals, has success-fully completed numerous green healthcareprojects, and has published articles on “Green-ing the Healthcare Environment”.

Project Management (or Owner’s Represen-tative Services) is offered as a stand-alone serv-ice through our affiliated project managementcompany, Empire Projects, Inc. (www.empire-projects.com).

Bernstein & Associates, Architects - PLLC

1201 Broadway - #803,

New York, NY 10001

Contact: William N. Bernstein, AIA

Managing Principal

Tel: 609-309-7005

Fax: 609-309-7006

[email protected]

NEW YORK - HARTFORD - PRINCETON

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FAST & COMFORTABLE PELVIC EXAMSThe Wedgie Pelvic Exam Wedge provides fast,comfortable pelvic exams in the ER, Radiology,and Women's Health.

It is a much more comfortable than using ahard bedpan. The 6" height of the Wedgie liftsthe patient's pelvis significantly higher then abedpan, thus allowing physicians to perform abetter exam. The Wedgie's unique cutout designallows the physicians to maneuver their specu-lum in all directions without interference.

The Wedgie can support patients weighing upto 350 lb. It is made of a medical grade foamand an anti-microbial, anti-bacterial, tear resistant,and stain resistant medical grade vinyl cover.It can be cleaned with standard disinfectantproducts. Optional disposable protective coversand wall holders are available.

12 Windsor DriveEatontown, NJ 07724www.tskproducts.com

Phone: (732) 982-1090Fax: (732) 389-9044

Email: [email protected]

CAREER MANAGEMENT

Connect with Leading Healthcare Recruiters

Join BlueSteps, the executive career management service of the Association of

Executive Search ConsultantsHealthcare executives are in demand. Are

you being considered for the top leadership jobs?Join BlueSteps today to put your resume andconfidential careerprofile at the finger tips ofover 8,000 of the world’s top executive recruiters,including hundreds who specialize in healthcareand life sciences recruiting. In addition to aunique connection to the executive searchcommunity, BlueSteps also provides a suite ofproactive 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 ExecutiveSearch Consultants, you can rest assured thatyour career details will be confidentially and se-curely managed within BlueSteps. Unlike othermass job boards, only the highest caliber executivesearch consultants (all members of the AESC) willhave access to your BlueSteps profile. Each year,AESC members recruit for over 70,000 of thehighest level executive positions globally, manyof 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 [email protected] to learn more

or for assistance getting started!

RESOURCE DIRECTORY

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

COMMUNICATION SkILLS

“Removing language and cultural barriers

to effective communication”

Aspirin for Your Language Headache!

When nurses, administrative staff and

technicians speak a different language

than patients and their families:

• Patients may not be able to understand

simple questions or directions.

• Hospital staff may not be able to give

or get important information from

caregivers or family members.

• Employees may not understand proper

protocol and procedures.

On your site on your schedule:

• Spanish for Healthcare

• Accent Reduction

(Pronunciation Improvement)

• Communicating Across Cultures

• Business Writing Skills

• Sign Language

• ESL (Basic/Advanced)

...and more

Language Directions can help doctors, nurses, technical, and administrative staff

to communicate more effectively between each other, patients,

and their families

www.languagedirections.com

Contact Donna Clark

1-888-554-8848

[email protected]

rectLanguageD LLCons

CONTRACT/PRACTICEMANAGEMENT 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

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

MED�EXCEL USA

Please contact Marie Buchanan at 800.563.6384 Ext. 249

[email protected] all inquiries are confidential

HOME MORTGAGES

Gateway Funding

specializes in mortgage options to the

healthcare industry.

We understand the nuances involved

with obtaining mortgages for physicians,

nursing staff, residents,

or general staffing.

You’re busy, we know it. Your unique, we

get it. You need financing for a home,

we provide it.

One call or email to our experienced,

licensed and fully trained loan officers,

will put your mind at ease.

We can provide No Cost Pre-Approvals

prior to looking for a home, and highly

competitive rates and fee’s once you do

find your dream home!

