SEPTEMBER 2019

This Issue:
Clinical Corner - Quality Assurance Tips and Controlled Narcotics Documentation
September 9-15 is Neonatal Nurses Week-Celebrating You! 
September is Baby Safety Month
September is National Cholesterol Education Month
September is Food Safety Month -  The Core Four Practices
Recipe - Zucchini Tots
September Fun Family Activities
 

























Field Nurses
  • Reminder to fill out all parts of Page 1 of the Assessment.
  • Anything that is not applicable to your patient just write N/A.
  • Please make sure the caregiver dates after signing on page 1 and 2 of Assessment.
  • You may fill in the date for them prior to leaving the home for that shift.
  • When you receive the monthly MARs make sure to review with POT with any new orders since POT printed.
  • Then please sign reviewed by in the top left corner of each page of the MAR.
  • Also please remember to sign the bottom of each MAR page with credentials, even if medications on the page are not given by you.
  • Make sure to add a blank Addendum to the POT form with the Emergency/To Go Bag.
  • If the nurse accompanies the patient to MD visit please have either the Addendum filled out or an MD visit form listing the medications.
  • The nurse in the home can give medications, new orders or changes in orders if listed on the MD Visit paperwork, Hospital Discharge paperwork, or a bottle of medication in the home.
  • Just fill out an Addendum for the medication bottle in the home.(That way the office can obtain a signed order for the medication.)

Thank you to our Nursing Supervisors for continuing to improve and update our POTs.
Field Nurses please communicate any changes to POT promptly to the Nursing Supervisors.
This includes monthly weights and vaccinations from patient MD appointments.

Controlled Narcotics Documentation
Controlled Narcotics need to be counted at the beginning and ending of the shift with either another nurse or a caregiver in the home. Both parties will need to sign off on the Controlled Substances Log.  At the time of counting not on another day!

Reminder to fill out the bottom of each MAR page to show you have reviewed medications given to patient. Even if there are no medications on that page that the nurse has given.

* Just a reminder - New orders or discontinued orders (D/C) must be documented in the following manner:
  • Fill out an Addendum to the plan of treatment.
  • Add the order to the MAR or TAR.
  • When filling out the MAR or TAR you must include the date of the order, initial under the date.
  • If the order is being D/C indicate by a single line through the order and date and initial.
  • Any new order or D/C order will also need to go on the POT, in the communication log, on the medication profile, narrative note, yellow copy of Addendum placed in chart and you must call the Supervisor for the case.
  • Medications must be written in mg and in parenthesis you may add the (ml) amount.
  • The reason for this is concentrations change.
  • In addition all pages of the MAR are reviewed and signed for top left corner prior to the start of every month
    • Reviewed by: __________________________________________________
Sample medication done correctly:
Ibuprofen 200mg (10ml) PO Q 6 HRS PRN pain or temp greater than 100.4
 
Incorrect medication
Tylenol Childrens 10ml PO PRN
 
Any Questions check with your Nursing Supervisor.

Thank you,

Amy Zirkle
 
Amy Zirkle, RN
Clinical Educator
Newborn Nurses
Phone: 856-669-0211 Ext 200329
2 Pin Oak Lane Suite 250
Cherry Hill, NJ 08003




Free Seminar September 14, 2019


CLICK BELOW TO REGISTER 





Make a difference in a family's life - You can help!!!!

Open Cases
 

Lakewood:
Help bring this wonderful baby girl home from the hospital for the first time! Seasoned trach/ vent nurses are encouraged to apply. Nevertheless, if you want to gain knowledge and experience on this complex case, training is provided. With the support of her large family, the nurse will help assist the family with nursing needs for this child. House is well-equipped. Baby will stay in separate nursery with attached bathroom. Orientation will be provided by nursing supervisors. All shifts available!
Contact Alexa at 609-436-6420 ext 106

Phillipsburg:
Looking for a NICU Nurse to care for baby who has dwarfism. Administration of oxygen, PRN, enteral feedings, and close monitoring of weight gain, important for the growth and development of this baby. Day and night shifts available for NICU Nurses looking to supplement their salary and experience a variety of skills. Full and part-time hours available. 
Contact Alexa at 609-436-6420 ext 106

Additional Phillipsburg Cases:
-Infant male: 24 wk premature, BPD GERD, G-Tube Feeds, Overnight hours
- Infant female: Trach, G-tube; 11p-7a Daily and 7a-3p On weekends
- Infant female: NG Tube; Overnights
- Toddler male: trach, vent, g-tube; overnights
Contact Alexa at 609-436-6420 ext 106

