Richmond University Medical Center Opens Post COVID-19 Care Center
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CHRONICLE JULY 2020 • RICHMOND UNIVERSITY MEDICAL CENTER • WWW.RUMCSI.ORG Richmond University Medical Center Opens Post COVID-19 Care Center Keith Diaz, MD, director of RUMC’s lung screening program, explaining the multiple services available at the center to assist recovering COVID-19 patients with their short-term and long-term healthcare needs. Last month, Richmond University Medical lung screening program, said. “The referral Center announced the opening of its can come from a primary care physician, comprehensive Post COVID-19 Care Center, upon discharge from a hospital, or from an which features a team of multi-disciplinary ambulatory clinic.” experts focused on assisting recovering COVID-19 patients with their short-term and During the initial visit, patients will receive a long-term healthcare needs. comprehensive evaluation by a center physician. This may include a physical, EKG, blood work, “Since March 14, when our hospital treated its first pulmonary function screening, and a radiology COVID-19 positive patient, our doctors, nurses exam. Patients will also receive a screening for and medical professionals have been working depression and anxiety, which is often a hidden 24/7 treating COVID-19 patients and saving lives,” side effect for COVID-19 patients. The patient president and chief executive officer, Daniel may require additional testing such as a sleep J. Messina, PhD, FACHE, said. “But our care for study or swallowing evaluation and additional these patients does not end with their discharge. examinations by other subspecialists. Once all Recovering patients face many challenges both the information is obtained, the multidisciplinary physically and mentally including cardiac and team collaborates to …(continue on next page) pulmonary issues, anxiety, depression, and loss of stamina, to name just a few.” The Post COVID-19 Care Center, or PCC Center, features experts in pulmonary care, cardiology, infectious disease, psychiatry, behavioral health, physiatry, and additional areas of healthcare. A specific pediatric program involving similar sub-specialists is also available for children recovering from COVID-19 and Multisystem Inflammatory Syndrome in Children (MIS-C). Patients do not need to have been previously treated at RUMC to access the center’s services. “We have developed a process so that President and CEO Daniel J. Messina, PhD, FACHE, COVID-19 patients can easily be referred to announcing the opening of the Post COVID-19 Care the center,” Keith Diaz, MD, director of RUMC’s Center located at 288 Kissel Avenue, behind the main hospital. A Publication for Employees, Physicians, Trustees, and Volunteers of Richmond University Medical Center
From the President & CEO Daniel J. Messina, PhD, FACHE Summer is here and while The official notice came from the ACS which will be finished in 2021 as well and it will no doubt have a and NYS DOH in April. The hospital was situated in our former laundry location different feel to it, the warm temporarily designated as a Level-II Adult next to the facilities building. You can weather is still welcome Trauma Center since October of last year. also now see paving, trees, shrubs and and coincides with the While we satisfied all direct patient care medians throughout what will be our continued re-opening of criteria required for Level I status, ACS and new parking lot with 200 plus spaces our city. Please remember NYS DOH requested additional published behind the facilities building. We also to be mindful of others and observe the research articles and activities, a distinction have some unfolding news with regards CDC and New York State guidelines for between Level I and Level II. We provided to window replacements in the hospital. social distancing, mask wearing, washing the requested research to both ACS and More details to follow in the next edition hands, and self-monitoring. NYS DOH in March of this year, a full four of the Chronicle. Onwards and upwards! months ahead of the deadline. In this edition of the Chronicle, you will learn that while in the midst of With regards to construction, we Remember the Power of One — our COVID-19 response, the American remain full speed ahead on our You Make A Difference! College of Surgeons (ACS) and the New expansion projects! Our new state-of- York State Department of Health (NYS the-art 35,000 square foot emergency Sincerely, DOH) re-certified Richmond University department progresses and we will be Medical Center as a Level I Adult cutting a ribbon in early 2021. The same Trauma Center, effective immediately. can be said for our Co-Gen power plant, Rep. Rose, DA McMahon, TASC Donate PPE to Richmond University Medical Center On June 19, Rep. Max Rose was joined by Assembly Member Charles Fall, representatives from Staten Island District Attorney Michael McMahon’s office and members of the Turkish American Steering Committee (TASC) to donate food and Personal Protection Equipment (PPE) to Richmond University Medical Center. “Our primary service area, the north shore of Staten Island, has the