Frank Mancino, Branch Manager

NMLS#133472

3564 Quakerbridge Rd

Hamilton, NJ 08620

877-583-3562

[email protected]

www.TheMancinoTeam.com

PAGE 24 March, 2013 Hospital Newspaper - NJ

Hospital Newspaper - NJ April, 2013 PAge 25

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

Plymouth Rock Assurance is a marketing name used by a group of separate companies that write and manage property and casualty insurance in multiple states. Insurance in New Jersey is offered by Plymouth Rock Management Company of New Jersey on behalf of High Point Property and Casualty Insurance Company and their affiliates. Each company is financially responsible only for its own insurance products. Actual coverage is subject to the language of the policies as issued by each company. Group discounts apply to policies written in High Point Property and Casualty Insurance Company. If the discount is not currently applied, it may be added upon request. May not be combined with any other group discounts. Offer available to New Jersey residents only.

Annual average savings based on customers who switched to High Point Property and Casualty Insurance Company using a group discount from January 2010 to April 2012. Your premium may vary due to available discounts, eligibility requirements, driving record, and other factors.

©2013 Plymouth Rock Management Company of New Jersey. All rights reserved. 6679/012013

New Jersey Hospital Group Auto Insurance Discount

Visit us online at NJHospitalQuote.com or call 888-391-4910 today for your free quote.

erNew J

sey Hospital Grr i

oup al Gr

Auto Ins

ance Discount sur

count

Visit us online 888-391-49

e at NJHospitalQ910 today for your

.comQuote or call . free quote

ance is a maAssurPlymouth Rock ance in N Insur.in multiple states

ance Compan and Casualty Insurage is subject to the langua cover

ance Companand Casualty Insurailable t Offer av.group discounts

age savings based o Annual averApril 2012.anuary 2010 to from J

©2013 Plymouth Rock Management Company of New Jersey

eting name used by a group of separ ark ew Jersey is offered by Plymouth Rock Management Company of New Jersey on behalf of High P

Each company is financially responsible only for its own insur. y and their affiliates age of the policies as issued by each company

it m If the discount is not currently applied,. y. to New Jersey residents only

oint Property and Casualty Insur n customers who switched to High Pailable dary due to avour premium may vY 2.

All rights reserved.. ment Company of New Jersey

agement Company of New Jersey on behalf of High Pance cially responsible only for its own insur

Group discounts apply to policies written in High P. ny May not be combined with any other may be added upon request.

ance Company using a group discount operty and Casualty Insur driving record,, eligibility requirements, iscounts

6679/012013 erved.

anceoint Property f of High PActual. productsoint Property n in High P

mbined with any other

ng a group discount. and other factors ord,

Gary S. Horan, CEO/President of Trinitas Regional Medical Center,receives Professional Society Award

Gary S. Horan, FACHE, of Sea

Girt, President and Chief Executive

Officer of Trinitas Regional Med-

ical Center, received the American

College of Healthcare Executives

(ACHE) Regent’s Award at the an-

nual ACHE breakfast meeting in

Princeton, NJ. Michael Friedberg,

Chairman of the Regent’s Award

Committee (left) and Daniel

Messina, FACHE, Regent for the

National Board of Governors of the

ACHE (right), presented the award

to Mr. Horan.

The Regent’s Award recognizes

ACHE Fellows who serve in a sen-

ior level executive position and

demonstrate success in promoting

the growth of his or her organiza-

tion’s stature in the community.

Recipients of the Regent’s Award

also demonstrate proven leadership

ability, innovative and creative

management, participation in local,

state, or provincial hospital and

health association activities, partic-

ipation in civic/community activi-

ties and projects, and participation

in ACHE activities and interest in

assisting ACHE in achieving its ob-

jectives.

Mr. Horan assumed the post of

Chief Executive Officer and Presi-

dent of Trinitas Regional Medical

Center and its parent organization,

Trinitas Health, in July 2001. Pre-

viously he served as President and

Chief Executive Officer of Our

Lady of Mercy Healthcare System,

Inc., Bronx, New York. He also

served as Vice President of Hospi-

tal Operations for New York Uni-

versity Medical Center, and as

Executive Vice President of St.Vin-

cent’s Medical Center of Rich-

mond, New York.

Mr. Horan is past Chairman of

the Hospital Alliance of NJ as well

as past Chairman of the Greater

NY Hospital Association. He was

elected to the Board of the New

Jersey Hospital Association

(NJHA) in 2010. He serves on the

Board of the Catholic Healthcare

Partnership of New Jersey. In 2007,

Mr. Horan was named a Fellow of

the New York Academy of Medi-

cine. He served as a member of the

Board of Governors of the Ameri-

can College of Healthcare Execu-

tives and is currently an ACHE

Fellow.