Camden, Camden County
School Age Female -  Trach (no vent)
Available Hours:
Monday's: 11p-7a
Tuesday's: 11p-7a
Wednesday's: 11p-7a
Thursday's: 11p-7a
Friday's: 11p-7a
Saturday's: 11p-7a
Sunday's: 11p-7a
Contact Samantha 856-669-0211 ext. 200282

Browns Mills, Burlington County
School Age Female -  G Tube, Feeding Pump, Suction, Nebulizer, O2, Wheelchair
Available Hours:
Tuesday's: 7a-4p (school)
Thursday's: 7a-4p (school)
Friday's: 7a-4p (school)
Saturday's: 7a-3p
Saturday's: 3p-11p
E/O Tuesday: 3p-11p
Contact Samantha 856-669-0211 ext. 200282

Browns Mills, Burlington County
Teenage Female -  *GJ Tube, Pulse Ox, O2, BiPap, Suction, Nebulizer, Cough Assist, Wheel Chair, Hoyer
Work with a team of nurses that are supportive in helping you learn the care and routine. 1 dog.
Hours Available
Monday's: 5p-5a
Tuesday's: 5p-5a
Wednesday's: 5p-5a
Thursday's: 5p-5a
Friday's: 5p-5a
Saturday's: 5p-5a
Sunday's: 5p-6a
Contact Morgan 856- 669-0211 Ext. 200318

Sicklerville, Camden County
School Age Female -  *Trach & Vent (Trilogy), GJ Tube, Suction, O2, Pulse Ox, Nebulizer, Lift, Wheel Chair
Hours Available
Saturday's: 11p-7a
First time home with a Trach & Vent - be the nurse to make a difference in their new transition. No pets. Patient has own care room on 1st floor, well organized. Ask about our scheduled Trach & Vent classes!
Contact Morgan 856- 669-0211 Ext. 200318

Medford, Burlington County:
Adult Male with GJ Tube, Nebulizer, Suction, Pulse Ox, O2, Ambu Bag, Cough Assist, Wheel Chair, Ceiling Track Lift . Newly re-modeled home with top of the line equipment. Only son to caring parents looking for a reliable nurse to join their team of compassionate nurses.
Hours Available:
Wednesday's: 430p-830p
Thursday's: 430p-830p
Friday's: 3p-9p
Contact Morgan 856- 669-0211 Ext. 200318
Nurses Needed in: Washington, Holmdel, Morris Plains, Flemington, Howell, and Trenton.






Newborn Nurses Don't Forget These Important Tools 


 
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                              Newborn Nurses Hometrack App Instructions           www.newbornnurses.com/secure


September 9-15 is Neonatal Nurses Week-Celebrating You!

Neonatal Nurses Week-Celebrating You!
This year NANN is expanding Neonatal Nurses Day to an entire week, September 9-15! Established in 2000 by the National Association of Neonatal Nurses (NANN), members of the neonatal community use this time to honor their nurse colleagues and show their pride in being a neonatal nurse.
Neonatal Nurses Week provides an opportunity to celebrate the hard work and dedication of neonatal nurses as well as the NANN community. Your contributions to the tiniest patients make a difference that lasts a lifetime for neonates and their families.

Neonatal Nurses Week - We Save Babies!
The Neonatal Nurses Week theme had a very unexpected origin. It started in late 2016 at NANN's 32nd Annual Conference in Palm Springs when attendees were connecting to the conference Wi-Fi on their many devices. The password to connect was "WeSaveBabies" and our attendees instantly loved it! Who knew a simple password could have such an impact on our attendees? Nurses continued to reference the phrase throughout conference and it took on a life of its own. We knew it was perfect for Neonatal Nurses Week!


CONTINUE
September is Baby Safety Month


September is Baby Safety Month, sponsored annually by the Juvenile Products Manufacturers Association (JPMA). This month-long event increases consumer awareness of safety issues and the safe selection and use of baby products. Whether you are a retailer, manufacturer, industry partner, doctor's office, or playgroup, you are in a wonderful position to spread the word to parents and caregivers about baby safety throughout Baby Safety Month and all year long.

This year, JPMA is helping educate parents and caregivers on the importance of properly choosing and using all the best products for your child's age and developmental stage as outlined by the manufacturer.

September is National Cholesterol Education Month


Children, young adults and older Americans can have high cholesterol. Learn how to prevent high cholesterol and know what your cholesterol levels mean.