second highest hospitalization rate in New York City per 100,000 people, second only to communities in The Bronx,” president and chief executive officer, Daniel J. Messina, PhD, FACHE, said. “While we are definitely on the other side of the COVID-19 mountain and the number of hospitalizations has dropped to a fraction of what we saw in early April, the virus is still out there. This PPE will protect our healthcare workers who continue to save lives every day.” The PPE donation included CDC-compliant gowns and masks from the Congressman, Assembly Member, District Attorney, and TASC. TASC also donated food and distributed red and yellow roses to the RUMC staff as a token of their gratitude for the services provided to the public over the past few months of the pandemic. RUMC President and CEO Daniel J. Messina, PhD, FACHE, accepts donation of PPE from members of the Turkish American Steering “I’ve been in a war before,” Rep. Rose said. “But I can’t imagine what the men and women Committee while Rep. Max Rose looks on. working in this hospital have been through these past few months.” Continued from front page… formulate a detailed report that is sent “As we start to see COVID-19 patients back The PCC Center is located at 288 back to the referring physician to ensure in our offices for follow-up care, we are Kissel Avenue, inside the hospital’s that the primary care physician is kept seeing side effects similar to those that Cardiopulmonary Rehabilitation Center, updated on the recommended treatment countries around the world have seen,” behind the main hospital. For more plan and of the patient’s progress towards Francesco Rotatori, MD, chair of cardiology, information, call 718-818-1500. their goal. Treatment plans may include said. “Cardiac complications are quite pulmonary rehab, changes in medication, common. One of the goals of the center is regularly scheduled follow-up visits, and to identify the cardiac deficiencies during additional services to assist in the patient’s the evaluation and provide each of these short-term and long-term recovery. patients with the appropriate cardiac testing. 2 I Chronicle I July 2020
Richmond University Medical Center Reinstated As Level I Adult Trauma Center RUMC has been reinstated as a Level I Adult Trauma Center by New York State and the American College of Surgeons. The reinstatement comes as the hospital continues construction on a new ED slated to open in 2021. The American College of Surgeons (ACS) ahead of the deadline provided by Center continues to be of the highest and the New York State Department the agencies. caliber. I would like to express my deep of Health (NYS DOH) have reinstated appreciation to everyone here at the Richmond University Medical Center as Seven years ago, Richmond University hospital who worked together through a Level I Adult Trauma Center, effective Medical Center achieved Level I Adult a very complicated and detailed process immediately. This designation confirms Trauma and Pediatric Level II Trauma while also ensuring we were prepared the hospital has the appropriately Center status, making it the first and ready to care for a high volume of trained medical staff, trauma educators, medical facility in New York City to COVID-19 patients desperately in need nurses, equipment, and protocols in achieve this dual designation. RUMC of our services.” place to continue treating all adult has consistently meet or exceeded all patients in need of emergency care. criteria required for a Level II Pediatric To meet the increasing needs for Trauma Center and as a result that the services provided by Richmond The official notice came from the ACS and designation has never been changed University Medical Center, the hospital NYS DOH in April while the hospital was by the ACS or NYS DOH. is in the midst of constructing a new in the midst of the COVID-19 pandemic. state-of-the-art 35,000 square foot The hospital had been designated as “I want to thank the American College emergency department. When completed a Level-II adult trauma center since of Surgeons and the New York State in 2021, the new emergency department October of last year. While the hospital Department of Health for expediting their will provide private treatment rooms, satisfied all direct patient care criteria for review and agreeing that our hospital is trauma bays, and specialty areas for Level I status, RUMC was requested by fully equipped to handle all patients in pediatrics and urgent care on the ACS and NYS DOH to provide additional need of immediate, emergency care,” ground floor, with the second floor published research articles and activities, president and chief executive officer, used for new operating rooms and a distinction between Level I and Level II. Daniel J. Messina, PhD, FACHE, said. “This critical care units. Built in 1978 to treat The requested documentation was re-certification assures the communities 15,000 people annually, the hospital’s provided to both ACS and NYS DOH of Staten Island that the level of trauma current emergency department treats in March of this year, a full four months care at Richmond University Medical over 60,000 patients every year. Richmond University Medical Center I 3