In the wider business commu-

nity, Mr. Horan is a recently-named

member of the annual Power 50

Healthcare listing as identified by

NJBIZ which lauded his success

in directing the operations of

Trinitas. He is on the Board of Di-

rectors of the New Jersey Cham-

ber of Commerce, a member of the

Global MBA Advisory Board at

Kean University, and a member of

the Union County College Board

of Governors. In 2012, Mr. Horan

was named Man of the Year by the

Irish Business Association of New

Jersey.

About Trinitas Regional

Medical Center


(TRMC), a major center for com-

prehensive health services for those

who live and work in Central New

Jersey, is a Catholic teaching med-

ical center sponsored by the Sisters

of Charity of Saint Elizabeth in part-

nership with Elizabethtown Health-

care Foundation. With 10 Centers

of Excellence across the continuum

of care, Trinitas has distinguished it-

self in cardiology, cancer care, be-

havioral health, renal care, nursing

education, diabetes management,

wound healing and sleep medicine.


Regional Medical Center, visit:

www.TrinitasRMC.org or call (908)

994-5138.

provided


NEW JERSEY LEAGUE FOR NURSING CONVENTION

"Nursing: Issues of Our Times"

Tropicana Casino & Resort, Atlantic City, NJ

PROGRAM HIGHLIGHTS

(Separate Registration Fee Required for This Program)

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

Dr. Susan (Suzie) Kardong-Edgren

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

Keynote Session…

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

********** Continuing Education Sessions & Posters

Exhibits of Products & Services

********** Convention Luncheon…

“Compassion Fatigue: The Price of Caring Too Much”

Dr. Phyllis Quinlan— Coach of Energetic Healing

********** (Earn Contact Hours for All Programs & Posters)

Keynote Session… “Pride In The Profession…

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

********** Continuing Education Sessions & Posters

Exhibits of Products & Services

********** Convention Luncheon…

“Let’s Talk About Sex and the Older Woman”

Dr. Gerti Heider—Woman’s Health Expert!

(Earn Contact Hours for All Programs & Posters)

FOR COMPLETE 2013 CONVENTION BROCHURE: Send email to [email protected] with

your name & mailing address (or) visit our web site at www.NJLN.org

PROFESSIONAL EDUCATION DAY - WEDNESDAY, March 20, 2013 A REGIONAL WORKSHOP FOR NURSE EDUCATORS

CONVENTION – DAY ONE Thursday, March 21st

CONVENTION – DAY TWO Friday, March 2nd

Professional Education Day – March 20, 2013 Convention – March 21 – 22, 2013


SPONSORS Assessment Technology Institute (ATI)

The Wright Choice Agencies Kaplan Test Prep

Thursday, March 21, 2013

8:00 a.m. – 3:30 p.m. Convention Registration Open 8:00 a.m. – 8:45 a.m. GRAND EXHIBITION HALL OPEN (Free Morning Refreshments) 8:45 a.m. – 9:15 a.m. New Jersey Nursing Convention’s Opening Ceremonies 9:15 a.m. – 10:15 a.m. KEYNOTE SESSION (Contact Hours)

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

10:30 a.m. – 12:30 p.m. Visit Exhibits & Poster Sessions (Contact Hours) There will be 18 Poster Presentations available for review that highlight current issues in health care. 11:15 a.m. – 12:15 p.m. NEW JERSEY LEAGUE FOR NURSING - 2013 ANNUAL BUSINESS MEETING (Contact Hours) 12:30 p.m. – 2:00 p.m. NEW JERSEY LEAGUE FOR NURSING CONVENTION LUNCHEON (Contact Hours)

Topic: “Let’s Talk About Sex and the Older Woman” Speaker: Dr. Gerti Heider, Associate Professor, UMDNJ School of Nursing