September is National Cholesterol Education Month, a good time to get your blood cholesterol checked and take steps to lower it if it is high. National Cholesterol Education Month is also a good time to learn about lipid profiles and about food and lifestyle choices that help you reach personal cholesterol goals. Below you will find some information about cholesterol and a summary of CDC programs that address cholesterol across the country. You will also find a few fact sheets and publications about cholesterol, as well as links to useful consumer and health care provider information on our partner Web sites.


September is Food Safety Month 
The Core Four Practices


THE CORE FOUR PRACTICES
Right now, there may be an invisible enemy ready to strike. He's called BAC (bacteria) and he can make people sick. In fact, even though consumers can't see BAC - or smell him, or feel him - he and millions more like him may already be invading food products, kitchen surfaces, knives and other utensils. But you have the power to Fight BAC!® and to reduce your risk of foodborne illness.  It's as easy as following these core four Fight BAC!®practices for food safety:


Best NJ Labor Day Weekend Events
2019 concerts, festivals, parades, fireworks, and more




Labor Day, the first Monday in September, falls on September 2, 2019 this year.

Created as a labor movement dedicated to the social and economic achievements of American workers, It constitutes a yearly national tribute to the contributions workers have made to the strength, prosperity, and well-being of our country. 

Over the years this holiday has evolved from a being a labor union celebration into a celebration of the unofficial end of summer, especially for families with kids.

Labor Day is often regarded simply as a day of rest and or end of summer celebrations that include picnics, barbecues, fireworks, parades, water sports, and public art events. Families with school-age children take it as the last chance to travel before kids begin the new school year.

ZUCCHINI TOTS
Loaded with zucchini and carrots, these tots do not even taste healthy! It's the perfect way to sneak in veggies, and it's just so good!
INGREDIENTS:
2 zucchini, shredded
1 teaspoon salt
2 carrots, peeled and shredded
1/2 cup Panko*
2 large eggs
1/4 cup shredded cheddar cheese
2 tablespoons freshly grated Parmesan
1/2 teaspoon dried basil
1/2 teaspoon dried oregano
1/4 teaspoon garlic powder
1/4 teaspoon onion powder
Pinch of cajun seasoning
Kosher salt and freshly ground black pepper, to taste
2 tablespoons chopped fresh parsley leaves


DIRECTIONS:
  1. Preheat oven to 400 degrees F. Lightly oil a baking sheet or coat with nonstick spray.
  2. Place grated zucchini in a colander over the sink. Add salt and gently toss to combine; let sit for 10 minutes. Using a clean dish towel or cheese cloth, drain zucchini completely, removing as much water as possible.
  3. Transfer zucchini to a large bowl. Stir in carrots, Panko, eggs, cheeses, basil, oregano, garlic powder, onion powder and cajun seasoning; season with salt and pepper, to taste.
  4. Form zucchini into tots and place onto the prepared baking sheet.
  5. Place into oven and bake until golden brown and crisp, about 16-18 minutes, flipping during the last 10 minutes of cooking time.
  6. Serve immediately, garnished with parsley, if desired.*
NOTES:
*Panko is a Japanese-style breadcrumb and can be found in the Asian section of your local grocery store.
*TO FREEZE: Transfer cooled tater tots to an airtight container. Freeze up to 1 month. To bake, preheat oven to 400 degrees F and bake until heated through, about 15-17 minutes.
https://damndelicious.net/2015/08/08/zucchini-tots/



September Fun Family Activities



 
September 2nd 2019
Stamp Out Hunger 5K
5k Race & 1 Mile Fun Run
5K Race Time: 8:30am
Registration Begins: 7:15am
Awards Ceremony after Race Concludes
Registration Begins: 7:00AM
5K Race Time: 8:30AM
1 Mile Run/Walk Time: 8:35AM
Awards Ceremony After Race ConcludesThis race is perfect for competitive runners as well as casual runners/walkers. The course is USTAF certified, and the race will include chip timing. All participants will enjoy the opportunity to join their community in supporting a great cause and the chance to take in the local scenery. Both the 5K and 1-mile race courses start in downtown Medford in front of the Public Safety Building (rain or shine). The course winds through town, and then moves out to surrounding country roads.
https://stampouthunger5k.com/event-info/ 