Pediatric Patient Discharged After Battle with Multisystem Inflammatory Syndrome in Children (MIS-C) Staff at Richmond University Medical Center gave a warm sendoff to a 16-year-old patient from Staten Island after his battle with Multisystem Inflammatory Syndrome in Children (MIS-C). The patient was diagnosed with COVID-19 in early May and admitted to Richmond University Medical Center a week later when he developed symptoms of MIS-C. He was discharged less than a week later following treatment by a team of physicians, nurses, and clinical professionals led by Melissa Grageda, MD, chief medical director of the Pediatric Intensive Care Unit (PICU) and director of pediatric quality and performance improvement. “Behind every successful discharge is a hard-working team of providers that makes this possible,” Dr. Grageda said. “The entire PICU team is extremely happy that our patient had a remarkable recovery and was discharged home to his family. Special thanks to our resident physicians Dr. Asaad and Dr. Garimella, and our PICU nurses Lauren and ToniAnne, who worked nonstop from the time the patient was admitted until he improved. Also, many thanks to the patient and his family for sharing their story, because everyone needs good news, especially during these prolonged, uncertain times.” The patient was accompanied by his mother, father, brother and sister as he said good-bye to the hospital and staff. NYS Approves RUMC For Non-Essential Elective Outpatient Surgeries And Non-Urgent Procedures Early last month, Richmond University surgeries and non-urgent procedures. no more than three days prior to the Medical Center was approved by This includes appropriate staffing and surgery or procedure. the New York State Department of adequate supplies of CDC-compliant Health (NYS DOH) to immediately PPE for all staff and patients from resume scheduling of non-essential pre-op through discharge. Under elective outpatient surgeries and non- the state’s requirements, RUMC urgent procedures at the hospital and will also test all patients receiving throughout all of its outpatient facilities. non-essential elective outpatient surgeries and non-urgent procedures “I want to thank Governor Andrew for COVID-19. Patients must test Cuomo and Health Commissioner negative for COVID-19 prior Howard Zucker for acting quickly to any such surgery or on our request to resume elective procedure. The test must surgeries and procedures, which we be administered submitted in late April,” president and chief executive officer, Daniel J. Messina, PhD, FACHE, said. “This allows us to resume services and procedures for the continued health and well-being of our community.” The NYS DOH confirmed that Richmond University Medical Center met its criteria and requirements for healthcare facilities to resume non-essential elective outpatient 4 I Chronicle I July 2020
Local Students Come Together to Donate Children’s Masks for RUMC Clinic Two Staten Island Technical High advisor with the New York City masks to the clinic back in mid-May. School alums have joined forces with Department of Education. The pair RUMC’s pediatric ambulatory clinic their families to donate handmade have been best friends since their days provides care for nearly 3,000 children masks to children being cared for at at Staten Island Technical High School, from the community, many of whom Richmond University Medical Center’s from where they graduated in 2010. are from underserved populations. pediatric ambulatory clinic, located at Huang recruited her mom, Cindy He, 800 Castleton Avenue. The “Masks For a designer seamstress who wanted to “Before we started giving out these Minors” team creates the masks in all lend her expertise in the battle against child-size masks, many children different sizes, colors, and patterns for COVID-19 by crafting masks. She had were wearing the adult-size ones on kids two to six years of age. been making adult masks for family their neck and plenty of others had and friends and was able to easily none,” Dr. Ana Mendez, director of the “Given what we are learning, that small adapt the pattern for young children. Dr. pediatric ambulatory clinic, said. “We children are experiencing a multisystem Bakshi recruited her brothers, Michael at the clinic are thankful for this effort inflammatory syndrome, similar to and Steven Mantello, to fundraise and and the families we serve are pleased Kawasaki disease, that could be purchase kid-friendly fabrics for the their children are better protected.” linked to COVID-19, every precaution masks. The brothers, who are both must be taken to ensure their safety high school students, and protection,” president and chief suggested choosing executive officer, Daniel J. Messina, PhD, patterns and themes FACHE, said. “Thank you to everyone appealing to children with Masks for Minors for your efforts which would increase to protect our youngest patients.” the likelihood of them wearing the coverings Since the start of the COVID-19 outside. They also pandemic, there have been numerous suggested making efforts to make face coverings for two different sizes: adults, but few have focused around