1:00 p.m. – 2:00 p.m. STUDENT TRACK ONLY -- CONTINUING EDUCATION SESSIONS STU1 – TOPIC: Interviewing Techniques & Job Seeking SPEAKER: Claudia Cotarelo, Talent Acquisition and Strategic Recruiter, Atlantic Health System OBJECTIVES: Identify social media, interviewing techniques, searching for a job, and effective resume writing. STU2 – TOPIC: NCLEX Test Tips SPEAKER: Laura Moskaluk , RN, MSN, CNE, Faculty, Middlesex County Vocational and Technical School OBJECTIVES: Review of basis prioritization mnemonic; review of alternate form questions; sample NCLEX style questions 2:15 p.m. – 3:15 p.m. STUDENT TRACK ONLY -- CONTINUING EDUCATION SESSIONS STU3 – TOPIC: Interviewing Techniques & Job Seeking -- (Repeat of STU-1 Topic) STU4 – TOPIC: NCLEX Test Tips – (Repeat of STU-2 Topic) 2:15 p.m. – 3:15 p.m. CONTINUING EDUCATION SESSIONS (Contact Hours) A1-TOPIC: The Transgender Population: The “T” In LGBT SPEAKER: Barbara Chamberlain, PhD, APRN, MBA, President, BJC Consultants OBJECTIVES: Describe the history of the LGBT movement; Compare and contrast the unique needs of the transgender individual; State one victim of transgender hate crimes; Explore the myths surrounding the LGBT population. A2 – TOPIC: A Nurse’s Role in Disasters SPEAKER: Kathe M. Conlon, BSN,RN,CEM MSHS, Burn Disaster & Emergency Preparedness Education Coordinator, St. Barnabas OBJECTIVES: Identify disaster types and implement appropriate nursing interventions for pt. care; Understand evolution of

disaster nursing and its role in modern times; Understand the impact of disasters on nursing practice. A3 – TOPIC: Dealing With Difficult Student Situations SPEAKER: Patricia A. Castaldi, DNP, RN, ANEF, Director, Practical Nursing Program, Union County College OBJECTIVES: Recognize difficult situations that may occur in nursing education setting; Identify effective strategies for

dealing with difficult students; Incorporate principles for the revision and/or development of program policies. A4 – TOPIC: Care Transitions – Partnerships That Work for Patients SPEAKERS: Alyce Brophy, RN, BSN, MPH, President/CEO, Community Visiting Nurses, and

Alyssa Kizun, MSW, LCSW, CCM, Director of Care Management, Somerset Medical Center OBJECTIVES: Identify and discuss the formation, implementation and results of a community collaborative for Care

Transitions utilizing the Coleman Transitions Care Model; Discuss formation of community provider collaborations and the implementation of evidenced based models of care.

3:15 p.m. – 4:15 p.m. CONVENTION WELCOME CELEBRATION (NJLN Scholarship Drawing, Attendee Prize Drawing) 4:15 p.m. – 5:15 p.m. CONTINUING EDUCATION SESSIONS (Contact Hours) B1 - TOPIC: S.O.S. – Support Our Staff and Stop The “Suffering in Silence” SPEAKER: Susan Fisher Brown, RN, Owner of CISM company called S.O.S. Crew Rescue, LLC OBJECTIVES: Describe Critical Incident Stress Management (CISM) and explain the significance of the implementation of

CISM teams within the health care system; Recognize warning signs of Critical Incident Stress that staff might exhibit; Describe the importance and necessity in pre-incident training.

2013 NEW JERSEY LEAGUE FOR NURSING CONVENTION PROGRAM


B2 – TOPIC: Understanding Cultural Diversity – Improving Patient Outcomes: Keys to Providing Culturally

Competent, Congruent, and Sensitive Care SPEAKER: V. Alexandra Hascup, PhD, MSN, RN, CTN, CCES, Asst. Professor, Kean University, College of Nursing OBJECTIVES: Define cultural terms including cultural sensitivity and competency; Develop knowledge of culturally

competent care and behavior strategies that lead to improved patient outcomes; B3 – TOPIC: The Walking Wounded: Consequences of Recurrent Sports Related Head Injuries SPEAKER: Christine Wade, RN, BSN, CRRN, Nurse Manager, Brain Trauma Unit, JFK Johnson Rehabilitation Institute OBJECTIVES: Discuss the effects of head injuries for all ages in sports and repeated injuries; Review how brain injury can be

very subtle and complex at the same time. B4 – TOPIC Everything We Learned in Kindergarten: Arts and Crafts for Simulation SPEAKERS: Pamela J. Hicks, MSN, RN, Skills Laboratory Coordinator, Raritan Bay Medical Ctr./Middlesex County College Susan Ellison, MSN, RNC, CNE, Course Coordinator, Raritan Bay Medical Ctr./Middlesex County College OBJECTIVES: Discuss the creation of environmental props to enhance the realism of the simulation; Demonstrate how to

create a variety of moulage techniques; Identify strategies to integrate moulage into simulation. 5:30 p.m. – 7:00 p.m. Sylvia C. Edge Endowment Campaign Reception Hosted by the Sylvia C. Edge Endowment Board and the New Jersey League for Nursing

