Hospitals that accomplish Magnet status go through a rigorous review process. Sinai's software was 1 approximately,500 webpages and included 795 attachments and 167 graphs. The in-depth report centered on the techniques Sinai's structures and processes met 60 standards in five areas: transformational leadership; structural empowerment; exemplary professional practice; new knowledge, innovations and improvement; and empirical outcomes. The selection process also involved Magnet appraisers arriving at Sinai to interview 600 bedside nurses. A Magnet designation is the ultimate embodiment of nursing excellence. It demonstrates our continuous commitment to improved outcomes, individual satisfaction and staff satisfaction and is certainly well aligned with our strategic focus on operational excellence and worth enhancement, explained Diane Johnson, vice president of Patient Treatment Solutions and chief nursing officer for Sinai Medical center.Dye, M.S., R.N., A.N.P., Kimberly Quinn, B.S.N., and Amber L. Dougherty, M.P.H.: Morphine Use after Combat Injury in Post-Traumatic and Iraq Stress Disorder Post-traumatic stress disorder is an important and well-documented mental health outcome among seriously injured civilian and military survivors of trauma.1-10 Increasing recognition of the profound and prolonged detrimental effects on general health status and quality of life when PTSD develops in the aftermath of critical physical injury or exposure to traumatic events has made its prevention a focus of research on trauma-related outcomes.2-4,11-14 The secondary prevention of PTSD with pharmacotherapy in the aftermath of major trauma is a newly evolving and important area of research. Current understanding of the pathogenesis and neurobiology of PTSD provides a strong theoretical basis for the role of pharmacotherapy in the secondary prevention of PTSD after main trauma.15-17 The principal aim of pharmacotherapy is to decrease or impede memory consolidation and the associated conditioned response to fear after a person undergoes a traumatic event.15,16 This strategy is founded on the hypothesis that pharmacotherapeutic agents such as for example opiates, anxiolytics, and beta-adrenergic antagonists might be effective in avoiding the onset of PTSD.18-23 However, few research have examined the efficacy of psychotherapeutic medications in the secondary prevention of PTSD that develops in the aftermath of main trauma.