masks that fit children masks for children. The Centers for two to four years of Disease Control and Prevention (CDC) age and also four to recommend that children two years of six years of age. age and older wear masks or cloth face coverings when outside or in public. Within one week, Masks for Minors Enter Dr. Sonya Bakshi, psychiatry designed, fabricated, resident at NYU Langone Medical and delivered 100 Center, and Winnie Huang, strategy SIBOR and SI Running Association Show Support for RUMC To show their appreciation for Richmond donations to support the hospital’s raised $1,750 for the hospital. Accepting University Medical Center’s efforts to operations. The donation of $3,335 the donation on behalf of RUMC was improve community health, especially from SIBOR was made in honor of president and chief executive officer, during the COVID-19 pandemic, both Richard H. Dun, whose son is an officer Daniel J. Messina, PhD, FACHE, and vice the Staten Island Board of Realtors of SIBOR. Dun passed away earlier this president of development, Laura Gajda. (SIBOR) and the Staten Island Running year from COVID-19 complications. SIRA Association (SIRA) made separate held a virtual run for its members which Richmond University Medical Center I 5
NO E OP WN Post COVID-19 Care Center The most comprehensive The PCC Center features a multi-disciplinary team of experts including: care for your post Primary Care/Family Medicine Physicians Psychiatry and Behavioral Health Pulmonary Medicine Infectious Disease COVID-19 conditions. Cardiac Care Pediatrics Physiatry Additional Specialists IF YOU OR A LOVED ONE HAVE HAD COVID-19, PLEASE CONTACT YOUR DOCTOR FOR A REFERRAL. 718-818-1500 288 Kissel Avenue Staten Island, NY 10310 www.rumcsi.org/postcovidcare (behind the main hospital building)
RUMC nursing administration with some of the visiting nurses from across the country who helped the hospital during the COVID-19 outbreak. As COVID-19 case numbers in Staten Island have declined, many will be returning home, some to states still experiencing spikes in cases. RUMC Says Thank You to Nurses Who Came to Battle COVID-19 When Staten Island needed them most, the July 4th holiday, while others will the height of the pandemic. In addition they came. Nurses from all across the remain into August. to providing weeks of support in the country, trained in all different specialties. emergency department and Intensive They came in March and April at the “Many of them will be leaving us shortly Care Units, the nurses were also assigned height of the COVID-19 pandemic here to return home, many to states that are to various other departments. For some in New York City. On June 26, Richmond seeing spikes of COVID-19 that rival of the nurses, RUMC was only one of the University Medical Center expressed its what we faced just a few short weeks hospitals they worked in during their thanks and unending gratitude to almost ago,” president and chief executive time in New York City. 80 of these nurses as they begin making officer, Daniel J. Messina, PhD, FACHE, plans to return home. The hospital held said. “I am hopeful that these men and “They came to us at a critical time,” chief a “grab and go” breakfast early that women who came when we needed nurse officer and chief operating officer, morning as the nurses arrived for their them most remain safe and can also Rosemarie Stazzone, RN, MS, CNE, said. shift at 7 AM or left after completing their take what they learned here, apply it in “Their professionalism and enthusiasm overnight duties. As cases of COVID-19 their own hospitals, and save lives.” to be a part of our RUMC team was decline across New York City, many of truly a bright spot during one of the the nurses will be leaving shortly after The nurses were assigned to RUMC by most difficult and challenging times on New York City to provide support during our hospital’s history.” COVID-19 Patient Discharged After Over 40 Days On Ventilator On June 16, Staten Islander Brian Volpini, 51, was discharged after recovering from COVID-19. Admitted on April 20, Volpini spent over 40 days on a ventilator to help him breathe while his body fought against the virus. “Brian is one of those cases that shows why as doctors we never give up,” said Jay Nfonoyim, MD, and vice chair of medicine. “We just kept saying there will be a light at the end of Brian’s tunnel and we will not give up on him. When you see him finally going home it validates why we do what we do.” Volpini was admitted by ambulance to Richmond University Medical Center on April 20 and placed almost immediately on a ventilator to assist his breathing. From the time he was admitted to his discharge on June 17, Volpini spent his entire admission in the hospital’s Intensive Care Unit (ICU) under the direct care of Dr. Nfonoyim. Volpini was discharged to a nearby rehabilitation center to continue his recovery. As Volpini left, staff from the ICU applauded and cheered their miracle patient, wishing him well on his Patient Brian Volpini with RUMC nurses Lisa Yeno, RN; and Rosalie Roccanova, RN. continued recovery. Richmond University Medical Center I 7
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