Friday, March 22, 2013 8:00 a.m. – 1:00 p.m. Convention Registration Open 8:00 a.m. – 9:30 a.m. Grand Exhibition Hall Open (Free Morning Refreshments ) 8:00 a.m. – 12:00 p.m. EXHIBIT HALL OPEN 8:00 a.m. – 12:00 p.m. POSTER SESSION (Contact Hours) 9:00 a.m. – 10:00 a.m. KEYNOTE SESSION (Contact Hours)

Topic: “Don’t Get Sick In July” Speaker: Theresa Brown, BSN, RN,OCN, Writer and national lecturer, Pittsburgh, PA. 10:15 a.m. – 11:30 a.m. Visit Exhibits & Poster Sessions (Contact Hours) 11:00 a.m. – 12:00 p.m. CONTINUING EDUCATION SESSIONS (Contact Hours) C1 – TOPIC: Adjunct Orientation: The Key To A Successful Academic Year SPEAKER: Nancy Berger, RN, MSN,CNE, Director of Nursing Education, Middlesex County College Nursing OBJECTIVES: Discuss research regarding importance of adjunct orientation in the college/nursing education realm; C2 – TOPIC: Making a Difference in Ghana Through Community Nursing SPEAKER: Michelle L. Foley, MA, RN, CNE, (retired nurse educator) OBJECTIVES: Provide overview of Ghanaian culture; Describe village experiences and its impact on nursing and health care; C3 – TOPIC: Wound Management: Past, Present and Future SPEAKER: Tracey Siegel, MSN, RN, CWOCN, CNE, EdD (c), Program Coordinator, Middlesex County College Nursing OBJECTIVES: Discuss wound healing research and its impact upon nursing practice; Identify factors that affect wound

healing; Review topical therapies and describe appropriate topical therapy based upon wound assessment. C4 - TOPIC: Diabetes: Improving Outcomes, How Sweet It Is SPEAKERS: Dawn Gallagher, RN, CDE, Diabetes Nurse Educator, Somerset Diabetes Ctr, Somerset Medical Ctr. Jackie Plick, RN,BSN,MA,ANP-C,CDE, Diabetes Nurse Educator, Somerset Diabetes Ctr, Somerset Medical Ctr. OBJECTIVES: Review how Diabetes is managed today, including new therapies and education techniques; Discuss

Diabetes Education for the hospitalized patient and preparing them for discharge; Explore the role of the Certified Diabetes Educator as a partner in improving outcomes and wellness.

12:15 p.m. – 1:45 p.m. NEW JERSEY LEAGUE FOR NURSING CONVENTION LUNCHEON (Contact Hours) Topic: “Finding Balance As You Care For Others: Putting Your Oxygen On First” Speaker: Phyllis S. Quinlan, RN-Bc, PhD, Founder, MFW Consultants, Queens County, NY 2:00 p.m. – 3:00 p.m CONTINUING EDUCATION SESSIONS (Contact Hours) D1 - TOPIC: Learning Is Fun: It’s Not Death By Powerpoint and Lecture SPEAKERS: Mary Ann Balut, RN, MSN, APN-C, Raritan Valley Community College; Donna Gray, RN, MSN, CNE, and Kimberly Seaman, RN, MSN, CNE, JFK Muhlenberg School of Nursing OBJECTIVES: Demonstrate active learning pedagogies including audience participation of nurse educators; Evaluation of the

learning process will be provided and remediation strategies discussed; Learner participation in the classroom provides teacher assessment of learning outcomes and prompt feedback for learner.

D2 - TOPIC: Opportunities in Nursing: Beyond the Bedside SPEAKER: Jennifer Lerner, RN, BA, Staff Nurse, Oncology Unit, St. Barnabas Medical Center OBJECTIVES: Discuss many opportunities that exist away from the bedside; Provide current and future nurses with a deeper

knowledge of the healthcare industry and the wide variety of career alternatives.

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

Speakers have declared that he/she has nothing to disclose. There is no commercial support for this activity. Accredited status does not imply endorsement by NJLN, NJSNA or ANCC of any commercial products or services.