Sat, Sep. 7, 2019 at 10:00 AM
Paws for Art
Wheaton Arts, 1000 Village Drive, Millville, NJ, 08332
Bring your family dogs to WheatonArts for a day of art and fun! PAWS for Art is an annual, free admission event celebrating our four-legged friends and their owners. Hosted in partnership with the South Jersey Regional Animal Shelter, this outdoor event is held rain or shine from 10 a.m. to 5 p.m. PAWS for Art highlights include: WheatonBarks Dog Show (with trophies for adult and children categories), local non-profit animal rescue groups, obedience demonstrations, animal-themed glassmaking demonstrations, personalized clay paw prints, pet-themed crafting activities for children, pet-themed retail exhibitors, and more! Pet food donations for the shelter are welcomed and encouraged.
https://southjerseyregionalanimalshelter.org/event/paws-for-art/?instance_id=184 

September 7, 2019
Lakeshore's Free Crafts for Kids Prehistoric Saturdays in September 
11:00 AM - 3:00 PM
Lakeshore Learning
2020 Marlton Pike West
Cherry Hill, NJ 08002
Free Crafts for Kids, Ages 3 and up
Enjoy crafts and hands-on activities. Family Friendly. No registration required.
 
September 8, 2019
Maggiano's Kid's Cooking Class Sunday, September 8th
8:30 AM - 10:30 AM
Maggiano's Little Italy
2000 Route 38,  #1180
Cherry Hill, NJ 08002
Let your little chef's creativity run wild with our Kid's Cooking Class!
Sunday, September 8th
8:30 AM- 10:30 AM
Kids will decorate their own chef hats and learn how to make our delicious MINI MEATBALLS!
Tickets will be $30+tax for children.
We will have a light breakfast buffet and juices for the children and also complimentary coffee, hot tea, ice tea & soda for the adults.
 
Sep 8: 11:00am - 5:00pm
Rancocas Woods Food Truck and Fun Fest
Creek Mercantile
118 Creek Rd., Mt. Laurel, NJ 08054
Come join us the second Sunday each month for a day of great food, local vendors, live music, and shopping in our unique and historic settings. Enjoy walking our retail shops filled with one-of-kind handcrafted items, antiques and collectibles, and much more.
Documents

Sep 21, 11 AM - 7 PM
An incredible free event with three stages of never-ending live music, a massive beer tent, business expo, crafts, food trucks, vendors, traditional German music and food, and so much more...

Sep 28, 2019 - 11:00 AM - 04:00 PM 
23rd ANNUAL WOOFSTOCK FESTIVAL 
OUTDOOR FAMILY & pet friendly FESTIVAL WITH MUSIC, dog demonstrations, craft and retail vendors, gourmet food trucks, ... More http://www.camdencounty.com/es/event/23rd-annual-woofstock-festival/

PAWS DISCOVERY FARM!
1105 HAINESPORT-MOUNT LAUREL ROAD
MOUNT LAUREL, NJ 08054
Open 10AM to 4 pm Monday - Friday
10am to 6pm Saturday & Sunday 
Enjoy acres of family fun! Paws Discovery Farm promotes a special relationship between people, their local history, and their environment, with an emphasis on reaching out to children. Learning is designed to be fun at PAWS DISCOVERY FARM!
We offer classes and story hours, animal programs and birthday parties, as well as special events throughout the year. All visitors enjoy and learn from many interactive exhibits and over 80 birds and animals housed here.
 
Paint a Treasure
615 Station Ave.
Haddon Heights, NJ 08035
856-617-0602
For ages 5 and up. Come in and get creative anytime during our normal walk in studio hours.  You choose how to play - Pottery Painting or Canvas Painting!  Reservations are suggested for groups of 4 or more.  
Wednesday:  10am - 5pm 
Thursday - 10am - 9pm
Friday:  10am - 9pm
Saturday:  10am - 9pm
Sunday: 12 - 5pm
 (Closed Mon. & Tues. for Private Event Bookings)
 
We Rock the Spectrum
3111 NJ-38, Mt Laurel Township, NJ 08054, USA
856-242-9354 
We Rock the Spectrum Mount Laurel is committed to providing a safe, nurturing, and fun environment to foster learning, exploration and safe sensory experiences. Through our nonprofit My Brother Rocks The Spectrum Foundation, we provide social skills groups and activities for children across the spectrum.
We Rock the Spectrum Mount Laurel provides children with a fun and motivational environment to help them in the areas of strength, movement, sensory processing, communication, positive behavior modification, social interactions, and self-care skills. Our unique equipment assists all children in their neurological growth and development.
 