2013 NEW JERSEY LEAGUE FOR NURSING CONVENTION PROGRAM

RESOURCE DIRECTORY

www.bagoliefriedman.com

WoRKERS’ coMPEnSAtion

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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 soonas possible, even if you might not lose time fromwork or need immediate medical care.

2. Report all injuries to all body parts, nomatter how minor they may seem. If you donot report it and the injury gets worse overtime, the job may deny benefits.

3. Remember, you are entitled to treatmentand benefits even if you have previously in-jured the same body part in a prior accident.Do not let the job tell you different.

4. Your doctor controls the treatment, notrisk management. If you need an MRI andthe job will not approve it, the experiencedattorneys at BAGOLIE FRIEDMAN canfight to get it approved at no cost to you.

5.When you are released from treatment, youmay be entitled to money for your injury anddisability. You may also collect for repetitivestress, cumulative trauma, cancer, hearing loss& hepatitis.

6. Contact Attorneys Ricky Bagolie or AlanFriedman now for a confidential and freeconsultation and to discuss your workers'compensation and disability rights. There is nofee if there is no recovery

cAll toll FREE 1-866-333-3529(After Hours / Emergency Number -

201-618-0508)

BAGoliE FRiEdMAn, llcWorkers' compensation &

disability Attorneys

The Five Corners Building -660 Newark Avenue - Jersey City, NJ

07306 (201) 656-8500

790 Bloomfield Avenue - Clifton, NJ07012

(973) 546-5414

ExtEndEd cARE & ASSiStEd livinG

dAUGHtERS oF iSRAEl

Daughters of Israel is a multi-faceted, state-of-the-art skilled nursing facility offering themost modern and comprehensive servicesavailable including:

• Sub-Acute Rehabilitation • Long-Term, Skilled Nursing Care • Alzheimer’s Care • Hospice & Palliative Care • Respite Stays • The Charles Bierman Home -

Senior Housing with Assistance • The Sarah & Aaron Franzblau Institute

for Continuing Education

Our team of skilled and dedicated profes-sional staff deliver the highest quality of care forour 300+ residents. Services provided include:round-the-clock professional nursing care; 24-hour medical coverage by board-certified geria-tricians; on-site synagogue with full-timerabbinical services; a full range of stimulatingand innovative recreational activities; on-sitebeauty salon, barber shop, work activity center,gift shop and coffee shop; spacious dining rooms,auditoriums, lounges and outdoor patio areas.

Our sub-acute rehabilitation facility, whichfunctions as a separate unit within the Home,features a spacious gym with state-of-the-artequipment and comfortable recovery suiteswith luxury amenities.

Semi-private and private rooms are availableat Daughters of Israel. The facility is coveredby Medicare, Medicaid, commercial insurancesand private payment. Daughters of Israel is abeneficiary agency of United Jewish Communitiesof MetroWest, N.J.

1155 Pleasant Valley Way, West Orange, NJ 07052

www.doigc.org

Contact: Adena Twersky, Director of Admissions

Tel: 973-400-3307 Fax: 973-731-8364

[email protected]

nEW PRodUct tEcHnoloGY

NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular

Pressure (IOP) with unique, patented reboundtechnology which enables quick and painlessmeasurement with no drops or air. Quick, easy touse and patient friendly. The technology requiresno calibration. From beginning to end the testtakes under 60 seconds. Icare® has over 32,000satisfied users in over 50 countries.

HoSPitAlS

BERGEn REGionAlMEdicAl cEntER, l.P.

Located in Paramus, Bergen RegionalMedical Center is the largest hospital inNew Jersey dedicated to serving the residentsof Bergen County and surrounding communi-ties. With 1000+ beds and 1,500 staff mem-bers, the hospital specializes in BehavioralHealth Services, which include child and ado-lescent, adult and geriatric psychiatric treat-ment. Long Term Care Services provides ascope of services, which far exceeds that of-fered in a standard nursing home. As a fullservice accredited medical center, we providewound care, surgical care, cardiac care, re-habilitation services, respiratory care unitwhich includes ventilator dependent resi-dents, Korean care services and an acute careunit all under one roof for our residents. Thehospital excels in the treatment of substanceabuse.

The hospital offers detoxification, 21-day re-habilitation program, outpatient services, andtreatment for the mentally ill and chemicallyaddicted. Our Acute and Ambulatory Servicesoffers same day surgery, medical and specialtyclinics and state-of -the-art operating suites.

www.bergenregional.com

Tel. 201-967-4000

apparatusCampbell Supply companywww.campbellsupplyco.com

expositionsAbilities Expowww.abilitiesexpo.com

financial InstitutionsHealthcare Employees Federal Credit Unionwww.hefcu.com

home care specialistsComprehensive Home Carewww.homecarenj.com

hospitalsChildren’s Specialized Hospitalwww.childrens-specialized.org

Matheny Medical & Educational Centerwww.matheny.org

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

Cape Medical Billing (CMB) is your singlesource billing provider for curing undetected“revenue leakage” that plagues today's healthcarepractices. CMB has been in business for 22 yearsand is uniquely qualified to help your medicalpractice reverse “revenue leakage” with fast, effi-cient, innovative and customized billing programs.We offer personalized and cost effective servicewith 92.9% of charges paid upon the firstsubmission! We accomplish this everyday byutilizing our “state of the art” billing software andpaying close attention to critical detail used tomatch and process data. We also pride ourselves onsignificantly reducing days in accounts receivableby deploying aggressive and consistent follow-upprocedures. Our technology, expertise andpersonal approach drive our billing practicesand produce unparalleled results for our clients.

Are you currently doing billing in house andconsidering outsourcing? No problem, we canintegrate our technology with your current EMRsoftware package and help you convert yourmedical services to consistent cash flow! Ourbilling specialties: Cardiology, Internal Medicine,Podiatry, Family Practice, General Surgery,Pathology, Infectious Disease, Gastroenterology,OB/GYN, Neurosurgery, Urology, TraumaSurgery, PT/OT, Mental Health and Ambulance.We're the experts...STOP risking your money andprofit by collecting it yourself, or utilizing a billingcompany with less experience. We collect theHARD Stuff and we do it every day!

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

Contact:Richard Papperman,

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orSherrii Brentari

Director of Sales and MarketingCape Medical Billing

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HQ Location:Cape Medical Billing

5 Locust LaneP.O. Box 670

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www.capebilling.com

MEdicAl BillinG

Online Directoryavailable at

www.hospitalnewspaper.com

Contact:Bob Goldbacher

(609) [email protected]

Meridian Healthwww.meridianhealth.com

medical equipment & productsTSK Products, Inc.www.tskproducts.com

internet address directory

PAGE 30 April, 2013 Hospital Newspaper - NJ

Hospital Newspaper - NJ April, 2013 PaGe 31

NO Calibration & NO DropsIcare® 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 [email protected]


Calling All Emergency Responders

When everysecond 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.

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

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

Not Actual Size

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.comNow covered on UnitedHealthcare.Check with your GPO for low contract pricing. For additional information, please contact us at [email protected]

BRIEF SUMMARYNitroMist® (nitroglycerin) lingual aerosol Rx OnlyINDICATIONS 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 guano-sine monophosphate (cGMP)-specifi c phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l 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. WARN-INGS 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 benefi ts 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)-specifi c phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l 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 myo-cardial 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 refl ex 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: Coadministra-tion 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. Tissue-type 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 fi rst-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 ossifi cation were seen. The latter fi nding probably refl ects 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 suffi cient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-

orted clinical experience has not identifi ed 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, refl ecting the greater frequencyof decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamiceffects: 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 evenbloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either fl ushedor cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specifi c 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 nitroglycerinoverdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fl uid volume. Passive elevation of the patient’s legs may be suffi cient, but intravenous infusion of normal saline or similar fl uid may also be necessary. The use of epinephrineor 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 diffi cult, and invasive monitoring may berequired. 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 changeon 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 fi brotic 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 inan 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 bodyweight gain in both sexes at all matings. No specifi c 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 sildenafi l, vardenafi l, and tadalafi l. These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructedthat 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 ordizziness. 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 fl ammable propellant (butane),do not have the container burned after use and do not spray directly towards fl ames. 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 Cranford, NJ 07016 by Dynamit Nobel GmbH, Leverkusen, Germany Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USANitroMist is a registered trademark of NovaDel Pharma Inc., used by permission. 141B002 10/2012

* Priming NitroMist: After receiving a new prescription or refi ll, patients should remove the plastic cap, place forefi nger 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).

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