Miller Farms -Horseback Trail Rides & Lessons in Camden County!
Come enjoy the beautiful scenery at the only horseback/trail riding available in Camden County. Trail riding is offered Saturdays and Sundays from 10am to 4pm year round (Weather permitting). Children must be at least 7 years old to trail ride. Cost is $30/person for approximately an hour-long trail ride. Hand-led rides are also available for those younger than 7 and cost $5.
Reservations are strongly suggested.
We offer a great place for family fun, birthday parties, girl scouts and youth groups. Summer horse camp, riding lessons, and horse drawn wagon rides are also available.
1 Hour Trail Rides are $30 Per Person | Call for reservations | Trail Rides Sat and Sun Only | Open Year round
Miller Farms
134 N. Grove Street, Berlin, NJ 08009
856-728-3500
 
ISC - ISC (International Sport, Skating & Fun Centre) Cherry Hill
650 Kresson Rd.
Cherry Hill, NJ 08034
Classes: Sports
Camps: All, Sports
HOURS: Our offices are open 9 AM - 5 PM daily. Give us a buzz for more information!
CALL: 856-428-8588  
MORE DETAILS: ISC (International Sport, Skating & Fun Centre) Cherry Hill is any family's destination for fun!
Located off of Kresson Road (behind the 7Eleven) in Cherry Hill, New Jersey, we offer skating, a FunZone & Inflatable (10 & Under), and an arcade. Our facility also includes a cafè with pizza, hot dogs, popcorn, nachos, drinks and more!
ISC Cherry Hill offers activities for all ages, no matter the season.
Our youth & adult sports leagues run year round and include:
  • Soccer
  • Lacrosse
  • Field Hockey
  • Volleyball
  • Roller Hockey
ISC Cherry Hill also offers School & Summer Camp programs for ages 3 ½ through Grade 8. Call for more information!

Jellybean Jungle
Crispin Square Shopping Center  
230 North Maple Ave
Marlton, NJ 08053
Open Play Hours:
Monday - Wednesday 9:30 - 5:00  
Thursday 9:30 - 6:00  
Friday  9:30 - 8:00  
 Saturday  9:30 - 2:30  
Sunday - Closed for Private Parties  
Jellybean Jungle is a play and learn adventure that is exclusively for  children 5 and under. Our facility is a bright and stimulating environment  created just for your little ones.
Jellybean Jungle was designed by a New Jersey Early Childhood certified  teacher. Safe, age appropriate equipment has been selected for your  children's enjoyment. We offer a large variety of imaginative and  developmentally appropriate activities that will lead your child on an adventure  of social exploration! As your child plays, you will gain insight into their  development, as well as enjoy a great time of bonding.

Adventure Aquarium 
Mon. - Sun.: 10:00 AM - 5:00 PM
CALL:  (856) 365-3300  
1 Riverside Drive Camden, NJ 08103 PH: 844-474-FISH (3474)
Adventure Aquarium is just minutes from downtown Philadelphia on the  Camden Waterfront and features one-of-a-kind exhibits with more than 8,500 aquatic species throughout two million gallons of water. The Aquarium is home to the largest collection of sharks on the East Coast, including the only great hammerhead shark on exhibit in the United States, the only 
aquarium in the world to exhibit hippos, one of only six facilities in the US to have Little Blue penguins as permanent residents and exhibits the longest Shark Bridge in the world, a unique V-shaped rope suspension bridge just inches over Shark Realm. Adventure Aquarium is an accredited member of the Association of Zoos and Aquariums (AZA), and is held to the absolute highest standards in animal care and exhibition.

Sensory Friendly Movies at AMC
AMC is proud to partner with the Autism Society to offer unique movie  showings where we turn the lights up, and turn the sound down, so you can get up, dance, walk, shout or sing! Our Sensory Friendly Film program is available on the second and fourth Saturday (family-friendly) and Tuesday evenings (mature audiences) of every month. Please check your local theater listings for specific show times, and don't forget to share your family fun with #AMCSensoryFriendly.

Battleship New Jersey 
62 Battleship Pl, Camden, NJ 08103-3302
866-877-6262
Located on the Camden Waterfront, NJ, across the Delaware River  from Center City Philadelphia the Battleship New Jersey Museum and  Memorial offers guided and self-guided tours. Climb inside the 16" gun  turrets, learn explore the captain's cabins and crew's quarters and  discover what life was like for a Battleship sailor. Group packages and  educational programs are available for school. You can rent space  aboard the Battleship for meetings and social events. Families and  youth groups can spend the night aboard the Battleship as part of the  overnight program. 


Newborn Nurses Newsletter 
The NBN Group
2 Pin Oak Lane
Cherry Hill, NJ 08003
(856) 669-0211